Source:http://linkedlifedata.com/resource/pubmed/id/11111991
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2001-3-13
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pubmed:abstractText |
The major concern in transplanting patients with alcoholic liver disease (ALD) is the high rate of alcohol recidivism. Our aim was to assess the long-term outcome of liver transplantation (OLT) in a group of ALD patients in terms of post-OLT alcohol recidivism and its relationship with pre-OLT psychosocial variables and medical follow up. Fifty-one ALD patients underwent strict medical and psychosocial evaluation before and after OLT. Alcohol abuse was recorded in 60% and alcohol dependence in 40% of patients before OLT. The 5-year survival was similar to the one observed in non-ALD transplanted patients (64 vs 56%). Alcohol recidivism was observed in 33% of transplanted patients, 64% of whom were occasional and 36% were heavy drinkers. The admission of alcoholism by the patient and his/her family prior to OLT significantly predicted abstinence after OLT. A multidisciplinary approach evaluating medical and psycho-social variables before OLT and a close follow up after OLT are mandatory for ALD patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0934-0874
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S174-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:11111991-Alcoholism,
pubmed-meshheading:11111991-Disease-Free Survival,
pubmed-meshheading:11111991-Female,
pubmed-meshheading:11111991-Follow-Up Studies,
pubmed-meshheading:11111991-Graft Survival,
pubmed-meshheading:11111991-Humans,
pubmed-meshheading:11111991-Liver Diseases, Alcoholic,
pubmed-meshheading:11111991-Liver Function Tests,
pubmed-meshheading:11111991-Liver Transplantation,
pubmed-meshheading:11111991-Male,
pubmed-meshheading:11111991-Middle Aged,
pubmed-meshheading:11111991-Postoperative Period,
pubmed-meshheading:11111991-Retrospective Studies,
pubmed-meshheading:11111991-Sex Factors,
pubmed-meshheading:11111991-Social Adjustment,
pubmed-meshheading:11111991-Survival Rate,
pubmed-meshheading:11111991-Time Factors
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pubmed:year |
2000
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pubmed:articleTitle |
Long-term medical and psycho-social evaluation of patients undergoing orthotopic liver transplantation for alcoholic liver disease.
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pubmed:affiliation |
Gastroenterology Unit, University Hospital, Padua, Italy. burra@ux1.unipd.it
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pubmed:publicationType |
Journal Article
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