This important new book takes the reader through key areas of controversy in the field of liver transplantation. The book is meant to stimulate interest, identify topics requiring additional study, and to promote discourse among transplant professionals.

Liver Transplantation: Challenging Controversies and Topics grew out of a need I perceived within the fields of transplant hepatology and liver transplantation. Liver transplantation has rightly gained recognition as an established therapy for end-stage liver disease. Few would argue that liver transplantation is one of the few truly lifesaving and life-altering treatments within medicine and surgery. Not many realize that 20 years passed from the time of the first human liver transplantation in 1963 to its acceptance as therapy by the 1983 NIH Consensus Conference on Liver Transplantation. In 2008, 25 years will have passed since the 1983 NIH conferencea mere 25 years for a field that has provided patients hope, doctors options, and to some the gift of life. Many issues in liver transplantation involve indications, patient selection, and outcomes after transplantationthese are standard topics, covered by textbooks of hepatology and transplantation. In contrast, the field of liver tra- plantation is young, evolving, dynamic, and issues and decisions are often controversial. Thus, Dr. Trotter and I, as well as our colleagues at the University of Colorado, felt that a text with a different focus was required, one that highlighted controversy and challenged dogma. Out of this perceived need emerged Liver Transplantation: Challenging Controversies and Topics. To meet the transplant community's need for emerging information about liver transplantation, Dr. Larry Chan, Dr. Igal Kam, and I initiated the Controversies in Transplantation Conference.

Presents key areas of controversy Promotes discourse among transplant professionals Written by physicians, surgeons and health care providers who confront these issues on a daily basis

Klappentext

The field of liver transplantation is young, evolving, dynamic, and issues and decisions are often controversial, thus a text with a different focus is required, one that highlights controversy and challenges dogma. In Liver Transplantation: Challenging Controversies and Topics a useful set of chapters have been created that will take the reader step-by-step through key areas of controversy in the field of liver transplantation. The authors have tried to anticipate questions, define key issues, and provide options for resolving or approaching areas of uncertainty. The topics covered in this book impact our understanding and management of immunosuppressant, viral hepatitis, nonalcoholic fatty liver disease, organ allocation, regional differences in rates of transplantation, and hepatocellular cancer. All authors are actively practicing physicians and surgeons who deal with all the issues presented on an ongoing and daily basis. Throughout the book, emphasis is put on the need for thoughtful well-controlled clinical and basic research of transplant hepatology and liver transplantation. There is also speculation on potential breakthroughs in immunology, virology, cell biology, surgery and medicine that might influence or impact the future directions of these fields of medicine. Liver Transplantation: Challenging Controversies and Topics is an important new book meant to stimulate interest, identify topics requiring additional study, and to promote discourse among transplant professionals.

Inhalt
Tolerance in Liver Transplantation.- Novel Approaches to Immunosuppression in Liver Transplantation.- Pre- and Posttransplant Management of Hepatitis C.- The Dilemma of Adult-to-Adult Living Donor Liver Transplantation.- The Share 15 Rule.- Hepatocellular Carcinoma.- Liver Transplantation and the Hepatopulmonary Syndrome.- Long-Term Metabolic Complications Posttransplantation.- Hepatitis B and Liver Transplantation.- Liver Transplantation for Nonalcoholic Fatty Liver Disease.