[Liver transplant at the UMAE 25 IMSS Monterrey].

BACKGROUND

Liver transplantation is the best treatment for end stage liver diseases. In April 2003, our institution started a Liver Transplantation Program for both pediatric and adults population.

OBJECTIVE

Shown the results of the Liver Transplantation Program in the UMAE 25 Monterrey N.L.

MATERIALS AND

METHODS

This is a retrospective cohort study of patients with liver transplantation.

RESULTS

A total of 51 liver transplantations have been done in 49 patients with two retrasplantation, 15 in children and 36 in adults. The principal indication for liver transplantation in children was biliary atresia and hepatitis C cirrhosis in adults. The acute renal failure was the main early complication, the acute cellular rejection in the mediate period, and the cardiovascular diseases as late complication related to obesity, metabolic syndrome, diabetes mellitus and hypertension. Overall survival at 1 and 5 years was 57.1 and 54.2%, respectively. During the first three years post-transplantation, the quality of life was good or very good.

CONCLUSIONS

Although still a young and perfectible program, the effort of a multidisciplinary team has made possible to perform liver transplantation in two patient populations, pediatric and adults.