title: Aftercare for patients with transplanted organs.
abstract: BACKGROUND
  The postoperative management following solid organ transplantation requires close cooperation between family doctors, internists, the local hospital, and the transplant center.
  
  
  METHODS
  Selective analysis of current national and international guidelines and relevant review articles.
  
  
  CONCLUSIONS
  In the early phase post transplantation, aftercare involves inpatient treatment and outpatient or inpatient rehabilitation with the aim of complete social and professional reintegration. Early diagnosis and treatment of typical general complications such as post-transplant diabetes, hyperlipidemia, arterial hypertension, osteoporosis, and kidney failure is essential. Early detection and treatment of malignant disease and opportunistic infections in patients with long-term immunosuppression is desirable. Moreover, organ-specific factors have to be taken into account. In the event of transplant dysfunction, recurrence of the underlying disease in the transplant, chronic or acute rejection, and organ-specific infections and drug toxicity have to be considered.
authors: Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. schrem.harald@mh-hannover.de
authors: Harald
authors: H
authors: Schrem
authors: Hannelore
authors: H
authors: Barg-Hock
authors: Christian P
authors: CP
authors: Strassburg
authors: Anke
authors: A
authors: Schwarz
authors: Jürgen
authors: J
authors: Klempnauer
mesh_terms: D000359:Aftercare / Q000379:methods* / Q000639:trends*; D005858:Germany; D006801:Humans; D016377:Organ Transplantation / Q000451:nursing* / Q000534:rehabilitation*; D011182:Postoperative Care / Q000379:methods* / Q000639:trends*; D011183:Postoperative Complications / Q000451:nursing / Q000517:prevention & control* / Q000534:rehabilitation