Long-term follow-up of the orthotopic liver transplantation patient.

The primary care gastroenterologist has a crucial role in the long-term management of the patient who has undergone orthotopic liver transplantation. Routine office visits, annual evaluation, and screening and early assessment of complications is crucial to the outcome of the patient. In addition, communication is an important issue for both the transplant center and the primary care physician. This continuing dialog about the patient will enhance his or her care and long-term outcome.