Alcohol liver disease patients and liver transplantation: a phsicosocial approach.

Authors

  • Diogo Telles-Correia Serviço de Psiquiatria, Faculdade de Medicina de Lisboa, Unidade Transplantação, Hospital Curry Cabral, Lisboa, Portugal.

DOI:

https://doi.org/10.20344/amp.1587

Abstract

One of the most common indications for Liver transplantation is Alcohol Liver Disease (ALD). Transplant recipients with ALD have a similar prognosis in terms of medical evolution and quality of life to those with other liver diseases. ALD is present when alcoholism (alcohol dependence /abuse) or heavy drinking coexists with chronic/acute liver disease. In the present article difficulties in establishing this diagnosis are debated. The main predictors of alcohol intake relapse after transplantation are: pre-transplantation abstinence (> 6m), social support, diagnosis acceptance, history of previous treatments, alcohol abuse VS dependence, Vaillant prognosis factors, good adherence (good prognosis); and family history of alcoholism, psychiatric history (psychosis, personality disorder), duration of alcoholism period, quantity of alcohol /day consumed (bad prognosis). Based in these factors we present a new evaluation scale. Diagnosis of alcohol relapse depends on the criterion used. Relapse rate is 5.6% /year. In the end of this article we discuss the different psychopharmacological and psychological methods used to treat pos-transplantation alcoholism relapse and some ethical aspects related to discrimination of patients with ALD.

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How to Cite

1.
Telles-Correia D. Alcohol liver disease patients and liver transplantation: a phsicosocial approach. Acta Med Port [Internet]. 2011 Dec. 31 [cited 2024 Dec. 12];24:835-44. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1587

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Arquivo Histórico