[Surveillance of patients receiving transplantation]

Organ transplantation is now considered as an effective method of treatment of definitive visceral failures, but it has generated new iatrogenic disorders of the immunocompromised hosts. Each transplanted patient is subjected to a life-long follow-up in order to assess the performances of the graft and to detect the complications of the immunosuppressive treatment. The rate of the outpatient consultations is decreasing, according to the development of a state of natural tolerance between the graft and its host, which limits the risks of acute rejection. The elements of the follow-up are quite similar whatever the grafted organ, which points out the identical medical problems of transplant patients. The medical staff of public hospitals is commissioned to organize the outpatient clinics of transplantation, but the crucial role of general practitioners must be emphasized.