Follow‐Up of Alcohol Consumption After Liver Transplantation: Interest of an Addiction Team?

Abstract

This study highlights the clinical utility of a systematic addiction consultation among liver transplant patients, irrespective of the reason for transplantation.

Diagnosis and Treatment of Alcohol‐Associated Liver Diseases: 2019 Practice Guidance From the American Association for the Study of Liver Diseases

“…Mandatory alcohol use screening of inpatients and in the emergency department effectively identifies heavy users, assists ALD diagnosis, and improves connection to treatment of AUD . Importantly, use of screening tools such as AUDIT has been shown to improve detection as well as the ability to predict long‐term clinical outcomes, including hospitalization for alcohol‐associated diagnoses …”

“…(33) Importantly, use of screening tools such as AUDIT has been shown to improve detection as well as the ability to predict long-term clinical outcomes, including hospitalization for alcohol-associated diagnoses. (34,35)…”

Time to Reconsider Listing Criteria for Alcohol‐Associated Liver Disease?

“…(7) More recently, a French study confirmed the key role of the addiction specialist in identification of alcohol relapse. (8) These studies support a systematic evaluation of the addiction profile of LT candidates, regardless of how urgent transplantation may be. A multicenter evaluation of transplantation selection committees found that patients with ALD posed the most difficult dilemmas and that judgment among committees was highly inconsistent.…”

“…An American study showed that clinical reports (especially from a psychiatrist) were the most reliable method to identify alcohol consumption . More recently, a French study confirmed the key role of the addiction specialist in identification of alcohol relapse . These studies support a systematic evaluation of the addiction profile of LT candidates, regardless of how urgent transplantation may be.…”

A Compendious Study Regarding Concepts of Pathogenesis and Treatment of Alcoholic Liver Disease: A Review

“…Following transplantation, ALD patients return to consuming alcohol at charge similar to those transplanted for other reasons, even if ALD patients may consume better amounts 98 . As every transplant recipient's exhibit increased levels of alcohol assistance over time, post-transplant interventions are deemed enormously valuable in at the bottom of patients to maintain selfdenial 99 .…”