Fulminant hepatitis attributable to type A or B hepatitis

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چکیده

74% of the survivors of liver transplantation for alcoholic liver disease are able to work and contribute to society as a result of having had the transplant procedure. Probably the most surprising statistic concerning liver transplantation for alcoholic liver disease is the finding that 89.5% of the transplant survivors have remained alcoholabstinent. 12 Of those that have resumed drinking, the majority drink only moderately (three or fewer drinks per week) as determined by self-report and corroborated by their significant other and their primary-care physicians. This alcohol abstinence following successful liver transplantation appears to be the rule rather than the exception if appropriate selection criteria are utilized for the selection of such individuals for transplantation. The factors that appear to identify those alcoholics most likely to benefit and remain abstinent after successful liver transplantation are (I) the support of a significant other. be it a spouse, friend. or relative; (2) an acceptance of alcohol as the cause for their prior liver disease; (3) active involvement in and completion of a 4to 6-week alcohol treatment program and abstinence for 3 to 6 months prior to transplantation: and (4) an existingjob or an adequate education that allows for subsequent employment and. consequently, a redirection of interests away from those associated with alcohol use toward other forms of recreation or interest. 13-15 Based on the above experience with liver transplantation for alcoholic liver disease, it would appear that the need for transplantation exists for this group. A high survival rate is possible accompanied by a high rate of subsequent employment and a surprisingly low rate of alcohol abuse recidivism. These facts would appear to justify the continued application ofliver transplantation for individuals with advanced alcoholic liver disease who, without such therapy, would either die or become invalids because of their disease.

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تاریخ انتشار 2010