Trasplante hepático en hepatitis alcohólica aguda: ¿debemos decir que no?

• DOI: 10.24875/ciru.21000523
• Publication Date: 2022-10-21T17:13:17Z
• Authors: Erika F. Rodrígue...; Mario García-Alanís; Juanita Pérez-Esc...; Diana Sánchez-Her...; Liz Toapanta-Yanc...; Esmeralda Ávila-Rojo; Víctor Visag-Cast...; Ignacio García-Ju...
• Keywords: 03 medical and health sciences; 0302 clinical medicine; RD1-811; Hepatitis, Alcoholic; Recurrence; Humans; Surgery; Enfermeda hepática por alcohol. Abstinencia. Trasplante hepático. Hepatitis aguda por alcohol.; Neoplasm Recurrence, Local; Liver Diseases, Alcoholic; Liver Transplantation

Alcohol liver disease is one of the main indications for liver transplantation (LT). Currently, an abstinence period <6 months is required to include a patient with alcohol liver disease on the waiting list, a period that has not been shown to reduce the risk of relapse. Alcoholic hepatitis is characterized by hepatic decompensation secondary to recent, excessive consumption of alcohol, and LT may be the option in a well-selected group of patients who do not respond to medical treatment, but due to established sobriety intervals are excluded, this requires a change in the criteria established by the committees. We propose an evaluation algorithm to consider alcoholic hepatitis unresponsive to medical treatment for LT.