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- Alcoholic liver disease as an indication for liver transplantation
- Assessing the severity of liver disease and timing for liver transplantation
- Medical assessment of the alcoholic candidate
- Psychological evaluation of the alcoholic candidate
- Alcohol use after transplantation
- Treatment of alcoholism
- Acute and chronic rejection
- Medical complications following liver transplantation
- De novo neoplasms
- Quality of life and compliance
Alcoholic liver disease is one of the most common causes of cirrhosis and indications for orthotopic liver transplantation in Europe and North America. The reluctance to transplant alcoholics stems in part from the view that alcoholics bear responsibility for their illness. There is also the perception that the alcoholic person is likely to relapse into alcohol use after transplantation and thereby damage the allograft.
In this review, we considered the evaluation for and outcome of liver transplantation in alcoholics with special attention to the specific risks of alcohol relapse, to show that alcoholism should be considered like other co-morbid states rather than as a moral flaw.