Care of the Liver Transplant Patient. Issue 4 (2014)

• Record Type: Journal Article
• Authors: Bhat, Mamatha; Al-Busafi, Said A; Deschênes, Marc; Ghali, Peter
• Is Part Of: Canadian journal of gastroenterology & hepatology. Volume 28:Issue 4(2014)
• Page Start: 213
• Page End: 219
• Publication Date: 2014
• Subjects: Liver transplant -- Long-term complications -- Medical management; Digestive organs -- Diseases -- Periodicals; Gastroenterology -- Periodicals; Digestive organs -- Diseases; Gastroenterology; Canada; Digestive System Diseases -- Periodicals; Gastroenterology -- Periodicals; Periodicals; Electronic journals; Fulltext; Internet Resources; Periodicals; 616.3
• DOI: 10.1155/2014/453875
• Languages: English
• ISSNs: 2291-2789

Abstract

Abstract : OBJECTIVE: To provide an approach to the care of liver transplant (LT) patients, a growing patient population with unique needs. METHODS: A literature search of PubMed for guidelines and review articles using the keywords "liver transplantation", "long term complications" and "medical management" was conducted, resulting in 77 articles. RESULTS: As a result of being on immunosuppression, LT recipients are at increased risk of infections and must be screened regularly for metabolic complications and malignancies. DISCUSSION: Although immunosuppression is key to maintaining allograft health after transplantation, it comes with its own set of medical issues to follow. Physicians following LT recipients must be aware of the greater risk for hypertension, diabetes, dyslipidemia, renal failure, metabolic bone disease and malignancies in these patients, all of whom require regular monitoring and screening. Vaccination, quality of life, sexual function and pregnancy must be specifically addressed in transplant patients.