Munoz S J, Rothstein K D, Reich D, Manzarbeitia C
Division of Hepatology, Department of Medicine, Albert Einstein Medical Center Philadelphia, Pennsylvania, USA.
Clin Liver Dis. 2000 Aug;4(3):691-710. doi: 10.1016/s1089-3261(05)70133-1.
Many liver transplant recipients are now reaching survival beyond 5 years from the liver transplant procedure, and many others are alive more than a decade from acquiring their new liver. Orthotopic liver transplant recipients enjoy the benefits of normal liver function, but a variety of metabolic and other medical problems often develop that require diagnosis and adequate management. These problems include hyperlipidemia, obesity, diabetes mellitus, renal disfunction, arterial hypertension, bone disease and neuropsychiatric syndromes. The gastroenterologist, internist, or local family physician is frequently called on to identify and treat these postoperative complications in conjunction with physicians at the transplant center.
许多肝移植受者目前已存活超过肝移植手术5年，还有许多人在接受新肝脏移植后存活了十多年。原位肝移植受者享有肝功能正常的益处，但经常会出现各种代谢和其他医学问题，需要进行诊断和适当管理。这些问题包括高脂血症、肥胖症、糖尿病、肾功能不全、动脉高血压、骨病和神经精神综合征。胃肠病学家、内科医生或当地家庭医生经常被要求与移植中心的医生共同识别和治疗这些术后并发症。
