[Liver transplantation in a patient with alcoholic cirrhosis: discussion about nonabstinence]. / Discussion d'une transplantation hépatique chez un patient cirrhotique alcoolique incomplètement sevré.
Gastroenterol Clin Biol
; 33(10-11 Suppl): F44-9, 2009 Oct.
Article
in Fr
| MEDLINE
| ID: mdl-19747790
ABSTRACT
Liver transplantation is the recognized treatment for serious cases of alcoholic cirrhosis. However, due to their poor image within society, patients with alcoholic cirrhosis are often less referred to transplant centres. This is even more surprising since in terms of patient' and graft's survival, the results of transplantation are comparable, if not better, than in other indications. Transplantation is the treatment for the liver disease, not a treatment for alcoholism. In the case of severe alcoholic disease, a relapse is neither surprising nor unacceptable or insignificant if severe. In this case, it has an impact on the long-term survival, notably due to mortality by cancer. All the medical teams carrying out transplants agree that abstinence is necessary when a patient is being evaluated for liver transplantation. However, it is not proven that a set period of 6 months' abstinence prior to the transplantation can modify the results. The problem of alcoholism must be treated specifically in terms of addiction both before and after transplantation.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Temperance
/
Liver Transplantation
/
Liver Cirrhosis, Alcoholic
Type of study:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Patient_preference
Limits:
Humans
/
Male
/
Middle aged
Language:
Fr
Journal:
Gastroenterol Clin Biol
Year:
2009
Document type:
Article
Affiliation country:
France
Publication country:
FR
/
FRANCE
/
FRANCIA
/
FRANÇA