The Liver Meeting 2023-Alcohol-Associated Liver Disease SIG

Video Transcription

Video Summary

The video discussed the significance of early liver transplantation for patients with severe alcohol-associated liver disease, stressing challenges in predicting survival, alcohol's impact on post-transplant outcomes, and the necessity of monitoring alcohol use post-transplant. Experts highlighted the importance of multidisciplinary care, interventions to reduce alcohol consumption, and personalized approaches. They introduced using artificial intelligence to predict harmful alcohol use post-transplant based on psychosocial factors. Case studies of two patients with severe alcohol-associated hepatitis and liver decompensation were shared, showcasing challenges like young age, psychiatric conditions, and substance use history. Factors influencing transplantation decisions included treatment response, social support, and relapse potential. The importance of considering clinical improvement, prior treatment response, and ongoing support post-transplant was outlined. The discussions underscored the complexity of balancing clinical and psychosocial factors in decision-making for young high-risk patients. Evidence-based decisions, individualized assessments, and clear communication within transplant committees were emphasized for effective care. Ultimately, early detection, non-judgmental patient conversations, and tailored interventions were highlighted as vital for enhancing outcomes in liver transplant recipients with alcohol-associated liver disease.

Keywords

liver transplantation

alcohol-associated liver disease

survival prediction

post-transplant outcomes

alcohol use monitoring

multidisciplinary care

interventions

personalized approaches

artificial intelligence

psychosocial factors

case studies

transplantation decisions

clinical improvement