Long-Term Management of the Liver Transplant Patient

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The long-term survival of patients post liver transplantation includes management of key medical problems to reduce morbidity and mortality. Preventive care with vaccination for hepatitis A and B, pneumococcal infections, and yearly influenza is mandatory. Metabolic syndrome (obesity, hyperlipidemia, diabetes mellitus) is rising and the associated cardiovascular risk is a main concern. A yearly evaluation of weight with counseling, use of statins, and a tight control of blood sugars should be undertaken to improve these cardiovascular risks. Bone disease is common and improves with proper diet and medications. Renal dysfunction remains a major problem post liver transplant with up to 20% incidence within 10 years. Careful evaluation of medical problems and immunosuppression may help. Lastly, diligent screening and surveillance is required to diagnosis de novo malignancy post liver transplantation.

Original languageEnglish (US)
Title of host publicationSchiff's Diseases of the Liver
PublisherWiley-Blackwell
Pages1124-1136
Number of pages13
ISBN (Print)0470654686, 9780470654682
DOIs
Publication statusPublished - Oct 31 2011

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Keywords

  • Bone disease
  • De novo malignancy
  • Liver transplantation
  • Long-term care
  • Metabolic syndrome
  • Preventive care
  • Renal dysfunction

ASJC Scopus subject areas

  • Medicine(all)

Cite this

McCashland, T. M. (2011). Long-Term Management of the Liver Transplant Patient. In Schiff's Diseases of the Liver (pp. 1124-1136). Wiley-Blackwell. https://doi.org/10.1002/9781119950509.ch45