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Vol. 102. Issue 2.
Pages 104-115 (February 2024)
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Vol. 102. Issue 2.
Pages 104-115 (February 2024)
Special article
Consensus document from the Spanish Society for Liver Transplantation: enhanced recovery after liver transplantation
Documento de consenso de la Sociedad Española de Trasplante Hepático. Recuperación intensificada en trasplante hepático
Laura Lladóa,
Corresponding author
, Manuel Abradelo de Userab, Annabel Blasic, Rosa Gutiérrezd, Eva Montalváe, Sonia Pascualf, Gonzalo Rodríguez-Laizg, en representación de la Sociedad Española de Trasplante Hepático (SETH) 1
a Unidad de Cirugía HB y Trasplante Hepático, Servicio de Cirugía, Hospital Universitari Bellvitge, IDIBELL, Universidad de Barcelona, Barcelona, Spain
b Unidad de Cirugía HBP y Trasplante de Órganos, Servicio de Cirugía, Hospital Universitario 12 de Octubre, Imas12, Madrid, Spain
c Departamento de Anestesiología, Hospital Clínic de Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain
d Servicio de Anestesiología-Reanimación, Hospital Universitario de Cruces, Bilbao, Spain
e Unidad de Cirugía HBP y Trasplante, Hospital Universitario y Politécnico La Fe, Universitat de València, CIBERehd, ISCIII, IIS LaFe, Valencia, Spain
f Unidad Hepática, Servicio de Digestivo, CIBERehd, ISABIAL, Hospital General Universitario Alicante, Alicante, Spain
g Unidad Hepática, Servicio de Cirugía, CIBERehd, ISABIAL, Hospital General Universitario Alicante, Alicante, Spain
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Tables (6)
Table 1. Information checklist for when the patient is added to the waitlist.
Table 2. Criteria for safe discharge.
Table 3. Studies about the assessment and/or nutritional intervention before transplantation.
Table 4. Summary of fragility/PS studies.
Table 5. Summary of studies evaluating sarcopenia.
Table 6. Information checklist for post-transplant hospital discharge.
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Figures (1)
Abstract

The goal of the Spanish Society for Liver Transplantation (La Sociedad Española de Trasplante Hepático) is to promote and create consensus documents about current topics in liver transplantation with a multidisciplinary approach. To this end, in November 2022, the 10th Consensus Document Meeting was held, with the participation of experts from the 26 authorized Spanish liver transplantation programs. This edition discusses Enhanced Recovery After Liver Transplantation, dividing needed actions into three periods: preoperative, intraoperative and postoperative. The evaluated evidence and the consensus conclusions for each of these topics are described.

Keywords:
Liver transplantation
Consensus
Enhanced recovery after surgery
Prehabilitation
Discharge
Abbreviations:
LT
SETH
ERAS
Resumen

La Sociedad Española de Trasplante Hepático tiene como objetivo la promoción y elaboración de documentos de consenso sobre temas de actualidad en trasplante hepático de abordaje multidisciplinario. Para ello, en noviembre 2022 se celebró la X Reunión de consenso con participación de representantes de los 26 programas de trasplante hepático españoles autorizados. En esta edición se abordó la Recuperación Intensificada tras el Trasplante Hepático, dividiendo las acciones a realizar en tres periodos, preoperatorio, intraoperatorio y postoperatorio. Se expone a continuación las evidencias evaluadas, y las consecuentes recomendaciones consensuadas.

Palabras clave:
Trasplante hepático
Consenso
Recuperación intensificada
Prehabilitación
Alta

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