NDLI: Lungentransplantation. Indikationen, Langzeitergebnisse und die besondere Bedeutung der Nachsorge.

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Lungentransplantation. Indikationen, Langzeitergebnisse und die besondere Bedeutung der Nachsorge.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Dierich, M. Fuehner, T. Welte, T. Simon, A. Gottlieb, J.
Description	Author Affiliation: Dierich M ( Klinik für Pneumologie , Medizinische Hochschule Hannover, Hannover. Dierich.Martin@mh-hannover.de)
Abstract	Lung transplantation has been established as an appropriate ultimate treatment strategy in end-stage lung disease, when all conventional therapeutic options have been exhausted. A successful transplantation should result in an improved quality of life as well as an increase in life-expectancy for certain diseases (cystic fibrosis, pulmonary fibrosis and pulmonary hypertension). There is still a critical need regarding the number of available donor organs. Presently, one out of six patients dies on the waiting list. In order to identify suitable candidates for transplantation a number of criteria require consideration. These include the exact etiology of the pulmonary or cardiac disease, but also patient age, physical mobility, nutritional and muscular status as well as a comprehensive assessment to exclude significant extra-pulmonary co-morbidities. Complications arising after transplantation occur because of general perioperative risks, but also as a result of specific issues such as acute or chronic graft rejection, airway stenoses, infections of the newly immunosuppressed patient as well as a complete spectrum of secondary extra-pulmonary conditions. Comprehensive follow-up care in lung transplantation patients remains a vital issue. Analyses have shown a relevant improvement in long-term outcome, when follow-up care is delivered in cooperation with an established large volume transplant centre.
File Format	HTM / HTML
ISSN	00209554
Issue Number	5
Journal	Der Internist
Volume Number	50
e-ISSN	14321289
Language	German
Publisher	Springer
Publisher Date	2009-05-01
Publisher Place	Germany
Access Restriction	Subscribed
Subject Keyword	Discipline Internal Medicine Lung Diseases Surgery Lung Transplantation Methods Trends Humans Postoperative Care English Abstract Journal Article Review
Alternative Title	Lung transplantation. Indications, long-term results and special impact of follow-up care
Content Type	Text
Resource Type	Article
Subject	Internal Medicine

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