Follow-up of the Post-Liver Transplantation Patient: A Primer for the Practicing Gastroenterologist

Clin Liver Dis. 2017 Nov;21(4):793-813. doi: 10.1016/j.cld.2017.06.006. Epub 2017 Aug 8.

Abstract

The focus in liver transplantation in the next 10 years will likely change from preventing viral disease recurrence to minimizing the toll of rejection and fatty liver disease, minimizing the complications from immunosuppression with withdrawal strategies, and more optimal management of long-term risks, such as malignancy, cardiovascular disease, and renal failure. In addition, now that short-term results (<1 year) have improved significantly, there will be a shift toward improving long-term patient and graft survival, as well as a focus on primary care preventive strategies.

Keywords: Immunosuppression; Liver transplantation; Outcomes; Prophylaxis; Screening.

Publication types

  • Review

MeSH terms

  • Aftercare*
  • Cardiovascular Diseases / epidemiology
  • Diabetes Mellitus / epidemiology
  • Dyslipidemias / epidemiology
  • Early Detection of Cancer
  • Gastroenterologists
  • Gastroenterology
  • Graft Rejection / prevention & control*
  • Graft Survival
  • Humans
  • Hypertension / epidemiology
  • Immunocompromised Host
  • Immunosuppressive Agents / therapeutic use*
  • Liver Transplantation*
  • Metabolic Syndrome / epidemiology
  • Neoplasms / diagnosis
  • Neoplasms / epidemiology
  • Osteoporosis / epidemiology
  • Renal Insufficiency / epidemiology
  • Risk Factors

Substances

  • Immunosuppressive Agents