Latin American association for the study of the liver (ALEH) guidance on preoperative care in liver transplantation: referral criteria, patient assessment, and waiting list management
Liver transplantation (LT) is the standard of care therapy for patients with decompensated cirrhosis, early-stage hepatocellular carcinoma, acute liver failure, and other expanding indications. Latin America is a highly heterogeneous region characterized by an uneven distribution of socio-economic conditions and irregular access to health resources, and consequently LT activity varies across the region. This current guidance on preoperative care in LT represents a collaborative effort to assess and standardize preoperative evaluation of liver transplant candidates in Latin America. It is the first position paper of the special interest group on LT of the Latin American Association for the Study of the Liver (ALEH), which provides evidence-based comprehensive recommendations regarding whom to refer, how to assess LT candidates and how to manage patients on the waiting list, taking into consideration their applicability in Latin America.
Authors
- Victoria Mainardi (ORCID: https://orcid.org/0000-0002-5443-5531)
- Adriana Varón (ORCID: https://orcid.org/0000-0002-8294-2194)
- Edgard Aguilera
- Jorge González (ORCID: https://orcid.org/0000-0003-3719-944X)
- Norma Marlene Pérez Figueroa
- Josefina Pagés (ORCID: https://orcid.org/0000-0002-1167-7047)
- Luis Antonio Díaz (ORCID: https://orcid.org/0000-0002-8540-4930)
- Alfeu de Medeiros Fleck (ORCID: https://orcid.org/0000-0002-0424-6919)
- Marcos Girala
- Sergio Lopez
- Martín Padilla (ORCID: https://orcid.org/0000-0002-3585-3666)
- Graciela Castro‐Narro (ORCID: https://orcid.org/0000-0001-7511-5396)
- Juan Carlos Restrepo (ORCID: https://orcid.org/0000-0002-1793-5756)
- Rodrigo Zapata (ORCID: https://orcid.org/0000-0001-6050-0363)
- Manuel Mendizábal (ORCID: https://orcid.org/0000-0002-7026-9908)
- Laura Tenorio
- Marcia Samada
- Mário Guimarães Pessôa (ORCID: https://orcid.org/0000-0002-0942-7348)
- Leonardo de Lucca Schiavon (ORCID: https://orcid.org/0000-0003-4340-6820)
- Álvaro Urzúa (ORCID: https://orcid.org/0000-0002-8059-8844)
- Solange Gerona
- Sebastián Marciano (ORCID: https://orcid.org/0000-0002-7983-1450)
- Débora Raquel Benedita Terrabuio (ORCID: https://orcid.org/0000-0003-4072-1761)
- Kenia Valenzuela Aguilera
- Liana Codés (ORCID: https://orcid.org/0000-0001-5178-8705)
- Pablo Coste
- Jorge Martínez (ORCID: https://orcid.org/0000-0001-5823-7308)
- Alejandra Villamil
- Lucia Navarro
- N. Domínguez
- Paulo Lisboa Bittencourt
- Fernando Cairo
- Josemaría Menéndez
Institutions
- Universidad del Desarrollo (CL)
- Pontificia Universidad Católica de Chile (CL)
- Rafael Advanced Defense Systems (Israel) (IL)
- Yahoo (Spain) (ES)
- Santa Casa Hospital (BR)
- Hospital Italiano de Buenos Aires (AR)
- Universidade Federal de Santa Catarina (BR)
- Real Hospital Português (BR)
- Hospital Nacional Cayetano Heredia (PE)
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (MX)
- Hospital Universitario Austral (AR)
- Hospital Pablo Tobon Uribe (CO)
- Fundación Neumológica Colombiana (CO)
- Universidad Metropolitana de Honduras (HN)
- Hospital Clínico de la Universidad de Chile (CL)
- Institute of Cardiology (CO)
- Hospital Central de las Fuerzas Armadas (UY)
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR)
- Hospital El Cruce (AR)
- Universidad Psicología Industrial Dominicana (DO)
- Hospital Vozandes (EC)
- Universidad de Ciencias Médicas de la Habana (CU)
- Hospital Base Guillermo Almenara Irigoyen (PE)
- St Martins Hospital (GB)
- Universidad Nacional de Asunción (PY)
Publication Details
- Journal
- Annals of Hepatology
- Published
- 2025-07-01
- DOI
- https://doi.org/10.1016/j.aohep.2025.101939
- Citations
- 1
- Primary Topic
- Liver Disease and Transplantation
- Type
- article
- Field-Weighted Citation Impact
- 1.32