9 doctors weighed in:

When preparing for a liver transplant surgery due to stage 3 liver cancer, when do you start anti-rejection meds?

9 doctors weighed in
3 doctors agree

In brief: In the O.R.

The first dose of medicine to prevent rejection is typically given just prior to implanting the organ.
Most patients receive a dose of steroids along with a more potent drug to prevent rejection. This first dose of medicine is commonly referred to as "induction".

In brief: In the O.R.

The first dose of medicine to prevent rejection is typically given just prior to implanting the organ.
Most patients receive a dose of steroids along with a more potent drug to prevent rejection. This first dose of medicine is commonly referred to as "induction".
Dr. Barry Browne
Dr. Barry Browne
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1 doctor agrees

In brief: Immunosuppression

If you get a liver transplant, regardless of the etiology of the liver failure, immunosuppression is usually initiated in the operating room at the time of transplant, although it may be safely delayed up to 48 hours

In brief: Immunosuppression

If you get a liver transplant, regardless of the etiology of the liver failure, immunosuppression is usually initiated in the operating room at the time of transplant, although it may be safely delayed up to 48 hours
Dr. Jonathan Fridell
Dr. Jonathan Fridell
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1 doctor agrees

In brief: Need clarification

Bc most stage 3 liver cancers are not amenable to liver transplantation.
..

In brief: Need clarification

Bc most stage 3 liver cancers are not amenable to liver transplantation.
..
Dr. Cosme Manzarbeitia
Dr. Cosme Manzarbeitia
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Dr. Myron Schwartz
Surgery - Oncology

In brief: during transplant

The medication to prevent rejection of a liver transplant typically begins in the operating room with a large dose of steroids.
Other medications are added subsequently- the choice of which drugs to use is based on center preference as well as individual patient characteristics. For patients with liver cancer sirolimus is often included since it has anticancer as well as immunosuppressive effects.

In brief: during transplant

The medication to prevent rejection of a liver transplant typically begins in the operating room with a large dose of steroids.
Other medications are added subsequently- the choice of which drugs to use is based on center preference as well as individual patient characteristics. For patients with liver cancer sirolimus is often included since it has anticancer as well as immunosuppressive effects.
Dr. Myron Schwartz
Dr. Myron Schwartz
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In brief: Immediately

Either intraoperative ly or on arrival to ICU or both.
The fact that the transplant was for liver cancer makes little difference.

In brief: Immediately

Either intraoperative ly or on arrival to ICU or both.
The fact that the transplant was for liver cancer makes little difference.
Dr. Cosme Manzarbeitia
Dr. Cosme Manzarbeitia
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Dr. Ralph Layman
Surgery - Transplant

In brief: Day of surgery

You normally start immunosuppression the day of surgery.

In brief: Day of surgery

You normally start immunosuppression the day of surgery.
Dr. Ralph Layman
Dr. Ralph Layman
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