Full Description
Liver transplantations require a complex and varied, multidisciplinary approach involving not only hepatologists and surgeons but also pathologists, psychologists, professional educators, nurses and, in the case of young patients, also pediatricians and development experts. This textbook provides an overview of the management problems involved in liver transplantation for acute and chronic liver disease, pediatric liver transplantation and the psychosocial aspects of liver transplantation. A closing chapter, focusing on the developments and future prospects in liver transplantation, outlines the potential offered by donors after cardiac death, cell therapies and organogenesis. The multidisciplinary approach is also maintained in the selection of authors, all experts actively engaged in the various disciplines involved in liver transplantations. This aspect, together with its precise and didactic descriptions of all phases of liver transplantation for chronic and acute diseases - from managing waiting lists to post-transplant complications - make the book a valuable tool for fellows, trainees, and specialists in the field seeking accurate framework for liver transplantation in its many facets.
Contents
Part 1. Liver transplantation for chronic liver diseases: Epidemiology of chronic liver diseases. Indications to liver transplantation (chronic liver diseases, tumours, genetic disorders, ACLF). Referral to the liver transplant center . Evaluation of the recipient. Management of the patient on the waiting list, scoring systems and priority. Organ allocation systems in Europe, U.S. and Asia. Surgical aspects of liver transplantation. Living-related liver transplantation. Critical care of the liver transplant recipient. Surgical complications after liver transplantation (vascular, biliary). Rejection and immunosuppressive regimens. Role of histopathology. Infections in the liver transplant recipient. Metabolic complications after liver transplantation. Renal dysfunction after liver transplantation. Recurrence of the primary liver disease (HBV, HCV, Alcohol, Cholestatic/Autoimmune diseases). De novo tumours after liver transplantation. Graft and patient survival.- Part 2. Liver transplantation for acute liver failure: Epidemiology of acute liver failure. Prognostic scores and timing to liver transplantation. Pre-transplant management. Outcomes after liver transplantation, graft and patient survival.- Part 3. Paediatric liver transplantation: Epidemiology of paediatric liver diseases. Indications to liver transplantation. Outcomes after liver transplantation in the paediatric population. Part 4. Psycho-social aspects of liver transplantation. Psychiatric and psychological evaluation of the potential liver transplant candidate. Fertility, sexual function and pregnancy after liver transplantation. Adherence and quality of life. Transition to adult care. The role of transplant coordinator, nurse and professional educator.- Part 5. Developments and future prospective in liver transplantation: Donor after cardiac death. Cell therapies and transplantation. Organogenesis. Tolerance in liver transplantation.
