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- W2051108519 abstract "Hepatobiliary disorders are major causes of morbidity and mortality in the general population. This explains why nearly 4000 liver transplants are performed each year in the United States. Liver transplantation is now routinely used as treatment of end-stage cirrhosis and other irreversible hepatic disorders.49 The success rate of this surgical procedure is so high that increasing numbers of liver transplant recipients are returning to their communities to move on with their lives and enjoy a remarkable improvement in lifestyle and productivity. This improvement is possible not only because of the new nondiseased liver, which is responsible for the disappearance of the disabling complications of liver failure, but also because of pharmacotherapeutic agents used to avoid rejection and close medical follow-up, which is necessary to control problems that develop long after the transplant procedure. The ability to implement appropriate preventive health measures, manage a host of metabolic side effects, and evaluate and treat expeditiously intercurrent complications such as fever or jaundice is essential for the health maintenance of the liver transplant recipient. In this context, the internist and family practitioner play a crucial role in the long-term management of the liver transplant recipient in the community. Moreover, these physicians are critically important in the care of liver recipients who live at a geographic distance from the transplant center. Although the gastroenterologist is key in the pretransplant phase in managing ascites, variceal bleeding, hepatic encephalopathy, and other manifestations of cirrhosis, the role of this specialist in the management of the liver transplant recipient with a well-functioning graft is often limited to advice and intervention when liver function tests are abnormal or when complications of the biliary tract occur. All members of the posttransplant care team (i.e., the primary care physician, gastroenterologist, and transplant center specialists) should communicate freely with each other to enhance the probability of long-term survival of the recipient. In general, the liver transplant recipient is closely monitored by the liver transplant center during the first 6 months after surgery because most complications that occur during this period require highly specialized resources. Subsequently, as the recipient begins to alternate visits between the transplant center and the primary physician, a different set of medical issues begins to emerge. In this article, the most important aspects of the long-term medical care of the liver transplant recipient are discussed(Table 1), with emphasis on situations generally managed by the primary physician. In addition, issues that are best approached in consultation with, or exclusively by, the liver transplant center are mentioned." @default.
- W2051108519 created "2016-06-24" @default.
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- W2051108519 date "1996-09-01" @default.
- W2051108519 modified "2023-10-16" @default.
- W2051108519 title "LONG-TERM MANAGEMENT OF THE LIVER TRANSPLANT RECIPIENT" @default.
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- W2051108519 doi "https://doi.org/10.1016/s0025-7125(05)70481-8" @default.
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