Liver, pancreas and small bowel transplantation: Current ethical issues

Gert Dijk, Medard Hilhorst, Edmond Rings

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

We describe the medical state of the art in liver, pancreas and small bowel transplantation, and portray the ethical issues. Although most ethical questions related to these transplantations are not specific for liver, pancreas and small bowel, they do challenge ethical analysis as well as new policies and clinical procedures. Firstly, outcomes continue to be of utmost concern, as information is only limited available, is developing over time and is surrounded by many uncertainties. Secondly, characteristics of donors and recipients should be carefully evaluated. The question of what qualifies a donor and a recipient should be considered against the background of a quest for extended criteria, embracing marginal cases, and a judgment with regard to what counts as a good enough outcome. Thirdly, ethical principles of autonomy and fairness are pushed, given the circumstance of severe scarcity, towards limits that can easily be crossed. (C) 2014 Elsevier Ltd. All rights reserved.
Original languageUndefined/Unknown
Pages (from-to)281-292
Number of pages12
JournalBest Practice & Research in Clinical Gastroenterology
Volume28
Issue number2
DOIs
Publication statusPublished - 2014

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