Telemedicine in alcohol liver disease and transplantation care: Addiction therapy through video-conferencing—A case report

Author:

Sakpal Sujit Vijay123ORCID,Holbeck Malia J4,Wade Ann1,Singh Kushagra5,Singal Ashwani K136

Affiliation:

1. Avera Transplant Institute, Avera McKennan Hospital and University Health Center, Sioux Falls, SD, USA

2. Department of Surgery, University of South Dakota, Sioux Falls, SD, USA

3. Department of Internal Medicine, University of South Dakota, Sioux Falls, SD, USA

4. Avera Behavioral Health Services, Addiction Recovery Program, Sioux Falls, SD, USA

5. Department of Biology and Microbiology, South Dakota State University, Brookings, SD, USA

6. VA Medical Center, Sioux Falls, SD, USA

Abstract

Alcohol use disorder is a major public health concern, contributing to significant morbidity and mortality worldwide. Alcohol-associated liver disease is a major consequence of alcohol use disorder, with liver transplantation becoming the leading indication for this condition. This abstract describes a case study of a 39-year-old Native American man with severe alcohol-associated liver disease, illustrating the challenges and solutions in providing comprehensive care in a remote location. The patient’s treatment involved a multidisciplinary approach, combining hepatology, addiction therapy, and telemedicine services. Despite initial difficulties, the patient achieved complete abstinence and significant improvement in liver function, avoiding the need for transplantation. This case highlights the importance of interdisciplinary care and the potential of telemedicine for managing complex cases of alcohol-associated liver disease and alcohol use disorder in remote areas, ultimately improving patient outcomes and reducing healthcare burdens.

Publisher

SAGE Publications

Reference13 articles.

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2. World Health Organization. Alcohol: Fact Sheet, https://www.who.int/en/news-room/fact-sheets/detail/alcohol (2018, accessed 30 April 2023).

3. Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

4. The global, regional, and national burden of cirrhosis by cause in 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

5. National Institute of Diabetes and Digestive and Kidney Diseases. Liver transplantation. National Digestive Diseases Information Clearinghouse, https://www.niddk.nih.gov/-/media/Files/Liver-Disease/livertransplant_508.pdf (2010, accessed 8 September 2022).

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