Effect of an Integrated Transplantation Mental Health Program on Alcohol Relapse After Liver Transplantation for Severe Alcoholic Hepatitis: A Single-Center Prospective Study.

Background: Liver transplantation (LT) for severe alcohol-associated hepatitis (AH) remains controversial due to perceived increased recidivism risk after LT because of a lack of protracted abstinence before LT. Data on risk stratification for alcohol relapse after LT are limited. We sought to evaluate the utility of having a mental health program embedded in a transplantation center in risk assessment for alcohol relapse-free patient survival after LT.

Parental live liver donation: psychosocial considerations in the decision to donate.

Purpose Of Review: Live donor liver transplantation is a treatment option for patients in need of orthotopic liver transplantation to mitigate the organ shortage from deceased donors. The long-term outcomes for pediatric recipients from live liver donors are excellent, and parents commonly are the ones seeking donation to save their child from irreversible liver failure. Although live donors go through a careful medical and psychosocial evaluation to ensure the benefits of donation outweigh the risks, parental live liver donation poses unique challenges due to the biological and emotional relationships with the child.