Title:New-onset Diabetes Mellitus: Predictive Factors and Impact on the Outcome of Patients Undergoing Liver Transplantation
Volume: 9
Issue: 1
Author(s): Gerardo Sarno, Rucha J. Mehta, Rodolfo Guardado-Mendoza, Lilia M. Jimenez-Ceja, Paride De Rosa and Giovanna Muscogiuri
Affiliation:
Keywords:
Liver transplantation, metabolic syndrome, new-onset diabetes mellitus, HCV, immunosuppressive therapy, nonalcoholic
steatohepatitis, insulin resistance, liver surgery
Abstract: Liver transplantation (LT) for hepatocellular carcinoma (HCC) is the treatment of choice for patients with tumor
characteristics within the Milan criteria associated with Child B or C cirrhosis. LT provides the best cure for both the
tumor and the cirrhosis.
There have been several emerging reports that new-onset diabetes mellitus (NODM) after transplantation (NODAT) is
one of the most negative predictive factors for low survival rate and related co-morbidities.
Little is known about the onset of NODM in post-transplant patients and, overall, whether the pathogenesis of NODM differs
from that known for the general population. Principally, it is still unknown whether NODAT is related to the primary
hepatic disease, the surgical procedures, immunosuppressive treatments, or is it due to the donor liver.
This review will focus on the identification of factors, in the setting of LT, which may lead to the development of NODM.
Early prevention of these factors may abate the incidence of NODM and positively impact survival rate, and thus ameliorate
the worsening of cardiovascular risk factors which usually occur after LT.
