Abstract

MUNOZ, Octavio et al. Experience with Liver Transplantation in patients over 65 years of Age at the  Hospital Pablo Tobón Uribe in Medellin, Colombia from 2004 to 2010. Rev Col Gastroenterol [online]. 2015, vol.30, n.1, pp.19-23. ISSN 0120-9957.

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

Keywords : Hepatic transplantation; liver transplantation; liver grafting; old age; 65 years and over.

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