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dc.contributor.authorMillson, C
dc.contributor.authorConsidine, A
dc.contributor.authorCramp, ME
dc.contributor.authorHolt, A
dc.contributor.authorHubscher, S
dc.contributor.authorHutchinson, J
dc.contributor.authorJones, K
dc.contributor.authorLeithead, J
dc.contributor.authorMasson, S
dc.contributor.authorMenon, K
dc.contributor.authorMirza, D
dc.contributor.authorNeuberger, J
dc.contributor.authorPrasad, R
dc.contributor.authorPratt, A
dc.contributor.authorPrentice, W
dc.contributor.authorShepherd, L
dc.contributor.authorSimpson, K
dc.contributor.authorThorburn, D
dc.contributor.authorWestbrook, R
dc.contributor.authorTripathi, D
dc.date.accessioned2022-02-14T13:14:28Z
dc.date.issued2020-02-25
dc.identifier.issn2041-4145
dc.identifier.issn2041-4145
dc.identifier.urihttp://hdl.handle.net/10026.1/18768
dc.description.abstract

<jats:p>Survival rates for patients following liver transplantation exceed 90% at 12 months and approach 70% at 10 years. Part 1 of this guideline has dealt with all aspects of liver transplantation up to the point of placement on the waiting list. Part 2 explains the organ allocation process, organ donation and organ type and how this influences the choice of recipient. After organ allocation, the transplant surgery and the critical early post-operative period are, of necessity, confined to the liver transplant unit. However, patients will eventually return to their referring secondary care centre with a requirement for ongoing supervision. Part 2 of this guideline concerns three key areas of post liver transplantation care for the non-transplant specialist: (1) overseeing immunosuppression, including interactions and adherence; (2) the transplanted organ and how to initiate investigation of organ dysfunction; and (3) careful oversight of other organ systems, including optimising renal function, cardiovascular health and the psychosocial impact. The crucial significance of this holistic approach becomes more obvious as time passes from the transplant, when patients should expect the responsibility for managing the increasing number of non-liver consequences to lie with primary and secondary care.</jats:p>

dc.format.extent385-396
dc.format.mediumElectronic-eCollection
dc.languageen
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.subjectguideline
dc.subjectliver transplantation
dc.titleAdult liver transplantation: UK clinical guideline - part 2: surgery and post-operation
dc.typejournal-article
dc.typeReview
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/32879722
plymouth.issue5
plymouth.volume11
plymouth.publication-statusPublished
plymouth.journalFrontline Gastroenterology
dc.identifier.doi10.1136/flgastro-2019-101216
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA01 Clinical Medicine
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CBR
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2019-09-30
dc.rights.embargodate2022-2-15
dc.identifier.eissn2041-4145
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1136/flgastro-2019-101216
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2020-02-25
rioxxterms.typeJournal Article/Review


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