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Highlights in Liver Transplantation

DiMartini et al. report their results with a prospective investigation of tobacco use following liver transplantation among 172 with underlying alcoholic liver disease. Their report is sobering: more than 40% of these patients were smoking throughout the period of observation. Specifically, they observed that recipients with alcoholic liver disease resumed smoking early following liver transplantation; they increased their tobacco use over time and become tobacco dependent. These patients have been found to be at risk of lung and oropharyngeal cancer. It is well known fact the alcohol abuse is usually accompanied with tobacco use. DiMartini et al. point out a serious health risk in transplanted patients that need to be addressed vigorously by the health care team as it is likely to be associated with increased pathologies such as lung cancer, cardiovascular events and oropharyngeal cancer. This publication is commented by an editorial from Dr. Santiago Munoz. We hope that this publication will be a warning to the transplant community and leads to specific actions to address this serious problem. (SEE Liver Transplantation 2005; 11: 679-683.)