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Adult liver transplantation at UCL : update 2002

Journal Volume 67 - 2004
Issue Fasc.2 - Symposium
Author(s) J. Lerut, J. Matthys, J. Lemaire, V. Van Thuyne, O. Ciccarelli, P. Goffette, A. Peeters, S. Aunac, M. Boddeus, M.A. Carlier, E. Danse, M. De Kock, Ch. De Reyck, M. Donataccio, A. Geubel, D. Gonze, P. Goubau, D. Latinne, P.F. Laterre, A. Luts, G. Cool, J.B. Otte, Y. Horsmans, J. Martinez, G. Orlando, J. Rahier, R. Reding, M. Reynaert, P. Starkel, Ch. Sempoux, St. Talpe, L. Van Obbergh, F. Veyckemans, P. Wallemacq, X. Wittebolle, F. Roggen
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Liver Transplant Program, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, 1200 Brussels, Belgium. Department of Digestive Surgery (Prof. R. Detry), (1) Radiology? (Prof. B. Maldague), (2) Neurology (Prof. Y. Sindic), (3) Anaesthesiology (Prof. Ph. Baele), (4) Virology (Prof. P. Goubau), (5) Hepatogastroenterology?? (Prof. Y. Horsmans), (6) Immunohematology (Prof. D. Latinne), (7) Intensive Care (Prof. M.S. Reynaert), (8) Neuropsychiatry (Prof. J.P. Roussaux), (9) Pathology??? (Prof. J. Rahier), (10) Toxicology (Prof. P. Wallemacq).

The authors present the results of a single centre study of 587 liver transplants performed in 522 adults during the period 1984-2002. Results have improved significantly over time due to better pre-, peri- and post-transplant care. One, five, ten and fifteen year actuarial survivals for the whole patient group are 81.2 ; 69.8 ; 58.9 and 51.2%. The high incidence of de novo tumors (12.3%), of cardiovascu- lar diseases (7.5%) and of end-stage renal function (3.6%) should be further incentives to tailor the immunosuppression to the indi- vidual patient and to direct the attention of the transplant physi- cian to the long-term quality of life of the liver recipient. (Acta gastroenterol. belg., 2004, 67, 188-196).

© Acta Gastro-Enterologica Belgica.