Adult Liver Transplant Evaluation

The University of Chicago Hospitals

Center for Liver Diseases

5841 S. Maryland Ave. MC 7120

Chicago, IL 60637

ADULT LIVER TRANSPLANT EVALUATION

Tests which must be done at the University of Chicago Hospitals

·  Ultrasound of the liver with doppler flow studies- yearly

·  Chest X-ray annually

·  EKG annually

·  Blood Type

·  CT of the abdomen, (cirrhosis protocol) with and without contrast to rule out tumor; repeated yearly or more often if indicated

Tests that can be done at other institutions

·  Pulmonary Functions Tests with arterial blood gases, DLCO, and lung volumes every 2 years and or as needed

·  Echocardiogram: M-mode Doppler every year (please assess PA pressures)

·  Upper GI Endoscopy to rule out esophageal varices every 2 years and or as needed

·  Dobutamine stress test: all men and women over 40 years of age and all patients with diabetes

·  Stool for hemoccult X3 every year –(Colonoscopy if positive)

·  24-hour urine for creatinine clearance and protein with serum creatinine

·  Statement from dentist that necessary dental work had been completed (potential infection sources should be identified and treated before activation for transplantation).

·  Bone Density using dual photon absorbitometry

·  Mammogram: Baseline at 35-40 years old, annually after 50 years of age.

·  Pap smear and pelvic exam- yearly after age 18

Immunizations/Screenings

·  Pneumovax 0.5 cc’s I.M.

·  PPD (TB skin test)

·  Annual flu shot

·  Hepatitis B vaccinations if HBSAg and HBSAb negative (3 injections are needed)

·  Hepatitis A vaccine if HA IgG is negative needed (2 injections are needed)

·  OR Twinrix (Hepatitis A & B combined; 3 doses if Hep BsAb & HAV IgG are negative)

Laboratory Studies

·  HIV

·  VDRL/RPR

·  Hep A IgG

·  HBsAg, HBsAb, HbcAb IgM & IgG—HBsAg positive patients need HBV/DNA & HBeAg

·  Hepatitis C AB or RIBA; If positive do Hepatitis C PCR Quantitative every year and Hepatitis C Genotype Analysis

·  AFP- baseline and every 6 months

·  PSA required for all men over 50 years old

·  Magnesium, Calcium, Iron, Total Iron Binding Capacity and Ferritin

·  All patients with Autoimmune Hepatitis, will need a ANA, LKM, and SMA

·  All patients with PBC will need a AMA

·  Alpha 1 Antitrypsin if below normal range please do Alpha 1 Antitrypsin Phenotype

Routine Labs-every 6 to 8 weeks or as needed

Complete Chemistry profile- including SGPT/ALT, SGOT/AST

CBC with platelet count and prothrombin time

·  All liver transplant candidates are required to have at least one meeting with our transplant social worker Sandi Cohen MSW/LCSW. Please contact her to schedule an appointment at least two weeks in advance. This is your responsibility (773) 702-7685.

·  All liver transplant candidates are required to contact the dietitian Vinay Garg MS, RD 773/702-8165. This is your responsibility

·  For financial questions, please contact Carmalita Collier in the admitting office 773/834-3971.

Please contact: Pamela Boone RN, MS Cathie Solcani, RN, MS

Clinical Nurse Specialist Clinical Nurse Specialist

Adult Liver Transplant Coordinator Adult Liver Transplant Coordinator

Office: 773/702-5415 773-834-4563

Pager: 773/702/6800 ID # 8267 773/702/6800 ID # 4563

Appointments: 773/702-6140 (To make an appointment with appropriate physician in the GI clinic 6B)

Fax: 773/834-3640 (All results must be faxed to this number)