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How do you decide on the timing and urgency of transplant evaluation when a patient recovering from alcohol-associated hepatitis has rapid biochemical improvement (MELD falls into the low teens) but persistent portal-hypertension features and frailty/sarcopenia?

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Does your institution's transplant policy strictly adhere to "6 months of sobriety" in the transplantation of patients with alcohol related liver disease?

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1 Answer
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Hepatology · Northwestern Memorial Hospital
Answered on

This is a great question, but it needs to be individualized. First: What is the time interval since presentation till MELD drop? Second: What is the patient's age, and what other comorbidities may require attention before or for a transplant evaluation, in particular risks of coronary disease and he...

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