| Referral to transplant center: | - Analysis of medical and surgical history, current medications, current enteral and parenteral nutrition requirements
|
| History and physical: | - Comprehensive history and physical including review of systems
|
| Laboratory studies: | - Blood group
- Tissue typing (HLA)
- Panel of reactive antibody (PRA)
- Serology (CMV IgG and IgM, EBV IgG and IgM, HIV, HCV, HBeAg, HBsAg, HBsAb)
- CBC, comprehensive metabolic panel, PT/PTT/INR
|
| Imaging studies: | - Chest radiograph
- Doppler US of liver
- Magnetic resonance venography
- Doppler US of upper and lower extremities veins
- CT scan abdomen and pelvis
- CT scan brain
- Upper GI study, small bowel follow through
- Barium enema
|
| Endoscopic studies: | |
| Motility studies: | - Gastro-esophageal motility studies
- Small intestine motility studies
- Colon transit time studies
|
| Liver: | - Liver biopsy
- Ultrasound-based elastography
|
| Cardiology evaluation: | - EKG
- Baseline echocardiogram
- Stress test and/or cardiac catheterization if >50 years or with cardiac history, risk factors (HTN, DM)
|
| Nephrology evaluation: | - US abdomen with size of kidneys
- Triple renal scan
- 24 hour creatinine clearance
|
| Additional consults: | - Neurology
- Infectious disease
- Critical care
- Anesthesia
- Pulmonary
|
| Additional studies: | - Dental evaluation
- Mammogram
- PAP smear test
- Vaccinations:
- Hepatitis A
- Hepatitis B
- Pneumovax
|
| Multidisciplinary team evaluation: | - Final decision by transplant physician, surgeon, gastroenterologist, nurse coordinator, nutritionist and social worker
|
