JLE

Hépato-Gastro & Oncologie Digestive

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Evolution of practices and factual results of liver transplantation for alcoholic liver disease Volume 19, issue 4, Avril 2012

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Authors
CHRU de Lille, Hôpital Claude Huriez, Pôle médico-chirurgical Huriez, maladies de l’appareil digestif et de la Nutrition, 59037 Lille Cedex, CHRU Lille, Hôpital Claude Huriez, service de chirurgie digestive et de transplantation, France

Alcoholic liver disease (ALD) is one of the leading indications for liver transplantation (LT) in France and in Europe with results comparable to other indications. The main changes that have been observed in practice are: 1) a more precise definition of the candidates with an individual benefit in terms of survival, 2) a revision of the 6 months rule for abstinence, 3) an evaluation of an accelerated procedure for LT on a case-by-case basis in a selected population of patients with steroid-resistant alcoholic hepatitis and 4) a better prevention and detection of alcohol relapse after LT.