Solid Organ Transplant

  • Christopher J. WongEmail author


Solid organ transplant recipients may undergo successful surgery for procedures unrelated to their transplant. The perioperative medicine consultant should be aware of the unique aspects of care of these patients, including taking a thorough transplant history, assessing the transplanted organ, understanding and planning for the risks of immunosuppression and corticosteroid use, and managing immunosuppressant medications in patients with fluctuating enteral intake. Working with the transplant specialist is recommended for complex surgical cases.


Solid organ transplant Immunosuppression Corticosteroids Perioperative 



Reena Julka, MD


  1. 1.
    Kostopanagiotu G, Smyrniotis V, Arkadopolous N. Anesthetic and perioperative management of adult transplant recipients in nontransplant surgery. Anesth Analg. 1999;89:613–22.Google Scholar
  2. 2.
    Vargo PR, Schiltz NK, Johnston DR, Smedira NG, Moazami N, Blackstone EH, Soltesz EG. Outcomes of cardiac surgery in patients with previous solid organ transplantation (kidney, liver, and pancreas). Am J Cardiol. 2015;116(12):1932–8. Epub 2015 Oct 9.CrossRefPubMedGoogle Scholar
  3. 3.
    Reshef A, Stocchi L, Kiran RP, et al. Case-matched comparison of perioperative outcomes after surgical treatment of sigmoid diverticulitis in solid organ transplant recipients versus immunocompetent patients. Color Dis. 2012;14:1546–52.CrossRefGoogle Scholar
  4. 4.
    Pagalilauan GL, Limaye AP. Infections in transplant patients. Med Clin North Am. 2013;97(4):581–600.CrossRefGoogle Scholar
  5. 5.
    Mezochow AK, Henry R, Blumberg EA, Kotton CN. Transfusion transmitted infections in solid organ transplantation. Am J Transplant. 2015;15(2):547–54. Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Medicine, Division of General Internal MedicineUniversity of WashingtonSeattleUSA

Personalised recommendations