Liver transplantation. Selection, listing criteria, and preoperative management.
Although only the expansion of the donor pool will have a major impact on the survival of patients with decompensated cirrhosis awaiting OLT, anticipation of complications such as SBP may improve the likelihood of a patient surviving until OLT, and may ameliorate some of the major causes of morbidity of cirrhosis, such as osteoporosis. Close communication between the treating physicians and the transplant center is crucial to ensure that the patients' UNOS status can be appropriately adjusted if additional complications of cirrhosis, such as intractable ascites, have occurred.
Division of Digestive Diseases, University of California Los Angeles School of Medicine, Los Angeles, California, USA. sammysaab@msn.com
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D000328:Adult; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000601:surgery; D016031:Liver Transplantation; D018579:Patient Selection