Volume 74, Issue 3 pp. 1674-1686
Review

Pulmonary Abnormalities in Liver Disease: Relevance to Transplantation and Outcome

Sarah Raevens

Corresponding Author

Sarah Raevens

Department of Gastroenterology and Hepatology, Ghent University-Ghent University Hospital, Ghent, Belgium

ADDRESS CORRESPONDENCE AND REPRINT REQUESTS TO:

Sarah Raevens, M.D., Ph.D.

Department of Gastroenterology and Hepatology, Ghent University Hospital

Building K12 First Floor IE

Corneel Heymanslaan 10

9000 Ghent, Belgium

E-mail: [email protected]

Tel.: +32 9 332 53 01

or

Michael B. Fallon, M.D.

Department of Internal Medicine, University of Arizona College of Medicine

550 East Van Buren Street

Phoenix, AZ 85004

E-mail: [email protected]

Tel.: +1-602-827-2078

Search for more papers by this author
Maxine Boret

Maxine Boret

Department of Gastroenterology and Hepatology, Ghent University-Ghent University Hospital, Ghent, Belgium

Search for more papers by this author
Michel De Pauw

Michel De Pauw

Department of Cardiology, Ghent University-Ghent University Hospital, Ghent, Belgium

Search for more papers by this author
Michael B. Fallon

Corresponding Author

Michael B. Fallon

Department of Internal Medicine, University of Arizona College of Medicine, Phoenix, AZ

These authors share senior authorship.

ADDRESS CORRESPONDENCE AND REPRINT REQUESTS TO:

Sarah Raevens, M.D., Ph.D.

Department of Gastroenterology and Hepatology, Ghent University Hospital

Building K12 First Floor IE

Corneel Heymanslaan 10

9000 Ghent, Belgium

E-mail: [email protected]

Tel.: +32 9 332 53 01

or

Michael B. Fallon, M.D.

Department of Internal Medicine, University of Arizona College of Medicine

550 East Van Buren Street

Phoenix, AZ 85004

E-mail: [email protected]

Tel.: +1-602-827-2078

Search for more papers by this author
Hans Van Vlierberghe

Hans Van Vlierberghe

Department of Gastroenterology and Hepatology, Ghent University-Ghent University Hospital, Ghent, Belgium

These authors share senior authorship.Search for more papers by this author
First published: 26 February 2021
Citations: 2
H.V.V. is a senior clinical researcher of the Research Foundation–Flanders.
Potential conflict of interest: Nothing to report.

Abstract

Pulmonary disease in liver cirrhosis and portal hypertension (PH) constitutes a challenging clinical scenario and may have important implications with regard to prognosis, liver transplantation (LT) candidacy, and post-LT outcome. Pre-LT evaluation should include adequate screening for pulmonary diseases that may occur concomitantly with liver disease as well as for those that may arise as a complication of end-stage liver disease and PH, given that either may jeopardize safe LT and successful outcome. It is key to discriminate those patients who would benefit from LT, especially pulmonary disorders that have been reported to resolve post-LT and are considered “pulmonary indications” for transplant, from those who are at increased mortality risk and in whom LT is contraindicated. In conclusion, in this article, we review the impact of several pulmonary disorders, including cystic fibrosis, alpha 1-antitrypsin deficiency, hereditary hemorrhagic telangiectasia, sarcoidosis, coronavirus disease 2019, asthma, chronic obstructive pulmonary disease, pulmonary nodules, interstitial lung disease, hepatic hydrothorax, hepatopulmonary syndrome, and portopulmonary hypertension, on post-LT survival, as well as the reciprocal impact of LT on the evolution of lung function.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.