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10.1159/000431017 http://scihub22266oqcxt.onion/10.1159/000431017 C4569198!4569198 !26468315     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26468315 &cmd=llinks): Failed to open stream: HTTP request failed! 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Liver Transplantation for Patients with Cholestatic Liver Diseases |pdf=|usr=}}{{26468315 }} gab.com Text Liver Transplantation for Patients with Cholestatic Liver Diseases JO: Viszeralmedizin http://www.kidney.de/pget.php?&tw=1&pmid=26468315 #FOAvip BACKGROUND: Cholestatic liver diseases (CD) account for 11% of all liver transplantations (LT) in the Eurotransplant region. Despite the excellent long-term outcome that is considerably superior to all other indications for LT, transplant surgeons and physicians face nowadays - in the era of MELD (Model of End-Stage Liver Disease)-based allocation, organ shortage, and extended allocation policies - more and more challenges in this patient cohort, especially since there is no curative medical treatment for these entities. METHODS: Based on a literature review and personal experience in liver transplantation for CD, we show the status quo of indication, allocation, and outcome as well as potential strategies to overcome long waiting times and organ shortage. RESULTS: Concerning graft and patient survival, CD remain the 'best indications' for LT. Since the implementation of MELD-based allocation results in patients with primary sclerosing cholangitis (PSC) could be preserved on good levels only by the implementation and revision of standard exceptions. Recurrence of PSC after LT remains a challenge for transplant surgeons and physicians. New data has kindled a debate on biliary reconstruction in LT for PSC. Promising data on living donor LT motivate to push the boundaries in this direction. CONCLUSION: CD are excellent indications for liver transplantation since excellent long-term outcomes are achievable when the transplant is performed at the right time. The decisions concerning evaluation, listing, and allocation should be made by an interdisciplinary team of gastroenterologists and transplant surgeons. Twit Text FOAVip Liver Transplantation for Patients with Cholestatic Liver Diseases ????Viszeralmedizin http://www.kidney.de/pget.php?&tw=1&pmid=26468315 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26468315 #FOAvip English Wikipedia <ref>{{Cite pmid|26468315 }}</ref> Liver Transplantation for Patients with Cholestatic Liver Diseases #MMPMID26468315 Schöning W ; Schmeding M ; Ulmer F ; Andert A ; Neumann U Viszeralmedizin 2015[Jun]; 31 (3 ): 194-8 PMID26468315 show ga BACKGROUND: Cholestatic liver diseases (CD) account for 11% of all liver transplantations (LT) in the Eurotransplant region. Despite the excellent long-term outcome that is considerably superior to all other indications for LT, transplant surgeons and physicians face nowadays - in the era of MELD (Model of End-Stage Liver Disease)-based allocation, organ shortage, and extended allocation policies - more and more challenges in this patient cohort, especially since there is no curative medical treatment for these entities. METHODS: Based on a literature review and personal experience in liver transplantation for CD, we show the status quo of indication, allocation, and outcome as well as potential strategies to overcome long waiting times and organ shortage. RESULTS: Concerning graft and patient survival, CD remain the 'best indications' for LT. Since the implementation of MELD-based allocation results in patients with primary sclerosing cholangitis (PSC) could be preserved on good levels only by the implementation and revision of standard exceptions. Recurrence of PSC after LT remains a challenge for transplant surgeons and physicians. New data has kindled a debate on biliary reconstruction in LT for PSC. Promising data on living donor LT motivate to push the boundaries in this direction. CONCLUSION: CD are excellent indications for liver transplantation since excellent long-term outcomes are achievable when the transplant is performed at the right time. The decisions concerning evaluation, listing, and allocation should be made by an interdisciplinary team of gastroenterologists and transplant surgeons. äLiver Transplantation for Patients with Cholestatic Liver Diseases (epmc).pdf DeepDyve Pubget Overpricing