Liver Transplant

What is Liver Transplant?

A liver transplant is a life-preserving operation that replaces a diseased and poorly functioning liver with either a whole or portion of a healthy donated liver.

Why are liver transplants done?

Liver transplantation has become a well-recognized treatment option for people with end-stage liver organ failure.

Liver transplants come from deceased donors. A deceased donor is someone who has chosen to donate his or her organs upon death.

Deceased donor liver transplantation is excellent therapy for patients with end-stage liver failure; however, a transplant may not be suitable for everyone.

Liver Transplant Surgery

Conditions where transplant is needed

  • Liver Cirrhosis
  • Acute Liver Failure
  • Uncommon metabolic diseases can be cured by transplant

Liver cirrhosis is the most common condition for which a transplant is done. The most common causes of cirrhosis are Alcohol intake, Hepatitis A, B and C, and Non-Alcoholic Fatty Liver Disease (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 better understanding with personalized recommendations.

Types of liver transplant

Living Donor Liver Transplant (LDLT): This type of liver transplant involves a living donor who donates a part of a liver for his/her loved one. This partial liver is then implanted in the patient and the new connections are restored.

Deceased Donor Liver Transplant (DDLT): Here the donor’s liver is procured from a brain-dead individual after detailed evaluation. Generally, complete liver is implanted in the concerned patient. Some people refer to it as a cadaveric liver transplant in the common language.

Complications of Liver Transplant

Some of the main problems associated with liver transplants include:

  • The body rejecting the new liver
  • Bleeding (hemorrhage)
  • Bile Leakage
  • The new liver not working within the first few hours (primary non-function), requiring a new transplant to be carried out as soon as possible
  • The body rejecting the new liver
  • Bleeding (hemorrhage)
  • Bile Leakage
  • The new liver not working within the first few hours (primary non-function), requiring a new transplant to be carried out as soon as possible

Symptoms of cirrhosis where Liver Transplant may required:

  • 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 potential liver transplant patient must be carefully assessed. The assessment phase starts when your specialist or our staff refers you to the Liver Transplant Program.

Stage -2: Eligibility

To be eligible for a liver transplant, you must be referred by your specialist to the Liver Transplant Program to us or diagnosed and recommended by our team.

A comprehensive profile of your personal, medical, and family history will be compiled through the assessment process. You’ll be interviewed by various team members to determine whether transplantation is the best treatment option. You’ll also receive information that will help you decide whether you want to go ahead with the transplant.

The routine assessment includes consultation with the members of the transplant team comprised of a Hepatologist, Transplant Surgeon, Clinical Coordinator, Social worker, Dietitian and Psychologist. If required, appointments will also be arranged with specialists from other disciplines.

Stage -3: Post-Liver Transplant Care

Following surgery, you’ll be closely monitored for infection and rejection of your new liver. You’ll also be required to take various medications following your transplant as a preventative measure against commonly occurring infections and rejection.

Liver Transplant FAQ’s

As medicine progresses, so does the life expectancy of patients undergo liver transplant. There have been great strides taken in the last decade or two, which have increased the success rate by 88% and the life expectancy of patients by 1-5 years.

Liver transplant can be of two types, based on the origin of the liver.

Living donor transplant: When a donor is a living person, we only take a part of the liver to ensure the safety of both, the donor as well as the recipient.

Deceased donor transplant: When the donor is the person who is technically dead or brain dead, then we take the whole organ. It is then termed a deceased donor transplant.

A liver transplant may be recommended when you are suffering from an end-stage liver disorder and is a serious, life-threatening disease. It can be caused by several factors like consuming alcohol, autoimmune diseases, excess intake of medicines, etc. Cirrhosis is a common cause of end-stage liver disease.

A liver transplant is the procedure of replacing old, damaged liver with a new one. It provides the patient with a new life. The procedure is quite complex, but it is necessary to safeguard the life of the patient.