Medical Care of the Liver Transplant Patient (eBook)

Total Pre-, Intra- and Post-Operative Management
eBook Download: PDF
2008 | 1. Auflage
612 Seiten
Wiley (Verlag)
978-0-470-75153-4 (ISBN)

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Medical Care of the Liver Transplant Patient looks at monitoring and maintaining the health of organ recipients and donors, pre, during and post-operatively.

There are twenty-nine chapters containing practical advice on total patient management. They are arranged into 8 sections and follow the stages of transplantation from first indication and selection of potential recipient, through to acute recovery, long-term follow-up and continued health.

In this edition there are new chapters on special considerations in liver transplant patients such as viral hepatitis, alcoholic liver disease and live donor liver transplantation. It also contains the very latest information concerning complications and recurring problems after transplantation. Another new chapter considers fresh approaches and developments in the future.

This is a vital reference to all members of the medical team involved at different stages in the care of liver transplantation patients including hepatologists, gastroenterologists, transplant surgeons, specialist nurses, and nutritionists.



Paul G. Killenberg MD, Chief of Division, Professor of Medicine, Division of Gastroenterology, Duke University Medical Center, USA


Pierre-Alain Clavien, MD PhD, Professor and Chairman, Department of Visceral and Transplantation Surgery, Zuerich University Medical Center, Switzerland


Medical Care of the Liver Transplant Patient looks at monitoring and maintaining the health of organ recipients and donors, pre, during and post-operatively. There are twenty-nine chapters containing practical advice on total patient management. They are arranged into 8 sections and follow the stages of transplantation from first indication and selection of potential recipient, through to acute recovery, long-term follow-up and continued health. In this edition there are new chapters on special considerations in liver transplant patients such as viral hepatitis, alcoholic liver disease and live donor liver transplantation. It also contains the very latest information concerning complications and recurring problems after transplantation. Another new chapter considers fresh approaches and developments in the future. This is a vital reference to all members of the medical team involved at different stages in the care of liver transplantation patients including hepatologists, gastroenterologists, transplant surgeons, specialist nurses, and nutritionists.

Paul G. Killenberg MD, Chief of Division, Professor of Medicine, Division of Gastroenterology, Duke University Medical Center, USA Pierre-Alain Clavien, MD PhD, Professor and Chairman, Department of Visceral and Transplantation Surgery, Zuerich University Medical Center, Switzerland

Medical Care of the Liver Transplant Patient, 3E 5
Contents 7
List of Contributors 11
Introduction 15
Part 1: Management of the Potential Transplant Recipient 17
Chapter 1. Selection and Evaluation of the Recipient (including Retransplantation) 19
Chapter 2. Monitoring the Patient Awaiting Transplantation 34
Chapter 3. Management of Portal Hypertension and Biliary Problems Prior to Transplantation 59
Chapter 4. Psychosocial Evaluation of the Potential Recipient 82
Chapter 5. Financial Considerations 95
Chapter 6. Donor Organ Distribution 103
Chapter 7. Viral Hepatitis 124
Chapter 8. Hepatoma 135
Chapter 9. Alcoholism and Alcoholic Liver Disease 155
Chapter 10. Primary Biliary Cirrhosis, Primary Sclerosing Cholangitis (including Cholangiocarcinoma), and Autoimmune Hepatitis 165
Chapter 11. Metabolic Diseases 188
Chapter 12. Living Donor Liver Transplantation 211
Chapter 13. Fulminant Hepatic Failure 224
Part 2: Management in the Perioperative Period 243
Chapter 14. The Transplant Operation 245
Chapter 15. The Difficult Surgical Patient 258
Chapter 16. Surgical Aspects of Living Donor Transplantation 272
Chapter 17. Anesthesia 286
Chapter 18. Recovery in the Immediate Postoperative Period 313
Chapter 19. Rejection 320
Chapter 20. Vascular Complications 339
Chapter 21. Biliary Complications following Liver Transplantation 355
Chapter 22. The Role of Histopathology 375
Part 3: Chronic Medical Problems in the Transplant Recipient 411
Chapter 23. Medical Problems after Liver Transplantation 413
Chapter 24. Recurrence of the Original Liver Disease 435
Chapter 25. Infections in the Transplant Recipient 455
Chapter 26. Renal Function Posttransplant 476
Chapter 27. Cutaneous Diseases in the Transplant Recipient 489
Chapter 28. Productivity and Social Rehabilitation of the Transplant Recipient 505
Part 4: Medications 519
Chapter 29. Immunosuppressive Medications 521
Chapter 30. Drug Interactions with Commonly Used Immunosuppressive Agents 538
Part 5: Pediatric Liver Transplantation 553
Chapter 31. Special Considerations for Liver Transplantation in Children 555
Part 6: Liver Transplantation in the Future 579
Chapter 32. New Approaches 581
Index 601

"The book is well written, easy to read and full of valuable
references. [...] It is a valuable aid for both transplant and
non-transplant hepatologists and for surgeons. [...] It is one
of the few books combining all the relevant clinical aspects of the
continuously growing knowledge on liver transplantation, a special
setting where the coexistence of multidisciplinary competences and
skills is critical to allow optimal results." Digestive
and Liver Disease, October 2006

"This textbook facilitates the integration process by
providing an excellent resource for non-transplant physician who
care for patients with liver disease pre or post transplantation.
[...] The chapters provide a handy reference for the management
of most problems encountered by transplant patients following the
immediate post operative period." from review in
Hepatology on first edition

Review of the first edition

"...The authors encourage a dialogue between the personal
physician and the liver transplant center personnel...Detailed
discussion of management during the perioperative period should be
appreciated by specialists including hepatologists, transplant
surgeons, and transplant coordinators as well as residents and
fellows training in this discipline... this book is easy to read
and well worth its cost..."

Erscheint lt. Verlag 15.4.2008
Mitarbeit Stellvertretende Herausgeber: Alastair Smith, Beat M llhaupt
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizinische Fachgebiete Chirurgie Viszeralchirurgie
Medizinische Fachgebiete Innere Medizin Gastroenterologie
Schlagworte Allgemeine u. Innere Medizin • Gastroenterologie • gastroenterology • General & Internal Medicine • Medical Science • Medizin
ISBN-10 0-470-75153-3 / 0470751533
ISBN-13 978-0-470-75153-4 / 9780470751534
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