When to Consider Liver Transplant During the Management of Chronic Liver Disease
When to Consider Liver Transplant During the Management of Chronic Liver Disease
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DOI：
10.1016/j.mcna.2013.09.007
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发表时间：
2014-01-01
影响因子：
5.9
通讯作者：
Fox, Rena K.
中科院分区：
文献类型：
--
作者：
Fox, Rena K.
随着终末期肝病和肝细胞癌发病率的上升，对肝移植的需求日益增长。在移植中心，为患者分配肝脏的决定是一个广泛的过程，但移植评估的初始转诊时间通常是初级保健医生的责任。本文讨论肝移植的适应症和禁忌症。本文回顾了确定移植转诊时机的标准，并强调了将这些标准整合到肝硬化患者的长期管理中。
With rising rates of end-stage liver disease and hepatocellular carcinoma, there is a growing demand for liver transplantation. The decision to allocate a liver to a patient is an extensive process in a transplant center, but the timing of initial referral for transplant evaluation will commonly be the responsibility of the primary care physician. This article discusses the indications and contraindications for liver transplantation. The criteria to determine timing of transplant referral are reviewed, and integration of these criteria into long-term management of patients with cirrhosis is emphasized.