Category Archives: Liver Transplantation Surgery

Avail the Best Treatment of Liver Transplant in New Delhi

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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?

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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

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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?

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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

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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

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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

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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.

Dr Neerav Liver Transplant Surgeon

Liver Transplant Procedure in India for foreigners

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A dysfunctional liver has a significant effect on the rest of your body. The organ carries out hundreds of essential functions, from assisting with food digestion to removing dangerous toxins from your blood. You might need a liver transplant procedure to repair your failing liver if the problem is serious enough.

We have information for you if you want to learn more about liver transplants in India or why it’s the best country for foreigners. So let’s get this conversation started.

When Is A Liver Transplant Necessary?

There are numerous reasons for liver disease to be serious enough to necessitate a liver transplant. Cirrhosis is the most frequent cause of liver transplants in adults. In cirrhosis, a prolonged insult to the liver causes it to steadily degrade and malfunction. Scar tissue takes the place of healthy liver tissue, partially restricting blood flow through the liver. Drinking, autoimmune liver illnesses, fat deposits in the liver, genetic diseases, and viruses like hepatitis B and C can all lead to cirrhosis.

Many persons with liver cirrhosis from binge drinking also require a liver transplant. Some of them will often experience considerable improvements with alcohol abstinence and problem management for six months, and these individuals may live for extended periods without a transplant. Liver transplantation is the only option for people with severe liver disease when long-term abstinence and medical care don’t improve their health.

What Makes India the Best Country for Liver Transplant Surgery for Foreign people?

We all know that India is quickly becoming a center for medical tourism for all types of healthcare services, making it possible for many Indian hospitals to accept patients from throughout the globe. Indian hospitals are taking advantage of the chance to provide the best medical care for those in need.

A liver transplant in India has several wonderful advantages, including:

Affordability

India is primarily recognized for its accessibility. The rupee’s position on the international market is the main factor influencing India’s affordable healthcare. It has changed the liver transplantation trend in India. The best hospital and liver transplant facilities are less costly than any hospital or institution in other wealthy countries.

Knowledge and Experience of Indian Physicians

Patients from industrialized countries like the US, UK, France, etc., hold doctors from India in high regard. They meet the needs of individuals and are recognized as some of the best in the world.

Create Facilities of the Highest Quality

Indian hospitals are comparable to those in developed countries. They are expanding continuously to compete with hospitals from wealthy countries. As we all know, a liver transplant needs specialist equipment and is a highly technical surgery, both of which Indian hospitals can provide.

Use modern technology

The most modern Indian hospitals have their own research centers and equipment and constantly search for ways to enhance patient care. Moreover, Indian medical facilities use the most recent diagnostic and treatment equipment for liver transplants. They also have no concerns about using the newest liver transplantation innovation.

Conclusion

A liver transplant surgery removes a sick liver and implants a healthy one in its place. Around 38 years have passed since such operations began. Some liver transplant recipients go on to have completely normal lives.

What Disqualifies You From A Liver Transplant

What Disqualifies You From A Liver Transplant

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A liver failure would be exceedingly harmful because the liver performs vital synthesis, heat generating, filtration, and regulating functions. At the turn of the century, a few mechanical liver devices were being created for support therapy before liver transplantation.

A liver transplant operation involves removing a sick or injured liver and replacing it with a healthier one.

It is typically advised when the liver is severely damaged and unable to carry out its regular duties; which is termed as a liver failure or an end-stage liver disease.

Alcohol, sickness, and infections can all cause the liver to deteriorate gradually. The scarring of the liver brought on by this injury is called cirrhosis. Additionally, liver tissue inflammation and degeneration can result in a liver failure that happens very quickly (Necrosis).

 

Effects of liver transplant

A transplanted liver segment can reach its full size in a few months since the liver is the unique part of the human body that can regenerate or grow again. A diseased or damaged liver from one person is surgically removed and replaced with a whole or part of a healthy liver from another person, known as a donor, during a liver transplant. For people, liver transplantation is not an option.

 

Non Eligible criteria for liver transplants

  • Here is the list of who is considered as the reason which disqualifies individuals from liver transplants.
  • Older than 65 and suffering from another major illness.
  • With severe organ damage brought on by diabetes.
  • With extreme satiety.
  • With severe and ongoing liver conditions like hepatitis B.
  • Who is now using drugs and alcohol?
  • Whose infection is severe or uncontrollable (Human Immunodeficiency Virus [HIV]).
  • Who has been identified as having solid cancers such as lymphomas, bone, bile duct, and plasma-type cancer?
  • Accompanied by the failure of organs other than the liver.
  • With a sickness or brain injury that is irreparable.
  • With severe, incurable heart, liver, and lung conditions.
  • Who has a portal vein thrombosis diagnosis (PVT)? It is a vascular condition of the liver that develops whenever a blood clot forms in the central portal vein, which can cause the portal vein tract to become more influenced and ultimately causing reduction in the amount of blood reaching to the liver.
  • Hepatorenal syndrome (HRS) – HRS is a form of progressive kidney impairment most frequently brought on by cirrhosis in persons who have experienced extensive liver damage. The body starts to accumulate toxins as the kidneys quit working. This eventually results in liver failure.
  • Along with pulmonary hypertension, it is a disorder where the blood pressure in the arteries that supply the lungs is elevated. Difficulty breathing, syncope, fatigue, chest pain, swollen legs, and a rapid heartbeat are among the symptoms.
  • Exercise could be strenuous because of the condition.
  • In the case of autoimmune illnesses (multiple sclerosis, rheumatoid arthritis, etc.).

liver transplant international

Eligible criteria for liver transplants

  • The following is the list of folks who are eligible for liver transplants.
  • A patient will never be considered a transplant candidate based on race, gender, religion, national origin, ethnicity, or sexual orientation.
  • Since a liver transplant requires serious surgery, a patient must meet several requirements, including:
  • A liver transplant may boost a patient’s quality of life.
  • The patient shouldn’t have any other illnesses that are incurable or make it unlikely that they will survive the transplant procedure.
  • All alternative medical or surgical treatments have either failed or are not the best option for the patient.
  • The patient and their support networks (family and friends) are aware of and willing to accept the risks of receiving a liver transplant.
  • The patient’s support network is fully dedicated to and complying with what is required before and following the transplant to ensure the procedure’s success.
  • This would entail having access to money for the transplant process, drugs used after the transplant, and other healthcare expenses.
  • The patient financial liaison and social worker can help the patient identify alternative means of paying for their care.

Liver transplant indications

  • The following are some liver transplant indications:
  • The patient has sudden onset liver failure.
  • The patient has long-term cirrhosis, a liver ailment.
  • The individual has a liver condition that could cause death or lower quality of life.
  • The patient received therapies, but they were unsuccessful.
  • The patient has conditions such as primary biliary cirrhosis, biliary atresia, and primary sclerosing cholangitis that impair the bile ducts, which are the tubes that transport bile away from the liver. The most frequent cause of a pediatric liver transplant is biliary atresia.

Conclusion

The success of liver transplants primarily depends on the donor’s livers; choosing a suitable donor is crucial for liver transplantation. While all the information is provided, not everyone qualifies for this process. There are requirements for this procedure.

Liver Transplant Survival Rate by Age

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A liver transplant sometimes referred to as a hepatic transplant, can help you live longer if your liver has rendered inoperable. Your entire liver must be surgically removed as part of the procedure. The liver is then entirely or partially transplanted with a normal healthy liver. Either a living or dead donor may have provided this.

Since your liver is in charge of filtering blood and getting rid of waste from your body, it is crucial to have a good liver if you want to live a long time. Liver transplantation is a last-resort option for severe acute and chronic liver disorders.

Liver Transplant Survival Rate by Age By Dr. NEERAV GOYAL

Statistics on Liver Transplantation Success

A study found that those who received a liver transplant had an 89% chance of surviving after a year. 75% of people survive after five years. Sometimes the underlying disease can recur, or the transplanted liver may malfunction.

Your doctor should continue to check on your progress even after the transplant to identify any issues. You’ll probably require routine blood tests. You will also require lifelong antirejection medicine use, as per Johns Hopkins.

The Rationale behind Liver Transplants

Based on the American Liver Foundation, about 8,000 liver transplant operations are carried out annually in the U.s.

A physician might advise a liver transplant if a patient has end-stage liver problems. Without transplantation, a person with this ailment will pass away. If numerous liver disease treatments fail to keep a person alive, a doctor may also advise a liver transplant. In cases of severe liver failure or chronic liver illness, liver transplantation may be a possibility. The most frequent cause of adult liver transplantation is cirrhosis. Alcohol misuse, chronic hepatitis B or C, non-alcoholic fatty liver illness, and autoimmune hepatitis are among the factors that contribute to cirrhosis.

When deciding if you require a liver transplant, your healthcare practitioner will also consider other aspects. These consist of the following:

  • Your general physical health, mental health
  • The complexity of your disease
  • Any coexisting medical disorders you have
  • A history of persistent infections like HIV
  • The level of assistance you receive from family and friends.

Before approving a liver transplant, a doctor considers how successfully the procedure will extend the patient’s life. If a person has other chronic diseases that could compromise the success of a transplant, they might not be a good candidate for one.

Two examples are individuals with severe cardiac issues or cancer that has progressed to other body parts. Another illustration would be evaluating a person’s capacity to stop drinking if they have cirrhosis brought on by alcoholism as a component of the transplant preparation.

Mortality Rates

It is hard to predict a person’s chances of receiving a functioning liver transplant and how much they will live after one due to a number of complex factors.

Despite the high success and life span of liver transplantation, a patient’s likelihood of leading a healthy life after the procedure depends on a number of crucial factors.

BMI and age

Age and BMI are critical variables affecting the survival rates following liver transplantation. Long-term life expectancy was shown to be worse in older individuals and those with BMIs over average and who were classified as overweight in a 2017 report.

Liver Transplant Survival Rate by Age By Dr. NEERAV GOYAL

Why the liver fails?

A 2013 study found that the reason for liver failure may also affect how well a liver transplant works. According to the study’s findings, children and adults with liver failure brought on by genetic factors fared better than those whose diseases were brought on by infections or unhealthy lifestyles.

Seeking A Donor Match

Seeking a liver donor can be complicated, stressful, and drawn-out. When a patient is given the go-ahead for a liver transplant, their physician will contact the non-profit UNOS and request that the patient’s name be placed on the country’s waiting list for organ donors. For some people, the wait for liver donor compatibility can last up to five years or more.

Recovery

After surgery, the majority of patients stay in the ICU for one or two days. They will keep using a ventilator to help them breathe, and they will be regularly checked to make sure the new liver is working well.

Furthermore, immunosuppressant (antirejection) medications will be given to them in order to prevent their bodies from destroying the liver of the donor. Immunosuppressive drugs must be taken for the rest of a person’s life if they have received an organ transplant. When they believe they are ready, medical staff will transfer the patient from the intensive care unit to a standard hospital room. After receiving a liver transplant, a patient must remain in the hospital for roughly two weeks before being released to go home.

Conclusion

Liver transplants are often risk-free procedures with high survival rates. However, a number of factors might impact a person’s chances of a successful procedure and determine how long they live thereafter. Their overall health, manner of life, and other circumstances are included in these variables.

After a liver transplant, recovery can take between three and six months before the patient can resume regular activities.

References
www.medicalnewstoday.com
www.healthline.com
www.healthinaging.org