Liver Transplantation and Surgery SIG & Surgery and Liver Transplantation Cmte: Combined Organ Transplants

5 (2 votes)

Recorded On: 11/10/2018

This program will review the current status of liver transplantation in the setting of combined organ transplants (i.e., liver/intestine/multi-visceral, liver/ kidney, liver/heart and liver/lung transplantation). Indications, pathophysiology, operative management, post-transplant care and outcomes will be discussed in the context of specific extra-hepatic organ dysfunction and combined organ transplantation. The session will also address the immunologic, ethical, financial and operational issues associated with multi-organ transplant as well as integration of these combined organ transplants in the overall liver allocation framework.

Stuart Sweet

Richard Shane Mangus

Pratima Sharma

Alex Wiseman

Patrick S. Kamath

Kim Olthoff

Josh Levitsky

Josh Levitsky, MD, MS is currently a Professor of Medicine and Surgery in the Division of Gastroenterology & Hepatology at the Northwestern University Feinberg School of Medicine. Dr. Levitsky received his B.S. from the University of Michigan and M.D. from the Albert Einstein College of Medicine where he was elected to Alpha Omega Alpha. He then completed an Internal Medicine residency and Gastroenterology fellowship at the University of Chicago Hospitals and a Transplant Hepatology fellowship at the University of Nebraska Medical Center, receiving an AASLD Fellowship Award. At Northwestern, he completed a Master of Science in Clinical Investigation. He is currently certified by the American Board of Internal Medicine in Gastroenterology and Transplant Hepatology.

Dr. Levitsky’s academic interests are clinical and translational in nature, with a focus on liver transplant immunosuppression, tolerance and biomarkers. He has published numerous peer-reviewed journal articles, abstracts, book chapters and reviews on topics relevant to liver disease and transplantation. He is a Deputy Editor for the American Journal of Transplantation. He is the principal and co-investigator for a number of NIH, pharmaceutical and investigator-initiated trials. At Northwestern, he is currently the Gastroenterology Program Director and Director of Liver Research. He has been elected to the Feinberg Academy of Medical Educators and has received several teaching awards.

Dr. Levitsky is an active member of several professional societies, including the American Society of Transplantation, American Association for the Study of Liver Diseases, and the International Liver Transplantation Society. He was previously a Councilor-At-Large for the American Society of Transplantation from 2014-2017. He was a prior chair of the American Transplant Congress, recent co-chair of AST’s CEOT meeting and is the current co-chair of the AST Education Committee. One of his passions is trainee education, establishing the AST Comprehensive Trainee Curriculum and regularly participating in the yearly Fellow’s Symposium. Dr. Levitsky’s dedication to the field of transplantation and AST includes all facets of clinical care, advocacy, research and education.

Julie Heimbach

Julie K. Heimbach, M.D., is a Professor of Surgery and Chair of the Division of Transplantation Surgery at Mayo Clinic in Rochester, Minnesota.  She is currently on the council of the American Society of Transplant Surgeons; and recently served a member of the Governing Board of the AASLD and as chair of the Liver and Intestinal Transplant Committee of UNOS.   She also serves as associate editor of AJT and Journal of Hepatology.  Her interests are in liver transplantation in the setting of malignancy, particularly hilar cholangiocarcinoma, as well as the management of obesity in liver transplantation and living donor transplantation. 

John Fung

Key:

Complete
Failed
Available
Locked
Session I: Liver Lung/Intestine/Multivisceral
Welcome and Introductions
Open to view video.
Open to view video.
Liver Lung Perspective: Indications, Patient Selection and Allocation Policy
Open to view video.
Open to view video. Presenter: Stuart Sweet
Liver Intestine/Multivisceral Perspective: Indications, Patient Selection and Allocation Policy
Open to view video.
Open to view video. Presenter: Richard Shane Mangus
Session II: Liver Kidney
Indications, Patient Selection and Allocation Policy
Open to view video.
Open to view video. Presenter: Pratima Sharma
Long Term Management (Steroid Withdrawal and Safety Net Patients)
Open to view video.
Open to view video. Presenter: Alex Wiseman
Session III: Liver Heart
Congenital Heart Disease and the Liver
Open to view video.
Open to view video. Presenter: Patrick Kamath
Indications, Patient Selection and Allocation Policy
Open to view video.
Open to view video. Presenter: Kim Olthoff
Session IV: Putting It All Together
Does the Liver Provide Immunosuppressive Advantage
Open to view video.
Open to view video. Presenter: Josh Levitsky
Allocation/Prioritizing All the “Other Organs”
Open to view video.
Open to view video. Presenter: Julie Heimbach
Impact on Transplant Center – Costs and Outcomes
Open to view video.
Open to view video. Presenter: John Fung
Final Evaluation
Final Evaluation
4 Questions
4 Questions Please complete the following evaluation form to share your feedback on this activity.