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Liver transplantation for viral hepatitis - which patients will benefit?


D Kahn
C.W. Spearman
A.J.W. Millar

Abstract

Liver transplantation constitutes a significant part of the hepatologist's armamentarium and has become the treatment of choice for most patients with chronic end-stage liver disease. The results continue to improve and many centres are now able to achieve 1-year survival figures in excess of 90% in selected patients. The surgical techiques involved in liver transplantation and the immunosuppressive protocols used postoperatively have been standardised. In contrast, the indications for and contraindications to liver transplantation continue to be modified. Large numbers of patients have undergone liver transplantation in recent years and analyses of large series of patients have made it possible to determine more accurately the outcome of liver transplantation in specific hepatic disease processes. As a result, subsets of patients who are more likely to survive long term have been identified. This is particularly true of patients with viral hepatitis.


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eISSN: 2078-5135
print ISSN: 0256-9574