Gastroenterology 11 - Liver Transplant

Question 1

3 types of liver transplant

Answer 1

deceased donor - orthotopic transplant (whole), split transplant

living donor transplant a portion

Question 2

2 acute reasons for liver transplant

Answer 2

paracetamol overdose

acute viral hepatitis

Question 3

5 reasons why a patient may not be suitable for liver transplant

Answer 3

significant co-morbidities 
excessive malnutrition 
active hepatitis B,C / inf
end stage HIV 
active alcohol use (need 6 months off)

Question 4

describe liver transplant surgery

Answer 4

rooftop/Merc Benz incision

plumb in new biliary system, liver + blood supply

Question 5

5 aspects of post-transplant care

Answer 5

steroids, azathioprine, tacrolimus
avoid alcohol / smoking
treat oppo infections
monitor for disease reocc
monitor for cancers (high risk)

Question 6

4 things suggesting transplant rejection

Answer 6

abnormal LFTs
jaundice
fever
fatigue