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[多病患者的腹部器官移植]

[Abdominal organ transplantation in multimorbid patients].

作者信息

Bauschke Astrid, Ali-Deeb Aladdin, Dondorf Felix, Rauchfuss Falk, Rohland Oliver, Settmacher Utz

机构信息

Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07740, Jena, Deutschland.

Comprehensive Cancer Center Central Germany (CCCG), Leipzig, Deutschland.

出版信息

Chirurgie (Heidelb). 2025 Feb;96(2):124-129. doi: 10.1007/s00104-024-02201-y. Epub 2024 Dec 6.

DOI:10.1007/s00104-024-02201-y
PMID:39643669
Abstract

Patients with an indication for transplantation of abdominal organs often suffer from terminal organ failure with a relevant number of comorbidities. This can be complicated by acute and underlying disease-related events or age-related comorbidities. The diagnostic assignment of symptoms is difficult and the available treatment options have to be adapted. During the evaluation, the waiting time for suitable donor organs and immediately prior to surgery, the treatment team, consisting of the referring physician and the interdisciplinary transplantation team needs to decide whether the transplantation can be performed.

摘要

有腹部器官移植指征的患者通常患有终末期器官衰竭,并伴有相当数量的合并症。这可能因急性和潜在的疾病相关事件或与年龄相关的合并症而变得复杂。症状的诊断归属困难,且可用的治疗方案必须进行调整。在评估期间、等待合适供体器官的时间以及手术前即刻,由转诊医生和跨学科移植团队组成的治疗团队需要决定是否能够进行移植。

相似文献

1
[Abdominal organ transplantation in multimorbid patients].[多病患者的腹部器官移植]
Chirurgie (Heidelb). 2025 Feb;96(2):124-129. doi: 10.1007/s00104-024-02201-y. Epub 2024 Dec 6.
2
Eliminating the organ transplant waiting list: The future with perfusion decellularized organs.消除器官移植等待名单:灌注脱细胞器官的未来。
Surgery. 2017 Jun;161(6):1474-1478. doi: 10.1016/j.surg.2016.09.041. Epub 2016 Nov 18.
3
Living Donor Intestinal Transplantation.活体供肠移植。
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4
Abdominal wound closure in liver-intestine pediatric transplantation.小儿肝肠移植中的腹部伤口闭合
Pediatr Transplant. 2009 Aug;13(5):654-5. doi: 10.1111/j.1399-3046.2008.01083.x. Epub 2008 Nov 9.
5
Development of the allocation system for deceased donor liver transplantation.deceased donor liver transplantation allocation system development
Clin Med Res. 2005 May;3(2):87-92. doi: 10.3121/cmr.3.2.87.
6
Donation after cardiac death in pediatric organ transplantation.小儿器官移植中心脏死亡后的捐献。
Curr Opin Organ Transplant. 2011 Oct;16(5):483-8. doi: 10.1097/MOT.0b013e32834a8bf5.
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Strategies based on organ decellularization and recellularization.基于器官脱细胞和再细胞化的策略。
Transpl Int. 2019 Jun;32(6):571-585. doi: 10.1111/tri.13462.
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Liver transplantation as ultimate tool to treat portal hypertension.肝移植作为治疗门静脉高压症的终极手段。
Dig Dis. 2005;23(1):65-71. doi: 10.1159/000084727.
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Liver transplantation: evolving patient selection criteria.肝移植:不断演变的患者选择标准。
Can J Gastroenterol. 2001 Nov;15(11):729-38. doi: 10.1155/2001/743019.
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Using machine learning to estimate survival curves for patients receiving an increased risk for disease transmission heart, liver, or lung versus waiting for a standard organ.使用机器学习来估计接受疾病传播风险增加的心脏、肝脏或肺的患者与等待标准器官的患者的生存曲线。
Transpl Infect Dis. 2019 Dec;21(6):e13181. doi: 10.1111/tid.13181. Epub 2019 Oct 9.

本文引用的文献

1
Cardiology Assessment of Patients Undergoing Evaluation for Orthotopic Liver Transplantation.接受原位肝移植评估患者的心脏科评估
J Soc Cardiovasc Angiogr Interv. 2022 Nov 25;2(1):100528. doi: 10.1016/j.jscai.2022.100528. eCollection 2023 Jan-Feb.
2
Expert consensus on the diagnosis and treatment of end-stage liver disease complicated by infections.终末期肝病合并感染的诊断与治疗专家共识。
Hepatol Int. 2024 Jun;18(3):817-832. doi: 10.1007/s12072-023-10637-3. Epub 2024 Mar 9.
3
[The German Guideline on Liver Transplantation by DGVS and DGAV].
[德国肝脏移植学会(DGVS)和德国胃肠病学会(DGAV)的肝脏移植指南]
Dtsch Med Wochenschr. 2024 Mar;149(6):290-297. doi: 10.1055/a-2119-6326. Epub 2024 Feb 27.
4
Cardiac evaluation of the liver transplant candidate.肝移植候选人的心脏评估。
Curr Opin Organ Transplant. 2024 Aug 1;29(4):299-304. doi: 10.1097/MOT.0000000000001122. Epub 2023 Nov 23.
5
Optimizing cardiac status in the preliver transplant candidate.优化肝移植术前候选者的心脏状况。
Curr Opin Organ Transplant. 2024 Feb 1;29(1):50-55. doi: 10.1097/MOT.0000000000001119. Epub 2023 Nov 14.
6
Brief PROMIS Assessment Screens for Frailty and Predicts Hospitalizations in Liver Transplant Candidates.简短的 PROMIS 衰弱评估量表可预测肝移植候选者的住院情况。
Transplantation. 2024 Feb 1;108(2):491-497. doi: 10.1097/TP.0000000000004741. Epub 2023 Jul 27.
7
Psychosocial Diagnosis and Treatment Before and After Organ Transplantation.器官移植前后的心理社会诊断与治疗。
Dtsch Arztebl Int. 2023 Jun 16;120(24):413-416. doi: 10.3238/arztebl.m2023.0087.
8
Fractional Flow Reserve in End-Stage Liver Disease.终末期肝病中的血流储备分数
Am J Cardiol. 2022 Mar 1;166:122-126. doi: 10.1016/j.amjcard.2021.11.031. Epub 2021 Dec 20.
9
Cirrhosis-associated immune dysfunction.肝硬化相关免疫功能障碍。
Nat Rev Gastroenterol Hepatol. 2022 Feb;19(2):112-134. doi: 10.1038/s41575-021-00520-7. Epub 2021 Oct 26.
10
Liver cirrhosis.肝硬化。
Lancet. 2021 Oct 9;398(10308):1359-1376. doi: 10.1016/S0140-6736(21)01374-X. Epub 2021 Sep 17.