Лучшие частные клиники и больницы для пересадки печени в Швейцарии

В Швейцарии ведущие специалисты обеспечивают передовую помощь при трансплантации печени даже в самых сложных случаях. Частные клиники страны предлагают инновационные методы лечения и индивидуальный подход, гарантируя высокий уровень медицинской помощи. Учёные и врачи здесь продолжают внедрять новые технологии, постоянно улучшая результаты операций.

Liver transplantation (LT) has revolutionized outcomes for cirrhotic patients. Current liver allocation policies dictate patients with highest short-term mortality receive the highest priority, thus, several patients become increasingly ill on the waitlist. Given cirrhosis is a progressive disease, it can be complicated by the occurrence of acute-on-chronic liver failure (ACLF), a syndrome defined by an acute deterioration of liver function associated with extrahepatic organ failures requiring intensive care support and a high short-term mortality. Successfully bridging to transplant includes accurate prognostication and prioritization of ACLF patients awaiting LT, optimizing intensive care support pre-LT, and tailoring immunosuppressive and anti-infective therapies post-LT. Furthermore, predicting futility (too sick to undergo LT) in ACLF is challenging. In this review, we summarize the role of LT in ACLF specifically highlighting (a) current prognostic scores in ACLF, (b) critical care management of the ACLF patient awaiting LT, (c) donor issues to consider in transplant in ACLF, and (d) exploring of recent post-LT outcomes in ACLF and potential opportunities to improve outcomes including current care gaps and unmet research needs. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.