Title
Addiction specialist's role in liver transplantation procedures for alcoholci liver diseaseAddiction specialist's role in liver transplantation procedures for alcoholci liver disease
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Research group
Collaborative Antwerp Psychiatric Research Institute (CAPRI)
Publication type
article
Publication
Beijing, China :Baishideng,
Subject
Pharmacology. Therapy
Human medicine
Source (journal)
World journal of hepatology. - Beijing, China, 2009, currens
Volume/pages
7(2015):17, p. 2091-2099
ISSN
1948-5182
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Although liver transplantation (LT) is performed increasingly for patients with end-stage alcoholic liver disease (ALD), the topic remains controversial. Traditionally, the role of an addiction specialist focused on the screening and identification of patients with a high risk on relapse in heavy alcohol use. These patients were in many cases subsequently excluded from a further LT procedure. Recently, awareness is growing that not only screening of patients but also offering treatment, helping patients regain and maintain abstinence is essential, opening up a broader role for the addiction specialist (team) within the whole of the transplant procedure. Within this context, high-risk assessment is proposed to be an indication of increasing addiction treatment intensity, instead of being an exclusion criterion. In this review we present an overview regarding the state of the art on alcohol relapse assessment and treatment in patients with alcohol use disorders, both with and without ALD. Screening, treatment and monitoring is suggested as central roles for the addiction specialist (team) integrated within transplant centers.
Full text (open access)
https://repository.uantwerpen.be/docman/irua/8d0777/127597.pdf
Handle