When are patients with alcoholic cirrhosis considered for liver transplantation?

Updated: Jul 30, 2018
  • Author: David C Wolf, MD, FACP, FACG, AGAF, FAASLD; Chief Editor: BS Anand, MD  more...
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According to the 2010 guidelines for alcoholic liver disease from the American Association for the Study of Liver Diseases, patients whose end-stage liver disease is alcohol related should be considered as candidates for transplantation after a medical and psychosocial evaluation that includes formal assessment of the probability of long-term abstinence. [57]

In a retrospective nationwide Danish study (1990-2013) that evaluated the cumulative incidence of heavy drinking in 156 recipients of liver transplants for alcoholic liver disease, Askgaard et al found that predictors of posttransplantation heavy drinking included younger age, being retired, and not having a lifetime diagnosis of alcohol dependence. [62]

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