3 Most common liver conditions in children

Liver which is one of the most important human body part, does more than 500 functions in the body. It generates the waste-carrying bile, breaks down fats in the small intestine, filters the blood to remove toxins, and transforms extra glucose into glycogen for storage. It also improves
the immune system by fending off infections. There are several liver conditions that affect children, and here, the three most common liver conditions in children are discussed:

What is the liver’s function?
As the second largest organ in the body, the liver, which is located in the abdominal cavity, does multiple functions:
● Generates bile, a chemical that helps in food digestion
● Stores excess nutrients
● Helps clear the bloodstream of impurities
● Regulate the levels of cholesterol and blood sugar
● Makes proteins that allow blood to clot normally, transport oxygen, and support the immune system.

What is a liver disease?
Anything that affects or reduces the liver's ability to function is referred to as liver disease. It can occur as a result of an illness, bad habits or behaviors, or exposure to specific chemicals. It can also be acquired through family traits. If the liver is damaged beyond curing through treatment,
then getting the Best Liver Transplant in Dubai would be the wise option. Different pediatric liver conditions
Here are three important pediatric liver conditions:
1. Portal hypertension: The spleen and intestine supply blood to the liver through the portal vein. Portal hypertension is the medical term for conditions that involve high blood pressure in these blood arteries or liver-related blood flow resistance. New blood vessels, known as collaterals, grow as a result of this pressure. The collaterals join the intestine’s blood flow to the main circulation, bypassing the liver in the process. So, impurities that were meant to be filtered by the liver find their way into the bloodstream.

2. Autoimmune hepatitis: A child’s own body causes autoimmune hepatitis. An autoimmune disorder is an attack on the body by the immune system, which fights disease. Here, there is an attack on the liver cells. Over time, this affects the liver by causing inflammation. 

● Type 1: While it can start at any age, adolescence is the most common time for it to start (9 to 18 years old). Women and those with other autoimmune diseases like lupus, Crohn’s disease, or celiac disease are more likely to experience it.

● Type 2: In. It is more common in younger kids, particularly those with autoimmune disorders already.

3. Jaundice: Jaundice is caused by a rise in bilirubin in the body because of bile duct obstruction, liver cell abnormalities, or inflammation. It can occur as a result of the excessive destruction of a high concentration of red blood cells, which is common in neonates. The first and sometimes the only symptom of liver disease is jaundice.

Final thoughts Go to a reputable hospital in Dubai as soon as possible if your child shows any of the symptoms or indicators of liver disease. Professionals there will correctly diagnose your child’s illness and start the best course of care. If there is a need for a liver transplant, then look for the Best Liver Transplant in Dubai for a speedy recovery and rehabilitation.

Major Indications, When You Need A Liver Transplant!

Liver transplantation is necessary when the liver stops to function in the proper way. This could occur commonly because of acute failure from infections or complications arising from certain medications. Surgery of Liver transplant requires replacing a not functional liver with a healthy liver; where the healthy liver can be taken from either a deceased donor or donated by a living person.
What does a healthy liver performs?
The liver, body & largest internal organ, serves several vital functions, including:
 Processing nutrients, medications, and hormones
 Generating proteins necessary for blood clotting
 Producing bile, crucial for absorbing fats, cholesterol, and fat-soluble vitamins
 Regulating immune responses to prevent infection
In an ideal scenario, liver transplants are suggested for individuals facing serious complications due to advanced stages of chronic liver disease. In many other instances of abrupt failure in an otherwise healthy liver, transplant might also be an option.

More to consider before a Liver transplant:
The reason this procedure works is that the human liver has an incredible capacity to regenerate and quickly restore itself to its normal size following the surgical removal of a portion. As per a U.S., data in the year 2018, almost 8,200 liver transplants were conducted involving both adults and children. Among these, around 390 transplants utilized livers from living donors. Simultaneously, about 12,800 individuals were on the waiting list, anticipating a liver transplant.

Specific indications encompass various conditions such as:
Extrahepatic biliary atresia or hypoplasia Acute hepatic fulminant failure Additionally, other conditions such as Sclerosing cholangitis, Hepatic vein thrombosis (Budd- Chiari), Hepatocellular Carcinoma (HCC) at Stage I or  II, or a single lesion, and various forms of cirrhosis including primary or secondary biliary cirrhosis, alcohol-related cirrhosis, chronic active hepatitis (A, B, C, non A, non B, autoimmune), cryptogenic cirrhosis, NASH-related cirrhosis, congenital biliary cirrhosis, viral cirrhosis, among others, are encompassed within this spectrum of liver-related disorders.

How does the transplant center performs?
Transplant centers house specialized Liver Transplant Programs designed to evaluate and treat these conditions. These programs offer comprehensive overviews, specific indications for transplantation, different types of transplants available, dedicated transplant teams, the transplantation process, discharge procedures, recovery plans, and specialized pediatric liver transplant programs. Additionally, some centers provide options for Living Donor Liver Transplant procedures.

Some more to understand:  Liver transplant becomes necessary when the liver sustains significant damage, impairing its proper function. Key indications for a liver transplant comprise:
• Liver Failure: End-stage liver disease or failure resulting from chronic conditions such as cirrhosis, hepatitis, or genetic disorders.
• Chronic Liver Disease: Conditions like hepatitis B or C, autoimmune hepatitis, alcoholic liver disease, primary biliary cirrhosis, primary sclerosing cholangitis, and nonalcoholic fatty liver disease can lead to severe liver damage.
• Liver Cancer: Specific types of liver cancer confined to the liver may necessitate a transplant.
• Acute Liver Failure: Sudden and severe liver damage, often triggered by drug overdose, hepatitis, or other acute conditions, may urgently require transplantation.
• Genetic Disorders: Inherited liver conditions like hemochromatosis, Wilson & disease, or alpha-1 antitrypsin deficiency can cause liver damage, potentially requiring a transplant.
• Recurrent Liver Failure: In instances where a previously transplanted liver is failing or being rejected, another transplant might become necessary.

Final Words-
Need a liver transplant – considering factors discussed here in the blog. First most important is the patient & general health, and then next is the extent of liver disease. Next is availability of the donor. Evaluation at a transplant center involves thorough testing and assessment to determine if
transplantation is the most suitable path forward. Do get consultation at a proper time to deal with it.

What diet one should follow after a liver transplant?

Nutrition for the patient after Liver Transplant surgery

Managing your diet and nutrition post-liver transplant is very important aspect. The diet maintenance is helpful in preventing excessive weight gain, and avoiding further any complications. It is also very important to ward off high blood pressure, infections, and other potential issues. The advice from the nutrition specialist or the treatment team will strictly be considered and followed that are tailored to your individual needs and lifestyle. Patients who’ve undergone liver transplants significantly enhance their long-term treatment success by diligently adhering to the rehabilitation program, with diet playing a pivotal role. This isn’t complex knowledge—maintaining a well-balanced diet is essential for anyone seeking a healthy life, let alone patients post-transplantation.

Role of the treatment team after liver transplant: Your treatment team is there to provide comprehensive care, integrating nutritional planning into the recovery process for transplant patients. Nutritionists play a crucial role in designing tailored dietary plans. We have discovered that the crux of post-liver transplantation well-being lies in adopting a nourishing diet. Here’s the key to achieving it:

Calcium: Enhancing bone strength becomes vital due to the risk of fractures and osteoporosis resulting  from prednisone intake, a medication common among liver transplantation patients. Whey protein and certain leafy vegetables serve as rich sources of calcium. Additionally, nuts like almonds and seeds store substantial amounts of this essential mineral.

Fiber: The advantages of fiber are manifold, notably in maintaining a healthy weight. Fresh fruits and vegetables boast abundant fiber content, especially when consumed whole for optimal nourishment. Whole-grain wheat products, such as pasta and cereals, stand out as high-fiber foods offering significant health benefits.

Fats: Elevated levels of bad cholesterol pose added health risks and can hinder recovery. Conversely, integrating healthy fats into your diet contributes to overall health benefits. Opt for cold-water fish like tuna, abundant in omega-3 fatty acids, a remarkable element for promoting well-being. Vegetable oils and nuts serve as excellent sources of healthy fats too.

Vitamin D: Counteracting bone loss induced by prednisone intake involves incorporating Vitamin D into your diet. Dairy products, fresh orange juice, and fatty fish serve as excellent sources of this essential vitamin.

Protein: A crucial aspect of the rehabilitation program following a liver transplant, recommended by  seasoned professionals in advanced medical centers like Delhi or Mumbai, involves allocating one-fourth of your diet to protein for at least two months post-transplant. Ensuring long-term
health benefits necessitates integrating protein into both your meals and beverages. People who prefer non-vegetarian food may choose for chicken, fish, eggs and lean meats, satisfying their dietary needs. Even people who eat vegetarian food also can opt from lentils, legumes, and dairy products, and also for vegan diet people, soy milk acts as a rich protein source. Additionally, nuts, seeds, and incorporating low-fat dairy products can assist in managing weight gain.

Guidance from your dietitian may encompass:
● Try having at least fruits and vegetables every day in five servings.
● Make an inclusion of poultry, lean meats, and fish in your diet.
● Ensuring an adequate daily intake of dietary fiber.
● Incorporating whole-grain breads, cereals, and other grains into your meals.
● Adhering to a low-sodium and low-fat diet.
● Choosing low-fat milk or other dairy products to support calcium levels.
● Following recommended food safety guidelines.
● Staying well-hydrated by consuming sufficient water and other fluids daily.
● Abstaining from alcohol consumption.
● Avoiding grapefruit and grapefruit juice due to their impact on a category of immunosuppressive medications known as calcineurin inhibitors.

Incorporating these elements into your daily dietary intake proves beneficial. Managing sugar
levels aids in regulating blood sugar. Adhering to dietary guidelines that exclude potassium (if
advised by your doctor) is crucial to avoid associated side effects and complications.

Avail the Best Treatment of Liver Transplant in New Delhi

 

Liver Transplant is a very crucial process and the success of any liver transplant mainly dependable on the experience and expertise of the team taking care of the transplant, including the surgeons, anesthesiologists, hepatologists, and nurses. Research the qualifications and experience of the medical professionals involved in the transplant program.

Know your surgeon:
Neerav Goyal – Head – DNB (Surgery) DNB (G.I. Surgery), MNAMS
He is holding specialization in Liver Transplants and Gastrointestinal Surgery and he is an experienced surgeon with various awards in liver transplant surgery. He has only one aim that he always delivers the best outcome to the patients with best consultancy options. He carries an experience of performing more than 2500+ liver transplants successfully.

What is the importance of liver?
The liver has captured its position under the body’s most vital organs, essential for sustaining life. Its multifaceted role encompasses crucial functions such as metabolizing substances, eliminating waste products, and synthesizing enzymes and proteins.

Who shall be considered themselves for liver transplant?
Only individuals whose liver disease has gotten so bad that their overall health is in danger should be considered for a liver transplant. These individuals typically have either developed liver cancer along with other conditions or have exhausted all available therapeutic options. The waiting period for cadaveric transplants can vary greatly, and some patients may pass away in the meantime before receiving a donor’s liver. Moreover, because living donor liver transplantation is a planned procedure, it can be performed only when a person truly requires it and when everyone on the team is accessible.

What we manage?
At our centre, we provide comprehensive treatment, care, and amenities for the liver and biliary system.

Liver failure: When the liver begins to fail, either from acute liver failure or cirrhosis, the illness is known as liver failure. Liver function is a rare condition that has to be treated right away.

Hepatitis: Hepatitis is an infection that results in liver inflammation. It may manifest in several forms, such as
autoimmune illness, alcohol- or non-alcoholic-induced fatty liver, hepatitis b, or hepatitis c.

Hepatocellular: Individuals with chronic liver disorders, including acute liver failure, are frequently detected with hepatocellular carcinoma.

Liver metastases: One type of secondary liver cancer is hepatic metastasis, which begins in another area of the body and
gradually moves into the liver. The malignant cells that begin to grow in the individual’s breast, liver, and any other region of their body are transported there and eventually settle to create another tumor.

Bile duct cancer: A condition termed cholangiocarcinoma, or bile duct cancer, arises in the bile ducts, which are tubes
that join the liver and gall bladder. The digesting liquid bile, a waste byproduct of the liver, is transported by the bile ducts. For the best liver transplant and to avail the best treatment of liver transplant in New Delhi, we are known as the greatest liver transplant doctor. We work with a group of other medical professionals at the liver transplant clinic in New Delhi to offer patients cutting-edge medical care.

How to take care of your Liver after Transplantation?

The liver transplant has emerged as a cutting-edge therapy for those with severe liver failure or end-stage liver disease. While replacing a diseased liver with a healthy liver is a successful method to cure liver disease, proper post-operative care is just as crucial to avoid graft rejection, infection after the transplant, and disease progression.

The following measures should be adopted as soon as you are released from the hospital following an effective liver transplant if you want a positive long-term outcome.

Ways to take care of oneself following a liver transplant

You must maintain the best level of fitness and health possible to ensure that the transplant will function for as long as possible. You must also receive ongoing treatment for your transplanted liver.

Skip the alcohol

If you had a liver transplant because of an illness caused by alcohol, you shouldn’t drink alcohol again because doing so could damage your new liver. This holds regardless of whether alcohol was not the primary cause of your liver disease but was deemed to have had a role in it. The rate of liver damage from alcohol after liver transplant is much more rapid than before transplant.

Clean environments

The first step towards successful rehabilitation starts at home. The family member should make sure the dwelling has appropriate ventilation when the patient returns home following a liver transplant. In the first three months after surgery, the patient must wear a mask when entering crowded areas. Practice cleaning your hands after speaking to strangers. The patient should have access to a unique towel. 

 

 

 

 

 

 

 

 

Nutrition and diet

The patient will have a ravenous appetite after the procedure, which is really a positive sign. The patient must consume a diet high in protein. Water used for drinking needs to be secure, and tap water shouldn’t be consumed without at-home filtration. Salads and raw foods must be ignored. Additionally, one must avoid foods like sweets that could raise blood sugar levels. Often, post-transplant medications will cause blood sugar levels to rise, necessitating the usage of insulin for the first three months. You shouldn’t drink alcohol. Certain fruits which can drive the serum potassium levels up like banana, guava, coconut etc should be taken with caution in the first few months after transplant, since the CNI drugs being used as immunosuppression can increase the serum potassium levels.

Stay away from somebody who has an infectious disease

People who have had liver transplants must refrain from socializing with a lot of visitors since those who are ill can pose a threat and contaminate the patient. Therefore, do not let anybody with the flu, chicken pox, or measles into the room where the individual with the liver transplantation is resting. 

Keep pets out of the house.

A liver transplant recipient must prevent interaction with animals. Some pets’ vomit, feces, bird droppings, and urine are contagious and can give individuals with weakened immune systems serious fungal diseases. As a result, it is best to avoid contact with animals to lower the chance of infection. 

Adhere to directions

People who have had liver transplants must adhere to the recommendations made by the physician at the time of hospital release. You must refrain from performing strenuous exercises and lifting large objects. It is advised to get up and move around the house and locality, and performing regular tasks might hasten recuperation. Wait until your doctor instructs you to drive a car. 

Everything you need to know about Fatty Liver and its type

The storing of excess fat in the liver results in the prevalent illness known as fatty liver disease. The majority of folks show no symptoms, and they don’t have any major issues. However, it occasionally can result in liver damage. The good news is that lifestyle adjustments may frequently prevent or even correct fatty liver disease.
Why does fatty liver disease occur?
Extra fat is formed in the livers cells and accumulates there in fatty liver disease. There are a number of factors that might be the cause of this fat gain. Alcohol abuse can result in AFLD. Heavy alcohol use can change several of the liver’s metabolic functions. Many of these metabolic byproducts have the potential to interact with fatty acids to create certain forms of fat that can build up in the liver. The etiology of fatty liver disease in those who don’t use a great deal of alcohol is poorly understood.
The several forms of fatty liver disease
Alcoholic and nonalcoholic fatty liver diseases are the two primary varieties.

1. Metabolic-associated fatty liver disease (MAFLD)
Metabolic-associated fatty liver disease (MAFLD) is the name for presence of hepatic steatosis the livers of light drinkers. MAFLD may be diagnosed if you have excessive fat in your liver and have no past of drinking heavily. Simple MAFLD is the name given to the disorder if there are no swelling or other problems.

2. Alcoholic fatty liver disease (AFLD)
Abundant alcohol use harms the liver. The initial stage of alcohol-related liver damage is known as AFLD. Simple alcoholic fatty liver is the name of the disorder if there are no swelling or other problems.

3. Acute fatty liver of pregnancy (AFLP)
When too much fat accumulates in the liver during pregnancy, it is known as AFLP. It’s a dangerous pregnancy issue that is uncommon. Genetics may have a role, albeit the precise cause is uncertain. AFLP often happens during the third trimester of pregnancy. It poses significant health concerns to the mother and child if left unchecked.

Causes of Fatty Liver:
For NAFLD: Insulin resistance, obesity, type 2 diabetes, high cholesterol, high blood pressure, frequent weight loss, and a lazy lifestyle. For AFLD: High level of alcohol consumption from very long time.

Symptoms:
● May not have noticeable symptoms in the early stages.
● With the disease progression, abdominal discomfort, fatigue, and jaundice may occur or felt.
What one should take care of to prevent himself from this disease?
● A build-up or depositing of fats in the liver.
● If one has a hereditary obesity, take care.
● High level of alcohol intake
● A high-fat diet
Diagnosis:
● Ultrasound
● CT scans, or MRI
● Liver function tests and blood tests
● Liver biopsy – it’s the most promising diagnosis.

Fatty liver can harm many organs in our body and hence may lead to some severe complications. One should avoid all such above elaborated risk factors. Fatty liver disease is a significant concern disease and a regular medical check-ups, healthy lifestyle, and early intervention can manage and prevent the conditions.

How Eating Healthy Food Affects Your Liver Health?

A popular quote mentions that “Let food be thy medicine, thy medicine shall be thy food.” This saying is actually producing the facts because food is the best medicine for a healthy mind, body and soul. A strong and good health requires healthy food that includes a balanced diet. so, to acquire a good health there is a simple formula that says eat what you actually don’t want or that don’t appeal you because a healthy food is a bank account that stores all healthy things for you.

To keep you liver in good health, it requires a nutritious and balanced diet. You liver is a crucial organ for processing nutrients and filtering hazardous compounds from the blood. To keep your liver working properly, you need to take care of your health. Read this blog to know more about how eating healthy food affects our liver functioning.

Why should we have a  healthy diet?

Our body absorbs food nutrients such as carbs, fat, and protein into the bloodstream. These nutrients are taken to the liver, which metabolizes them before storing or using them to support critical physiological operations.

Furthermore, the liver cleanses potentially toxic compounds. Liver also purifies any potential toxin from our body

A well-balanced diet, commonly characterized as low in sugar and fat and high in fiber.

Selecting a diet from diverse foods is critical to ensuring the body receives all needed nutrients. Below are some of the food to avoid and eat to maintain your liver health.

What must be avoided to keep the liver healthy?

Fried/fast foods are heavy in fat and sugar and harm liver function. Furthermore, eating high-salt foods can cause fluid buildup and inflammation in the liver.

In severe liver injury, the organ cannot digest proteins effectively, resulting in a buildup of harmful byproducts in the blood. Reducing protein and boosting carbohydrate intake may be advantageous in such circumstances.

Because the liver is the primary organ for alcohol detoxification, limiting or restricting the intake of alcohol to one drink per day for women and two drinks per day for men can help to prevent liver damage. 

Coffee can help reduce abnormal liver enzymes.

Coffee daily may help prevent your liver against MAFLD. Caffeine appears to reduce the amount of aberrant liver enzymes in persons who are predisposed to liver disease.

Vegetables to prevent fat accumulation

Compounds present in spinach and various other leafy greens may aid in treating fatty liver disease. This could be because cooking spinach (and other leafy greens) may lower polyphenolic content and antioxidant activity.

Reduce your sugar consumption

Sugar is bad for your overall health and liver. This sugar will be changed into fat, harming your body. In the future, you could develop fatty liver disease. So, do your liver justice and limit your intake of sweets to once a week.

Green tea

It’s loaded with catechins, an antioxidant. According to Research, it could protect against certain types of cancer, particularly liver cancer. You’ll get additional catechins if you make your tea and drink it warm. Iced and ready-to-drink has substantially lower amounts.

Grapefruit

Grapefruit provides antioxidants that support the liver. Grapefruit has two major antioxidants: naringenin and naringin.

Grapefruit is recognized to have two defensive effects: decreasing inflammation and preserving cells.

Fish can help lower inflammation and fat levels.

Omega-3 fatty acids are rich in fatty fish like salmon, sardines, tuna, and trout. According to Research, omega-3 supplementation may benefit patients with MAFLD by decreasing liver fat, increasing beneficial HDL cholesterol, and reducing the amount of triglycerides.

Additional treatment options for fatty liver disease

In addition to altering your food, the following lifestyle modifications can help strengthen your liver health:

  • Get moving. Exercise and a healthy diet may assist you to lose weight while controlling your liver illness. Aim for thirty minutes of aerobic activity.
  • Lower lipid levels in the blood. Reduce your saturated fat and sugar intake to help maintain your cholesterol levels in check. If eating and exercising aren’t cutting it, talk to your healthcare provider about medication.
  • Maintain diabetes control. Diabetes and fatty liver diseases are frequently found together. Both disorders can be managed with diet and exercise. If your blood sugar level remains high, a doctor may give medications to bring it down.

Conclusion

If you’re suffering from MAFLD, some lifestyle and nutritional changes may reduce the risk of causing severe damage. The best thing is to improve liver function, minimize illness risk, and support healthy weight managment is to eat a well-balanced, nutritional diet high in proteins, fiber, and good fats.

If you have MAFLD or are concerned that you might have it, consult with a trusted healthcare provider to develop a treatment plan involving dietary adjustments and lifestyle improvements.

Anup Gupta's Remarkable Act of Organ Donation

Anup Gupta’s Remarkable Act of Organ Donation

Anup Gupta, a resident of Gurgaon, defies personal tragedy to donate his mother’s liver following the recent loss of both his parents. This act highlights the crucial need for increased awareness and participation in organ donation in India.

Tragedy Strikes Twice: 

After losing his father, Ramesh Chand Gupta, on May 28, who had expressed a desire to donate organs, Anup Gupta faced another blow when his mother, Sarojini Gupta, was declared brain dead on June 21. This unexpected turn of events provides an opportunity to fulfill his parents’ wishes.

 

The Decision to Donate: 

Motivated by his father’s unfulfilled aspiration and informed about the organ donation process, Anup Gupta bravely decides to donate his mother’s liver, despite the profound trauma he has experienced.

A Mother’s Last Gift:


Anup Gupta's Remarkable Act of Organ Donation

Sarojini Gupta, aged 77, tragically suffers a severe brain hemorrhage and requires ventilator support. Despite the medical team’s dedicated efforts, her condition deteriorates, and she is ultimately declared brain dead. The liver is retrieved by the hospital team and transported to another facility for transplantation.

Successful Transplantation: 

On June 21, a skilled team of doctors at Apollo Hospitals successfully performed liver transplantation. Dr Neerav Goyal, the senior consultant for a liver transplant, reports that the recipient, battling liver disease, is now in stable condition and expected to be discharged within two weeks.
Liver Transplant International Dr Neerav Goyal

Implications and the Need for Organ Donation: 

This story underscores the significant gap between the number of patients awaiting transplants and the availability of organs in India. The National Organ and Tissue Transplant Organisation emphasizes the urgent need for heightened awareness and increased participation in organ donation to bridge this gap and save lives.

Conclusion: 

Anup Gupta’s selflessness amidst personal tragedy serves as an inspiration to others. By fulfilling his parents’ wishes through organ donation, he honors their aspirations and brings hope to those in need. This story underscores the transformative power of organ donation and emphasizes the critical importance of raising awareness and promoting participation in India.

Children Liver Transplants in India

The Inspiring Journey of Prisha: Overcoming Biliary Atresia at 6 Months Old

Biliary atresia is a rare and serious condition that occurs in infants where the bile ducts, both inside and outside the liver, are blocked. This blockage leads to liver damage and failure if not promptly treated. It is estimated to affect approximately 1 in 18,000 infants and is recognized as the most common reason for liver transplantation in children.

The Importance of Early Diagnosis and Treatment

Early diagnosis and treatment are crucial in biliary atresia to achieve the best possible outcome. It is essential for parents and caregivers to be aware of the signs and symptoms of biliary atresia, including jaundice, dark urine, pale stools, and poor weight gain. Detecting and addressing the condition promptly can significantly impact the child’s prognosis.

Prisha’s Diagnosis and Determination:

  • When Prisha was just 6 months old, she was diagnosed with biliary atresia. This diagnosis was devastating for her parents, as they realized the potential implications and challenges their daughter might face. The news spurred them to take immediate action and explore all possible options to save their daughter’s life.
  • Prisha’s parents were determined to do everything in their power to ensure her survival. After consulting with medical professionals, they made the difficult decision to proceed with a liver transplant as the most viable treatment option. This decision reflected their unwavering dedication and hope for their daughter’s future.

Challenges and Treatment:

  • Prisha’s parents sought the expertise of Dr Neerav, an award-winning surgeon specializing in gastrointestinal surgery and liver transplants. They chose to hospitalize Prisha in Delhi to access the necessary medical facilities and resources required for her comprehensive treatment.
  • Prisha’s journey was not without challenges. Due to her condition, she required nasogastric feeding to supplement her nutrition during the treatment process. Additionally, Prisha’s family faced financial constraints, but their story resonated with others, leading to generous donations that helped alleviate the burden.
  • The generous donations received from compassionate individuals and organizations played a significant role in making Prisha’s life-saving liver transplant possible. The outpouring of support demonstrated the collective goodwill and commitment to helping children like Prisha overcome their medical challenges.
  • In a remarkable act of love and sacrifice, Prisha’s mother selflessly donated a portion of her liver to save her daughter’s life. This act exemplified the extraordinary bond between a parent and child and showcased the profound impact that organ donation can have in restoring health and hope.

Road to Recovery:

  • Following the successful liver transplant, Prisha entered a phase of comprehensive medical management. This involved specialized nutrition to support her recovery and regular check-ups with her healthcare team to monitor her progress and ensure her continued well-being.
  • Thanks to the timely intervention and ongoing medical care, Prisha’s liver function gradually improved over time. The transplant provided her with a new lease on life, allowing her liver to regain its normal function and enabling her to overcome the challenges posed by biliary atresia.
  • Today, Prisha is a happy and healthy child, thriving after her battle with biliary atresia. Her remarkable journey showcases the resilience and strength of young patients and serves as an inspiration to others facing similar medical conditions. 

Inspiring Journey of Prisha  The Significance of Prisha’s Story:

  • Prisha’s story highlights the critical importance of early diagnosis and prompt medical intervention in improving the lives of children with biliary atresia. By raising awareness about the signs and symptoms of this condition, more children can receive timely treatment and have better chances of a positive outcome.
  • Prisha’s successful journey demonstrates that with proper care and ongoing medical management, children diagnosed with biliary atresia can lead healthy and fulfilling lives. It emphasizes the potential for these children to overcome their health challenges and achieve their full potential in various aspects of life.

Conclusion:

Prisha’s journey stands as a testament to the resilience of young patients, the unwavering hope of their families, and the significant advancements in medical science that have made life-saving interventions possible. Inspiring Journey of Prisha’s story showcases the potential for overcoming adversity and serves as an inspiration to others facing similar medical challenges.

Children Liver Transplants in India

Liver Transplants in Children: Unique Considerations and Challenges

Liver transplants in children present unique considerations and challenges that require specialized care and expertise. In India, where liver transplantation programs have seen significant advancements, addressing these factors becomes crucial. Here are some key considerations and challenges specific to liver transplants in children in India:

Pediatric Transplant Expertise:

Opting for a pediatric liver transplant requires a specialized team experienced in pediatric hepatology and transplant surgery. Look for transplant centers with dedicated pediatric liver transplant programs and experienced pediatric hepatologists, transplant surgeons, anesthesiologists, and nursing staff who understand the specific needs of children.

Donor Availability:

The availability of suitable organ donors for pediatric liver transplants can be a challenge. Due to the scarcity of pediatric deceased donors, living donor liver transplantation (LDLT) is often preferred, where a portion of the liver is transplanted from a living donor, typically a family member. Choosing a center with expertise in LDLT and a well-established living donor program is essential.

Liver Transplants in Children

Pre-transplant Evaluation and Waiting List:

Thorough evaluation of the child’s condition, including liver function, associated medical conditions, and compatibility with potential donors, is crucial. Placement on the waiting list for deceased donor liver transplantation is based on a scoring system known as the Pediatric End-Stage Liver Disease (PELD) score. Understanding the evaluation process and waiting list management at the chosen transplant center is important.

Pediatric-Specific Transplant Techniques:

Pediatric liver transplantation requires surgical techniques tailored to the size and unique anatomy of children. Centers specializing in pediatric liver transplants are adept at using reduced-size grafts, split liver transplants, or other innovative surgical approaches to ensure optimal outcomes for pediatric recipients.

Post-Transplant Care and Follow-up:

Post-transplant care and long-term follow-up play a vital role in the success of pediatric liver transplants. Pediatric transplant centers should provide comprehensive care, including immunosuppression management, nutritional support, psychosocial support, and monitoring for potential complications unique to children, such as growth issues and developmental delays.

Affordability and Accessibility:

The cost of pediatric liver transplantation and post-transplant care can be a significant concern for families. While several government schemes and insurance options may help alleviate the financial burden, it’s crucial to assess the affordability and accessibility of the chosen transplant center and discuss the financial aspects with the hospital and insurance providers.

Multidisciplinary Care:

The success of pediatric liver transplants relies on a multidisciplinary approach involving hepatologists, transplant surgeons, anesthesiologists, intensivists, nutritionists, psychologists, and social workers. The chosen center should have a cohesive team with expertise in pediatric liver transplantation and effective communication among team members for seamless coordination of care.

Support Networks:

Consider seeking out transplant centers with established support networks, including patient support groups, where families can connect with other transplant recipients and share experiences. These networks can provide emotional support, guidance, and valuable insights throughout the transplant journey.

It is important to research and consult with multiple transplant centers in India, considering their expertise, experience, success rates, and patient testimonials. Seeking recommendations from pediatricians, pediatric hepatologists, and other families who have undergone pediatric liver transplantation can also provide valuable insights. Ultimately, selecting a center with a dedicated pediatric liver transplant program and a comprehensive approach to care can help maximize the chances of a successful transplant and improved long-term outcomes for children.