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• W2079820229 abstract "El trasplante hepático es la opción terapéutica de elección en la insuficiencia hepática aguda y crónica irreversible de diferentes etiologías. En la época actual, de escasez de órganos donantes, es necesaria una selección cuidadosa de los candidatos para trasplante. Además de los modelos pronósticos específicos, hay modelos generales, como la clasificación de Child-Pugh y el sistema model for end-stage liver disease (MELD), que son útiles en la determinación del momento óptimo de realización del trasplante hepático en la mayoría de los pacientes con cirrosis. Cuando se haya determinado que el/la paciente necesita un trasplante y que no hay otras medidas terapéuticas disponibles, se debe realizar una evaluación pretrasplante multidisciplinaria en la que, en definitiva, se trata de determinar la idoneidad del paciente como candidato a trasplante, excluyendo la presencia de procesos médicos, quirúrgicos o psicológicos que puedan comprometer tan gravemente la supervivencia del paciente o del injerto que hagan que el trasplante sea fútil. En esta revisión, se analizarán las contraindicaciones más frecuentes del trasplante y se hará un análisis de los aspectos más relevantes de la evaluación pretrasplante. Liver transplantation is the treatment of choice in acute and irreversible chronic liver failure of distinct etiologies. Because of the current shortage of donor organs, careful selection of candidates for transplantation is required. In addition to specific prognostic models, there are general models, such as the Child-Pugh classification and the MELD system, which are useful in determining the optimal timing of liver transplantation in most patients with cirrhosis. Once the need for transplantation has been determined and the possibility of other available therapeutic measures has been ruled out, a multidisciplinary evaluation should be performed to assess the patient's suitability for this procedure. This evaluation must rule out the presence of medical, surgical or psychological factors that could compromise patient or graft survival, making transplantation futile. The present review analyzes the most frequent contraindications to transplantation, as well as the most important aspects of pretransplantation evaluation." @default.
• W2079820229 created "2016-06-24" @default.
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• W2079820229 date "2007-01-01" @default.
• W2079820229 modified "2023-09-25" @default.
• W2079820229 title "Selección de candidatos para trasplante hepático" @default.
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• W2079820229 doi "https://doi.org/10.1157/13097451" @default.
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