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Hepatology

Transplant Hepatology   

Questions discussed in this category

Are there any specific guidelines for the transplantation of metastatic disease to the liver or are these institution specific?
In general, for which malignancy would this most commonly be entertained and what patient criteria would make them an optimal candidate?
1 Answer available
Having gone through multiple iterations, what MELD updates/considerations should we anticipate in the future?
1 Answer available
What are your diagnostic and treatment goals for a patient with cirrhotic cardiomyopathy?
Would treating underlying cirrhosis/transplant cure the driver of their cardiac dysfunction, and is this reversible? What unique transplant complicati...
1 Answer available
For cirrhotic patients that we take care of in the community, when should be the optimal timing of referral for liver transplantation aside from the MELD score?
Is there such a thing as "too early" referral? How can we best utilize the time and resources of a liver transplant center for such patients?
2 Answers available
What cardiac testing do you perform for patients undergoing liver transplant evaluation?
1 Answer available
How do you decide which patient and with which device to pursue machine perfusion for the organ of a liver transplant recipient?
What other patient factors and nuances do you take into consideration in patient selection and use of specific perfusion options (ex: normothermic vs....
2 Answers available
What is your strategy to manage the complication of long-term immunosuppression in liver transplant recipients, specifically renal dysfunction and onset of cardiometabolic comorbidities?
Do you opt for dose reduction? Switching medications?
2 Answers available
What is your strategy to manage peri-procedural bleeding risk in patients with cirrhosis?
Do you use TEG or ROTEM? How do you counsel proceduralists on the unique hemostatic profile of patients with cirrhosis?
1 Answer available
How would you workup a patient who develops ascites AFTER liver transplantation?
2 Answers available
How does the presence of porto-mesenteric vein thrombosis impact a patient's transplant candidacy?
How do you go about working up and managing patients with these findings?
1 Answer available
Should a patient who requires definitive treatment for prostate cancer as a pre-transplant requirement be strictly required to complete their course prior to transplant/initiation of immunosuppression?
Patient is undergoing RT and has already started on a GnRH antagonist. If so, how long after their last fraction would be an appropriate wait time?
1 Answer available
For how long would you treat a patient with latent TB before allowing them to proceed with a liver transplant?
1 Answer available
With an increase in the prevalence of MASLD in the United States population, what recipient and donor characteristics do you find favorable for acceptance of a highly steatotic graft?
2 Answers available
How do you determine when you would treat an identified spleno-renal shunt and how?
2 Answers available
What would be the right patient profile and experience for someone who may have (operational) tolerance and how do you approach immunosuppresison management (or withdrawal) in this patient?
1 Answer available
Can tacrolimus in a transplant patient be used during radiation and concurrent chemoradiation?
Does your practice differ depending on the disease site?
1 Answer available
How do you determine which patients are good candidates to have their organ receive machine perfusion therapy before implantation?
1 Answer available
What patient features would favor the creation of a Hutson loop intra-operatively?
1 Answer available
How do you approach the evaluation of a living donor liver transplant candidate?
What kind of patient would be an ideal recipient of such an organ?
1 Answer available
How do you counsel patients on the use of marginal organs and/or high risk donors who are on the liver transplant wait list?
1 Answer available
How do you approach risk of development of PTLD in liver transplant recipients with positive EBV antibodies and/or viral loads?
1 Answer available
How much do you factor in a patient's frailty in selection for transplant if the underlying driver for their debility is their underlying liver disease itself?
1 Answer available


Papers discussed in this category

Cardiovascular and interventional radiology, 2024 Jun 10
Percutaneous Biliary Interventions via the Modified Hutson Loop in Patients with Biliary-Enteric Anastomoses: A Retrospective Study.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2020 Oct 23
Pretransplant solid organ malignancy and organ transplant candidacy: A consensus expert opinion statement.
Techniques in vascular and interventional radiology, 2016-03
Portal Vein Recanalization and Transjugular Intrahepatic Portosystemic Shunt Creation for Chronic Portal Vein Thrombosis: Technical Considerations.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2022 Jun 16
Cirrhotic cardiomyopathy: Appraisal of the original and revised criteria in predicting posttransplant cardiac outcomes.

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