A liver transplant is a procedure in which a sick or malfunctioning liver is replaced with all or part of a healthy liver that has been donated. Mostly a healthy liver comes from a deceased organ donor. And sometimes a li...
A liver transplant is a procedure in which a sick or malfunctioning liver is replaced with all or part of a healthy liver that has been donated. Mostly a healthy liver comes from a deceased organ donor. And sometimes a living person in good health might donate a part of their liver. The donor might be a family member or someone whose blood group is an adequate match.
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Added: Jul 29, 2024
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LIVER
TRANSPLANT
Understanding Liver Transplant: Types,
Complications, Symptoms, and Treatment
DR. PUNIT SINGLA
LIVER TRANSPLANT AND GI SURGEON
Dr. Punit Singla (Group Director)
Liver Transplant Program
Marengo Asia Hospital
Faridabad, Gurugram, Ahmedabad
WHAT IS LIVER TRANSPLANT AND WHY
IS IT DONE?
A liver transplant is a procedure in
which a sick or malfunctioning liver
is replaced with all or part of a
healthy liver that has been donated.
Mostly a healthy liver comes from a
deceased organ donor. And
sometimes a living person in good
health might donate a part of their
liver. The donor might be a family
member or someone whose blood
group is an adequate match.
CONDITIONS WHERE THE
TRANSPLANT IS NEEDED:
Liver Cirrhosis
Acute Liver Failure
Uncommon metabolic diseases
The most likely condition for a transplant is liver cirrhosis.
Alcohol consumption, Hepatitis A, B, and C, and Non-Alcoholic
Fatty Liver Disease are the main causes of cirrhosis (NAFLD).
You can understand whether you need a liver transplant or not
via your Child-Turcotte-Pugh (CTP), Model for End-Stage Liver
Disease (MELD) and Pediatric End-stage Liver Disease (PELD)
score. You can consult our team to understand these scores
and get a better understanding with personalized
recommendations.
TYPES OF LIVER TRANSPLANT
Living Donor Liver Transplant (LDLT): In this case, the
donor is a willing living person who undergoes an
operation in which either the left or right lobe of the
liver is removed. Right lobe is bigger in size, hence
better suited for adults whereas the left lobe is
recommended for children.
Deceased Donor Liver Transplant (DDLT): Or
Orthotopic liver transplant is the most common type
in which the whole liver is extracted from a recently
deceased donor. In this case, the donor has mostly
pledged his/her organs for donation post-death
COMPLICATIONS OF
LIVER TRANSPLANT
Given below are some of the major
issues with liver transplants:
The body rejects the new liver
Bleeding (hemorrhage)
Bile Leakage
Primary non-function of the new
liver within the first few hours
requires performing a new
transplant as soon as possible.
The body rejects the new liver
Bleeding (hemorrhage)
Bile Leakage
SYMPTOMS OF CIRRHOSIS WHERE LIVER
TRANSPLANT MAY REQUIRE:
Jaundice
Ascites (accumulation of fluid in
the abdomen).
Hematemesis (Blood in vomitus).
Hepatic Encephalopathy (Loss of
consciousness).
Development of liver cancer.
STAGE -1: PRE-
ASSESSMENT
Every patient in need of a liver transplant must undergo a
thorough assessment. When you are referred to the Liver
Transplant Program by your specialist or a member of our
team, the assessment phase begins.
STAGE -2:
ELIGIBILITY
To go ahead with a transplant, You must be diagnosed and recommended by our experts or be referred by your
clinician to the Liver Transplant Program. Each and every patient goes through a preliminary assessment after
which a decision is reached for the transplantation process. A detailed analysis of your personal, medical, and
family history is compiled through the process. The aim is to achieve :
Confirmation of whether the patient needs a transplant
Confirmation that the patient is fit enough to survive the surgery
Moreover, you’ll get information that will assist you in deciding whether you want to proceed with the transplant.
Consultations with the transplant team, which consists of a hepatologist, transplant surgeon, clinical coordinator,
social worker, dietitian, and psychologist, are routine assessments. Appointments with experts from other fields
are also made as needed.
STAGE -3: POST-LIVER
TRANSPLANT CARE
There will be a need for constant monitoring after surgery
for infections and liver rejection. You will also need to take a
number of medications to guard against rejection and
common infections following your transplant.
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https://www.livertransplantsurgeon.co.in/