ADULT LIVER TRANSPLANT EVALUATION



The University of Chicago Hospitals

Center for Liver Diseases

5841 S. Maryland Ave. MC 7120

Chicago, IL 60637

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ADULT LIVER TRANSPLANT EVALUATION

Tests which must be done at the University of Chicago Hospitals

• Ultrasound of the liver with doppler flow studies- yearly

• Chest X-ray annually

• EKG annually

• Blood Type

• CT of the abdomen, (cirrhosis protocol) with and without contrast to rule out tumor; repeated yearly or more often if indicated

Tests that can be done at other institutions

• Pulmonary Functions Tests with arterial blood gases, DLCO, and lung volumes every 2 years and or as needed

• Echocardiogram: M-mode Doppler every year (please assess PA pressures)

• Upper GI Endoscopy to rule out esophageal varices every 2 years and or as needed

• Dobutamine stress test: all men and women over 40 years of age and all patients with diabetes

• Stool for hemoccult X3 every year –(Colonoscopy if positive)

• 24-hour urine for creatinine clearance and protein with serum creatinine

• Statement from dentist that necessary dental work had been completed (potential infection sources should be identified and treated before activation for transplantation).

• Bone Density using dual photon absorbitometry

• Mammogram: Baseline at 35-40 years old, annually after 50 years of age.

• Pap smear and pelvic exam- yearly after age 18

Immunizations/Screenings

• Pneumovax 0.5 cc’s I.M.

• PPD (TB skin test)

• Annual flu shot

• Hepatitis B vaccinations if HBSAg and HBSAb negative (3 injections are needed)

• Hepatitis A vaccine if HA IgG is negative needed (2 injections are needed)

• OR Twinrix (Hepatitis A & B combined; 3 doses if Hep BsAb & HAV IgG are negative)

Laboratory Studies

• HIV

• VDRL/RPR

• Hep A IgG

• HBsAg, HBsAb, HbcAb IgM & IgG—HBsAg positive patients need HBV/DNA & HBeAg

• Hepatitis C AB or RIBA; If positive do Hepatitis C PCR Quantitative every year and Hepatitis C Genotype Analysis

• AFP- baseline and every 6 months

• PSA required for all men over 50 years old

• Magnesium, Calcium, Iron, Total Iron Binding Capacity and Ferritin

• All patients with Autoimmune Hepatitis, will need a ANA, LKM, and SMA

• All patients with PBC will need a AMA

• Alpha 1 Antitrypsin if below normal range please do Alpha 1 Antitrypsin Phenotype

Routine Labs-every 6 to 8 weeks or as needed

Complete Chemistry profile- including SGPT/ALT, SGOT/AST

CBC with platelet count and prothrombin time

• All liver transplant candidates are required to have at least one meeting with our transplant social worker Sandi Cohen MSW/LCSW. Please contact her to schedule an appointment at least two weeks in advance. This is your responsibility (773) 702-7685.

• All liver transplant candidates are required to contact the dietitian Vinay Garg MS, RD 773/702-8165. This is your responsibility

• For financial questions, please contact Carmalita Collier in the admitting office 773/834-3971.

Please contact: Pamela Boone RN, MS Cathie Solcani, RN, MS

Clinical Nurse Specialist Clinical Nurse Specialist

Adult Liver Transplant Coordinator Adult Liver Transplant Coordinator

Office: 773/702-5415 773-834-4563

Pager: 773/702/6800 ID # 8267 773/702/6800 ID # 4563

Appointments: 773/702-6140 (To make an appointment with appropriate physician in the GI clinic 6B)

Fax: 773/834-3640 (All results must be faxed to this number)

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