LIVER TRANSPLANT IN INDIA | DesiMD

LIVER TRANSPLANT IN INDIA

INTRODUCTION

liver transplant is considered when the liver no onger functions adequately. Liver failure can happen suddenly as a result of viral hepatitis, drug-induced injury or infection.

A liver transplant may involve the whole liver, a reduced liver, or a liver segment. Most transplants involve the whole organ, but segmental transplants are being performed with increasing frequency

The liver is the second most commonly transplanted major organ, after the kidney. In 2018, 8,082 patients received a liver transplant and 13,885 patients were on the waiting list for a liver transplant.

 

WHY ONE SHOULD OPT INDIA FOR LIVER TRANSPLANT

Liver transplantation is an established form of treatment for end‐stage liver disease has gained acceptance in India over the last 10 years. Liver transplantation in India has unique features that have contributed to the growth of both deceased donor and living donor transplantations.

India has now become a major center for LT for international patients because of the high quality-low cost value proposition. Children from over 20 countries have now received an LT in India (personal communication). With the increasing number of children crossing the 5 and 7-year post LT landmarks, 10- year survival data from India is now awaited and will become available in the next couple of years.

WHO REQUIRES A LIVER TRANSPLANT?

A liver transplant may be necessary for patients who suffer from:

  • Liver damage due to alcoholism (Alcoholic cirrhosis)
  • Malignancies involving liver: Hepatocellular carcinoma, Hepatoblastoma, HilarCholangiocarcinoma, etc
  • primary biliary cirrhosis
  • long-term (chronic) active infection (hepatitis B or C)
  • liver (hepatic) vein clot (thrombosis)
  • birth defects of the liver or bile ducts (biliary atresia)
  • metabolic disorders associated with liver failure (e.g., Wilson\’s disease)
  • Patients require hospital care for one to four weeks after liver transplant, depending on the degree of illness. After liver transplantation, patients must take immunosuppressive medications for the rest of their lives-to-prevent-immune-rejection-of-the-transplanted-organ

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SYMPTOMS OF LIVER TRANSPLANT

People who have the liver disease may have many of the following problems:

  • Jaundice - Yellowing of the skin or eyes
  • Itching
  • Dark, tea-colored urine
  • Gray- or clay-colored bowel movements
  • Ascites - An abnormal buildup of fluid in the abdomen
  • Vomiting of blood
  • Blood in the stool
  • Tendency to bleed
  • Mental confusion, forgetfulness

SUCCESS RATE OF LIVER TRANSPLANT IN INDIA

  • As we now know that Liver transplant is a complex and major surgery where a liver from a donor is transplanted into the patient's body. In this process, the recipient's body tries to reject the new liver as it doesn't recognize it as its own. Before making the decision to undertake complex surgery like liver transplant in India success rate is the most important factor people want to know.
  • The overall success rate of a liver transplant is over 94% and the majority of recipients can return to normal activities and achieve 95% of their quality of life which they had prior to liver disease. Since the recipients’ body may reject the new liver, it is essential for them to take immunosuppressive medications and continue to follow up at the liver transplant clinic. They will need to continue these medications for life, at a reducing dosage.
  • The risk for the recipient is the return of the original problem that necessitated the liver transplant in the first place, e.g. hepatitis C, recidivism (return to alcoholism), noncompliance of medications.
  • Nevertheless, let's not forget that the liver transplant success rate is majorly dependable on how healthily the patient decides to lead his life after the surgery.

 

 

 

 

 

 

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