[Indications and optimal terms of liver transplantation in chronic diffuse hepatic disease]

Klinicheskaia Meditsina
|August 30, 2008
PubMed

Insights

Liver transplantation is crucial for patients with chronic diffuse hepatic disease and hepatic cirrhosis. Early intervention, especially for inborn metabolism disturbances, improves patient outcomes and quality of life.

Area of Science:

  • Hepatology
  • Transplant Surgery

Context:

  • Chronic diffuse hepatic disease (CDHD) significantly impacts adult morbidity.
  • Hepatic cirrhosis (HC) presents a major treatment challenge.
  • Liver transplantation is a key treatment for end-stage liver disease.

Purpose:

  • To highlight the importance of liver transplantation in managing hepatic cirrhosis and other severe liver conditions.
  • To emphasize the trend towards early transplantation before major organ decompensation.

Summary:

  • Orthotopic liver transplantation (OTH) is indicated for various etiologies including hepatic cirrhosis, cholestatic diseases, inborn metabolism disturbances, and hepatic tumors.
  • For inborn metabolism disturbances, OTH is performed concurrently with diagnosis.
  • The urgency for OTH in hepatic cirrhosis is determined by disease stage (Child-Pugh, MELD scores), treatment response, and hospitalization frequency.

Impact:

  • Liver transplantation significantly prolongs patient survival.
  • The procedure substantially enhances the quality of life for patients with severe liver disease.

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