Experience with Liver Transplantation in patients over 65 years of Age at the Hospital Pablo Tobón Uribe in Medellin, Colombia from 2004 to 2010
DOI:
https://doi.org/10.22516/25007440.18Keywords:
Hepatic transplantation, liver transplantation, liver grafting, old age, 65 years and overAbstract
Liver transplantation protocols have been extended to people over 65 years of age who had previously been excluded from protocols due to the increased morbidity and mortality rates associated with age. This study
aims to identify survival rates and complications in patients over 65 years who have undergone liver transplantation. Medical records of patients older than 65 who underwent liver transplantation in the period between
September 2004 and November 2010 at the Hospital Pablo Tobón Uribe in Medellin, Colombia were analyzed. We studied 27 patients with an average age of 67 years. The 30 day post-transplant survival rate was 85.2%, at one year the survival rate was 70.4%, and at five years it was 63%. An evaluation of post-transplant complications found that the most frequent complications were massive bleeding and nosocomial infections. The main causes of death were cardiovascular events. Conclusion: Proper patient selection allows those over 65 years of age to become candidates for liver transplantation with a good actuarial 5-year survival rate and better quality of life.
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European Liver Transplant Registry. Data analysis booklet. Paris 2007. Available at: http://www.eltr.org.
O’Leary JG, Lepe R, Davis GL. Indications for liver trans- plantation. Gastroenterology 2008;134:6.
Aduen JF, Sujay B, Dickson RC, et al. Outcomes after liver transplant in patients aged 70 years or older compared with those younger than 60 years. Mayo Clin Proc 2009;84:11.
Arias E. United States life tables, 2002. Natl Vital Stat Rep 2004;53:1-38.
ZettermanRK,BelleSH,HoofnagleJH,etal.Ageand liver transplantation: a report of the Liver Transplantation Database. Transplantation 1998;27:66(4).
Rudich S, Busuttil R. Similar outcomes, morbidity, and mortality for orthotopic liver transplantation between the very elderly and the young. Transplant Proc 1999;31(1-2).
Adam R, Hoti E. Liver transplantation: the current situa- tion. Semin Liver Dis 2009;29:1.
Ahmed A, Keeffe EB. Current indications and contraindi- cations for liver transplantation. Clin Liver Dis 2007;11:2.
Keswani RN, Ahmed A, Keeffe EB. Older age and liver transplantation: a review. Liver Transplantation 2004;8:10.
Cross TJ, Antoniades CG, Muiesan P, et al. Liver transplan- tation in patients over 60 and 65 years: an evaluation of long-term outcomes and survival. Liver Transpl 2007;13:10.
Levy MF, Somasundar PS, Jennings LW, et al. The elderly liver transplant recipient: a call for caution. Ann Surg 2001;233:1.
FilipponiF,RoncellaM,BoggiU,etal.Livertransplantation in recipients over 60. Transplant Proc 2001;33:1-2.
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