What are the most common complications after liver transplantation, and how can healthcare providers recognize and manage them to improve patient outcomes? In this educational session from the 9th Annual GHAPP National Conference, Edith Johannes explores the clinical and emotional challenges patients face before and after liver transplant surgery. This discussion highlights the psychological impact of chronic liver disease, including grief, loss of independence, and the emotional journey from transplant evaluation to recovery. Learn about critical post-liver transplant complications, including primary graft nonfunction, early allograft dysfunction, hepatic artery thrombosis (HAT), ischemic cholangiopathy, biliary strictures, infections, and acute and chronic liver transplant rejection. The presentation examines the differences between early and late hepatic artery thrombosis, the importance of monitoring liver function tests (LFTs), and the role of magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) in diagnosing and treating biliary complications. Additional topics include immunosuppression-related infection risks, antibody-mediated rejection, donor-specific antibodies, and the long-term impact of medication nonadherence on graft survival. Discover why early recognition of transplant complications, careful interpretation of elevated liver enzymes, and timely clinical intervention are essential for protecting graft function and supporting long-term transplant success. Designed for hepatology nurse practitioners, physician assistants, gastroenterology providers, and other advanced practice providers (APPs), this session offers valuable insights into post-transplant monitoring, complication management, and the importance of addressing both the physical and psychological needs of liver transplant recipients.
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