[Daily life, pregnancy, and quality of life after liver transplantation].
It is now accepted that patients with a liver transplantation regain the ability to lead a normal life within months of surgery, but at the price of lifetime immunosuppressive treatment and specific regular surveillance. A balanced and diversified diet, together with regular physical activity is necessary to prevent, limit, or delay the development of the cardiovascular complications that determine the prognosis for long-term survival. Attenuated live vaccines are contraindicated in patients treated with immunosuppressants to avoid the risk of reversion of the attenuation of the virus or bacteria. Travel abroad is possible to places with good sanitary conditions, if the patient increases his or her vigilance for any contagious infection. The global incidence of cancer is higher than in the general population, justifying specific and regular testing and clinical monitoring. A planned pregnancy is possible in patients stabilized after liver transplantation, and prognosis is most often good for mother and child. Early multidisciplinary management is essential because of the elevated risks of fetal growth restriction and preterm delivery. The global perception of quality of life increases after liver transplantation, but remains lower than in healthy subjects.
Cannesson
Amélie
A
Maladies de l'appareil digestif et de la nutrition, Pôle de médecine Huriez, Hôpital Huriez, CHRU Lille, Lille, France.
Boleslawski
Emmanuel
E
Declerck
Nicole
N
Mathurin
Philippe
P
Pruvot
François René
FR
Dharancy
Sébastien
S
D000203:Activities of Daily Living; D002318:Cardiovascular Diseases / Q000517:prevention & control; D000075202:Contraindications; D004032:Diet; D005260:Female; D006801:Humans; D006920:Hygiene / Q000592:standards; D016031:Liver Transplantation / Q000009:adverse effects; D009369:Neoplasms / Q000209:etiology; D011247:Pregnancy / Q000276:immunology; D011788:Quality of Life; D014195:Travel; D014611:Vaccination