Chile
| Artículo de revista
General considerations, indications and contraindications for liver transplantation in Chile. A multicenter consensus development document Trasplante hepático en Chile: Aspectos generales, indicaciones y contraindicaciones (Documento de consenso)
Fecha
2008Registro en:
Revista Medica de Chile, Volumen 136, Issue 6, 2018, Pages 793-804
00349887
07176163
Autor
Hepp K., Juan
Zapata, Rodrigo
Buckel, Erwin
Martínez, Jorge
Uribe, Mario
Díaz, Juan Carlos
Ferrario, Mario
Sanhueza, Edgar
Pérez, Rosa María
Hunter, Bessie
Ríos, Gloria
Humeres, Roberto
Poniachik Teller, Jaime
Oksenberg Reisberg, Dan
Arrese, Marco
Institución
Resumen
Liver transplantation is an excellent therapeutic option for terminal liver disease. During the last decades the results of liver transplantation have improved significantly with a patient survival rate of nearly 90% at one year and 80% at 5 years of follow-up. The main indications for liver transplantation include: end-stage liver disease associated to cirrhosis, acute liver failure, and hepatic tumors (mainly hepatocarcinoma). The absolute contraindications for a transplant are less frequent than in the past, and include: severe co-morbidity (cardiac or pulmonary), sepsis, advanced HIV disease and extra-hepatic malignancy. This document presents a Consensus of the main groups performing liver transplantation in Chile, about its indications and contraindications. It also reviews general aspects of liver transplantation, including the selection and referral of liver transplant candidates, allocation of organs and the evaluation of severity of liver disease.