Indication for Liver Transplant
Indications for liver transplant
Patients with Chronic liver disease having following signs & symptoms are usually referred for Liver transplantation
MELD > 15
CTP > 8
- Ascites (water in the ‘tummy’)
- Hepatic encephalopathy (Excessive sleepiness, drowsiness, mental confusion)
- Hepatorenal syndrome (Chronic liver disease with ascites & raised Creatinine level)
- Upper GI bleed, (Bloody vomiting or Black stools) Refractory to endoscopic management
- Spontaneous bacterial peritonitis
- Progressive malnutrition/Growth retardation
- Jaundice
- Hepatocellular carcinoma
Indication for Liver Transplant in Children
In children, the most common reason for liver transplantation is biliary atresia.
Other diseases that progress to End-stage liver disease(ESLD) among pediatric patients and require liver transplantation include a variety of metabolic disorders.
These include:
- Wilson’s disease
- Alpha 1-antitrypsin deficiency
- Tyrosinemia
- Hemochromatosis
- Crigler-Najjar syndrome
- Glycogen storage disorder
- Hyperoxaluria
- Metabolic respiratory chain deficiencies
- Familial hypercholesterolemia
- Cancer in another part of your body
- Serious heart, lung, or nerve disease
- Active alcohol or illegal drug abuse
- An active, severe infection
- Inability to follow your doctor's instructions
Can anyone with liver problems get a transplant?
You cannot have a transplant if you have: