Medical Care of the Liver Transplant Patient Total Pre-, Intra- and Post-Operative Management

by Killenberg, Paul G; Clavien, Pierre-Alain; Smith, Alastair; M¿llhaupt, Beat

• ISBN13: 9781405130325
• ISBN10: 1405130326
• Edition: 3rd
• Format: Hardcover
• Copyright: 2006-05-29
• Publisher: Wiley-Blackwell

Summary

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.

Author Biography

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

Table of Contents

List of Contributors	ix
Introduction	xiii
Part 1: Management of the Potential Transplant Recipient	1	(226)
Selection and Evaluation of the Recipient (including Retransplantation)	3	(15)
Don C. Rockey
Monitoring the Patient Awaiting Transplantation	18	(25)
Beat Mullhaupt
Management of Portal Hypertension and Biliary Problems Prior to Transplantation	43	(23)
Nazia Selzner
Janet E. Tuttle-Newhall
Beat Mullhaupt
Psychosocial Evaluation of the Potential Recipient	66	(13)
Robyn Lewis Claar
Financial Considerations	79	(8)
Paul C. Kuo
Rebecca A. Schroeder
Donor Organ Distribution	87	(21)
Richard B. Freeman, Jr
Jeffrey Cooper
Viral Hepatitis	108	(11)
Paul G. Killenberg
Hepatoma	119	(20)
Maria Varela
Margarita Sala
M. Jordi Bruix
Alcoholism and Alcoholic Liver Disease	139	(10)
Mark Hudson
Kaushik Agarwal
Primary Biliary Cirrhosis, Primary Sclerosing Cholangitis (including Cholangiocarcinoma), and Autoimmune Hepatitis	149	(23)
Beat Mullhaupt
Alastair D.-Smith
Metabolic Diseases	172	(23)
David A. Tendler
Living Donor Liver Transplantation	195	(13)
James F. Trotter
Wesley Kasen
Fulminant Hepatic Failure	208	(19)
Michael A. Heneghan
Part 2: Management in the Perioperative Period	227	(168)
The Transplant Operation	229	(13)
Lucas McCormack
Markus Selzner
Pierre-Alain Clavien
The Difficult Surgical Patient	242	(14)
Robert J. Porte
Lucas McCormack
Pierre-Alain Clavien
Surgical Aspects of Living Donor Transplantation	256	(14)
Zakiyah Kadry
Pierre-Alain Clavien
Anesthesia	270	(27)
Kerri M. Robertson
Marco Piero Zalunardo
Recovery in the Immediate Postoperative Period	297	(7)
Julie S. Hudson
Judith W. Gentile
Rejection	304	(19)
Bradley H. Collins
Dev M. Desai
Vascular Complications	323	(16)
Paul Suhocki
S. Ravi Chari
Richard L. McCann
Biliary Complications following Liver Transplantation	339	(20)
Lucas McCormack
Peter Bauerfeind
The Role of Histopathology	359	(36)
Mary K. Washington
M. David N. Howell
Part 3: Chronic Medical Problems in the Transplant Recipient	395	(108)
Medical Problems after Liver Transplantation	397	(22)
Eberhard L. Renner
Jean-Francois Dufour
Recurrence of the Original Liver Disease	419	(20)
Alastair D. Smith
Infections in the Transplant Recipient	439	(21)
Barbara D. Alexander
Kimberly Hanson
Renal Function Posttransplant	460	(13)
Stephen R. Smith
Cutaneous Diseases in the Transplant Recipient	473	(16)
Sarah A. Myers
Juan-Carlos Martinez
Productivity and Social Rehabilitation of the Transplant Recipient	489	(14)
Karli S. Pontillo
Part 4: Medications	503	(34)
Immunosuppressive Medications	505	(17)
Andrew J. Muir
Drug Interactions with Commonly Used Immunosuppressive Agents	522	(15)
Paul G. Killenberg
Part 5: Pediatric Liver Transplantation	537	(26)
Special Considerations for Liver Transplantation in Children	539	(24)
Martin Burdelski
Xavier Rogiers
Part 6: Liver Transplantation in the Future	563	(22)
New Approaches	565	(20)
Markus Selzner
Leo Buhler
Index	585