XXXX and liver transplantation: experience of Virgen de la Arrixaca Hospital.

@entity1 @entity75 @entity879 @entity409 @entity177 @entity1576 @entity204
INTRODUCTION: For @entity1 with @entity879 who show a poor evolution despite medical treatment, liver transplantation is an option, with survival rates of greater than 50%. The ideal time to perform the transplant is controversial, as it must not be done too soon (when the @entity409 is still reversible) or too late (when the @entity1 is in an irreversible clinical situation). @entity1 AND METHODS: Retrospective review of the clinical histories of 34 @entity1 admitted to our hospital with a diagnosis of @entity879 included 26 who underwent transplantation. The most frequent cause was viral (n=10, 38%); with no etiology established in 11 cases (42%). Thirteen @entity1 had preoperative complications, the most frequent being @entity177 . As for degree of AB0/DR compatibility, 13 cases were identical (40%), 17 compatible (51%), and the other three incompatible (9%). RESULTS: Thirty-three transplants were performed in 26 @entity1 : four were retransplants due to chronic rejection, two for @entity177 , and one for hyperacute rejection. The overall mortality rate was 46% (12 @entity1 ). The most frequent cause of @entity204 was infection (50%). The overall actuarial survival rate was 68% at 1 year, 63% at 3 years, and 59% at 5 years. The factors associated with a poor prognosis were @entity177 , a grade D electroencephalogram, and @entity75 grades III and IV, the last being the only prognostic factor identified in the multivariate analysis. The prognostic factors for mortality were a grade D electroencephalogram, @entity75 grades III and IV and @entity1576 , the last being the only prognostic factor identified in the multivariate analysis. CONCLUSION: Good results of transplantation for the management of @entity879 depends on optimal selection of transplant candidates, which means identifying them early, reducing the waiting time, and excluding factors associated with a poor prognosis.
