Liver Transplantation : Clinical Assessment and Management.

Liver Transplantation : Clinical Assessment and Management.

With the number of patients requiring liver transplants on the rise, this practical volume provides much needed answers to critical questions. It explains when to refer a patient for liver transplantation, how to assess a potential liver transplant recipient, how to manage the hospitalized transplan...

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Bibliographic Details
Main Author: Neuberger, James
Other Authors: Ferguson, James, Newsome, Philip N.
Format: eBook
Language:English
Published: Hoboken : Wiley, 2013.
Subjects:
Liver > Transplantation.
Liver > Transplantation
Online Access:Click for online access
Table of Contents:
  • Cover; Title page; Copyright page; Contents; List of Contributors; Foreword; Preface; Acknowledgements; About the Companion Website; Abbreviations; PART 1: When to Refer a Patient for Liver Transplantation; CHAPTER 1: General Considerations; General principles; Acute liver failure: paracetamol hepatotoxicity; Acute liver failure: non-paracetamol aetiologies; Hepatocellular carcinoma; Chronic liver disease: natural history; Chronic liver disease: prognostic scoring systems; Chronic biliary diseases: primary biliary cirrhosis, sclerosing cholangitis.
  • Diuretic-resistant/intolerant ascites and chronic hepatic encephalopathyHepato-pulmonary syndrome; Porto-pulmonary hypertension; Patients who are human immunodeficiency virus carriers; Other unusual indications; Specific medical surgical and psychosocial issues; Obesity; Cigarette smoking; Substance misuse; Alcohol; Age; Compliance; Summary; Further reading; CHAPTER 2: Prognostic Models in Liver Transplantation; Introduction; Development of prognostic models; Inherent strengths and weaknesses of prognostic models; Models for liver disease; Child-Turcotte-Pugh model; MELD, MELD-Na and PELD.
  • UKELDModels for specific liver diseases; Alcoholic hepatitis; Acute liver failure; Non-liver-specific models; Further reading; PART 2: Selection, Assessment and Management on the List; CHAPTER 3: Assessing the Potential Transplant Recipient; Introduction; General issues when assessing a potential liver transplant recipient; 1 Will the patient survive the perioperative period? Does the patient have comorbidities that could impact on the graft or patient survival?
  • 2 Will the patient be compliant with complex medication regimens and outpatient appointments? Are there any associated psychosocial issues?Assessing cardiovascular operative risk; Assessing pulmonary operative risk; Assessing surgical risks; The patient with a previous history of malignancy; Simultaneous liver and kidney transplantation; Assessing long-term cardiovascular risk; Consent; Further reading; CHAPTER 4: Consent; The principles of consent; Consent and transplantation; Timing of consent; What information should be given to the prospective transplant recipient?
  • What is risk and what should be discussed?Explaining risk; Research; Further reading; CHAPTER 5: Management on the Waiting List; Introduction; Ascites; Refractory ascites; Hyponatraemia; Infections and spontaneous bacterial peritonitis; Prophylaxis; Renal failure including hepatorenal syndrome; Presentation and diagnosis; Treatment; Hepatic encephalopathy; Treatment; Prophylaxis; Variceal bleeding; Gastric varices; Nutrition; Immunisations; Further reading; CHAPTER 6: Specific Diseases; Parenchymal liver disease; Alcohol-related liver disease; Hepatitis B virus infection.

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