Facts You Need to Know about Liver Transplant

Liver transplant surgery is the only viable cure for end-stage liver diseases and liver failure. It’s been decades that surgeons have been performing liver transplant surgeries to help liver patients in leading totally normal lives.

Read on to know some facts about liver transplant, the need for it, donors, survival rate and the cost of liver transplant at different centres.

  • Need for liver transplant: Liver transplant is required to treat severe liver diseases such as cirrhosis of liver. In most cases doctors only recommend liver transplant when your liver loses 80-90% of its functionality or suffers permanent damage.

  • To know if a patient needs to undergo liver transplant surgery, the top liver transplant surgeon in India evaluates you through a variety of tests and by analysing your medical history.
  • You cannot undergo a liver transplant surgery if you have cancer or any serious heart or nerve disease. Patients with active alcohol or drug abuse are also not eligible for transplant.
  • Act regulating transplants: Though liver transplant is legal in India, the Transplantation of Human Organs Act (Act No. 42, 1994) prevents hospitals or doctors from commercial dealing in human organs and also provides certain regulations for the removal, storage and transplantation of organs for treatment purposes.
    According to this act, the donor cannot be below 18 years of age and must agree voluntarily to donate his liver. Also, the donor has to be a close relative in case of living donor liver transplant.

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  • MELD and PELD scores: When you are recommended a liver transplant, you will be put in a waiting list among other patients waiting for a donor. Patients are given priority based on their MELD score, which is determined after three simple tests – creatinine, bilirubin and INR.
    For children, PELD (Pediatric End Stage Liver Disease) score is considered.
    Patients with highest scores are transplanted first.
  • Donated liver: The new liver may come from any of the two sources – living donor or deceased donor.
    Since liver has the capability to regenerate, even living donors can donate a part of their liver to save their loved ones. Their liver would regrow to its normal size in a few weeks.

If the doctor has recommended liver transplant surgery to you or to any of your loved ones, knowing these facts will help you prepare for the surgery in a better way. Wish you or your family member a normal, healthy life!

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Hepatomegaly: Enlargement of Liver

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Your liver performs numerous functions in your body; it digests fats, stores sugar and fights off infections. You might not think twice about your liver if you are healthy. But when it starts troubling you, you need to take immediate actions. Today we are talking about a rare liver disease called hepatomegaly, in which your liver gets bigger than its actual size. It is actually a result of infections like hepatitis. If your doctor tells you that you have an enlarged liver, it means liver is swollen beyond its normal size. A liver that gets bigger-than a normal size, indicate a range of diseases. Your liver has big jobs to do; any malfunction in this organ can be dangerous for your entire bodily system.

 

What causes enlargement?

Hepatomegaly is a sign, which tissues in your liver are not working properly. There are number of reasons that causes enlargement. According to Dr. VivekVij, , who has been awarded by the Ministry of Health (Mongolia) and  has the highest success rate of Cost of Liver Transplant In India, suggested that  fatty liver caused by alcohol is one of the major and frequent causes of this condition. Studies show that over dose of medicines or using medication in an improper fashion and can contribute to the liver damage. So it is crucial to follow your prescription carefully. Some viral infections A, B, C, D may lead to an enlarged liver. Cancer can also be a factor if it spreads to the liver from an infected organ. Your liver is a very complex organ of your body so other diseases like leukaemia, lymphoma, multiple lymphoma and heart and blood vessel problems may form this condition indirectly.

 

Symptoms of liver enlargement

  • Feeling pain in the upper right belly
  • Muscle aches
  • Nausea or morning sickness
  • Bleeding gums
  • Bloody stool
  • Diarrhoea

 

If you are suffering from any of liver troubles along with common symptoms, consult your doc right away. Liver diseases accentuate rapidly into a fatal condition, therefore, it is necessary to regularly consult a doctor upon experiencing even the slightest of discomfort concerned with the liver region suggest by to Dr. VivekVij, a prominent doctor of transplant who has the success rate of liver transplant in India.

What to expect after living donor surgery?

 

Liver transplant is a critical surgical procedure where a damaged liver is replaced by a healthy liver. People suffering from acute failures are recommended a liver transplant surgery for a speedy recovery and a comfortable survival. There are two types of donor, deceased and living donor. The living-donor liver transplant involves, translating a portion of a liver from living donor to the recipient through a surgical procedure. Anyone from your family member can become a donor, depending upon his/her medical history. The duration of recovery for a donor involves three phrases evaluation, transplant surgery and post surgery. Let’s talk about major  points to be considered if you are a donor or going to become one.

Evaluation process

Both living donor and recipient need to undergo health and psychological evaluation at a transplant centre. The process involves physical exams of both the participants; include discussions related to potential benefits and risks of surgery and crucial factors. Liver transplant is a safe procedure although donating a portion of liver carries significant risks. Therefore, doctors always keep donor in loop the whole time.  To find a suitable donor for the recipient, a doctor will ask about his/her medical history involves drinking habits, chronic diseases and other conditions which are considered harmful for your liver. Often times, donors get disqualified in the process as they are not a suitable match for the recipient.

During surgery

On the day of surgery, doctors first operate on donor and remove a portion from donor’s liver. The surgery requires general anaesthesia and a large abdominal incision. The duration of surgery is approx four-six hours. It is advisable to follow the instructions given by team for a speedy healing.  All surgical procedures leave a scar on the body, don’t worry follow the instructions and keep on with your life. Dr. Vivek is the youngest liver transplant doctor in India, Fortis hospital with 100% success rate.

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Post surgery

Liver donors are able to live an independent life after the surgery. You need to visit the centre first weeks, three months or for a year as instructed by your doctors. Liver donors can keep on with their daily tasks while recovering at home, like getting dressed, and be doing other simple daily activities. Don’t worries you will get back to normal life and don’t forget to keep in touch with your doctor during the recovery process. Ailbs offers the lowest cost of liver transplant in India with 100% success rate.

Why do you need a Liver Transplant?

Your liver is the biggest organ in your body, which performs over 500 functions and produces about 1000 enzymes and proteins that are essential for your good health. When the liver loses its capacity to regenerate and is unable to perform its basic functions, your doctor may recommend you a liver surgery. Since liver transplant is the only cure for all liver failures, it is very important to be aware of the severity of diseases. Sometimes, untreated liver conditions can become hazardous for your health. The reason for a liver transplant may vary depending upon the patient’s age and the seriousness of his/her condition. If you are suffering from any liver troubles, you can consult Dr. Vivek Vij, a prominent liver transplant surgeon of India. He practices at AILBS, which is one of the top liver transplant hospitals in India.

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When is it needed in children?

A common reason for liver transplant in children is biliary atresia, a condition when the bile ducts are unable to perform the process of carrying liquid bile from the child’s liver to bladder. Bile plays a crucial role in digesting foods components. In the initial stages, a reconstructive surgery may be recommended to the patient depending upon condition.

When is it needed in adults?

In adults, some of the most frequent conditions like viral hepatitis, excessive alcohol consumption, or fatty liver diseases are the major causes of liver damage. Hepatitis A, B, C, D, and E can result in infection of liver cells, cause inflammation, swelling, and cells’ death and ultimately lead to complete destruction of the liver. If you need to get your liver transplanted, visit AILBS where Dr. Vivek Vij, a reputed surgeon will perform your liver surgery at the lowest possible cost of liver transplant in India.

Acute liver failures

People suffering from acute liver failures may need a liver transplant depending upon the condition of their liver. Severe complications that arise rapidly after long-term exposure to liver diseases like liver cirrhosis, or jaundice lead to acute liver failure or permanent liver damage. There are a number of reasons that cause liver failures, such as viral hepatitis, and fatty liver from pregnancy or excessive consumption of certain medicines.

Vascular disorders and miscellaneous conditions

Vascular diseases are concerned with the blood vessels. Sometimes patients with certain vascular diseases, such as BCS may need a liver transplant. BCS forms clotting in the liver veins, which slows down liver functioning. Miscellaneous conditions can cause liver failures like polycystic diseases (multiple cysts or sacs in liver) or Alagille syndrome (too few bile ducts in the liver). Therefore, keep a check on your liver troubles to determine acute conditions as soon as possible.

How to find the Right Liver Donor for Transplant Surgery?

A patient with end term hepatic illness, whose liver has been damaged to an extent where the condition cannot be treated, is suggested to undergo Liver Transplant Surgery. Liver transplantation involves the removal of a segment of a donor’s healthy liver and the replacement of the recipient’s damaged liver with the same. The urgency of a transplant surgery solely depends upon the severity of the patient’s disease.

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There are two types of donors, living donors and cadaveric donors. Based upon the evaluation of urgency, a patient is listed on the cadaveric donation list. However, in case of living donor, finding the correct liver donor may be a hassle. Dr. Vivek Vij, a renowned Liver Surgeon with the highest success rate (100% donor success rate) of liver transplant success rate in India, states that it is mandatory to match the blood group of donor and recipient before the transplant surgery so as to avoid acute rejection of the transplanted organ, which can even cause death.

While looking for a living donor, it must be scrutinized that the donor is not under any financial or emotional pressure to donate his organ, and agrees out of sheer willingness. Dr. Vivek Vij, the top liver surgeon, Member of International Liver Transplant Society (ILTS), Chicago with the highest Cost of Liver Transplant in India, states that a complete health checkup of the donor is mandatory. It is to be ensured that the donor is capable of recovery post surgery, and there will be least complications possible. The hepatic health and lifestyle of a potential donor are also scrutinized well before the surgery. A donor cannot be alcoholic, pregnant, obese, smoker or suffering from any psychiatric illness.

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Meeting the basic medical requirements is necessary to ensure the well being of both, donor and the recipient. Finding the right Liver Donor for a Transplant Surgery is a long process, however, living donor requires comparatively lesser time.

All You Need to Know About Primary Biliary Cirrhosis

Primary Biliary Cirrhosis is an autoimmune hepatic disorder. It is a progressive disease that females are more prone to than males. The onset stage of this hepatic disease causes inflammation in the bile based ducts within the liver, and progresses to damage them. The damage further morphs into destroying the bile ducts completely. This is an irreversible liver disease.

The diagnosis of the life-threatening disease, Primary Biliary Cirrhosis, calls out for an urgent Liver Transplant surgery for the patient. Since the disease can be potentially fatal during the end-stages, the patient is suggested to get the damaged liver transplanted at the earliest so as to avoid further damage in the bile ducts. According to Dr. Vivek Vij, the best success rate of liver transplant, having the lowest biliary complication rate (<4%) in living donor Liver Transplant (LDLT) worldwide; states that there are four stages of this disease; the first causes inflammation in the upper right abdominal region, which progresses into fibrosis in the second stage, carried along with the inflammation. The third stage of Primary Biliary Cirrhosis causes bridging of fibrosis, rapidly progressing towards the fourth stage, wherein, the fibroids develop into cirrhosis of the liver.

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Similar to the other liver diseases, Primary Biliary Cirrhosis too is asymptomatic until it develops into the end stage cirrhosis. This disease is not diagnosed until a patient undergoes blood tests and checkups routinely, which show degradation or failure in the liver’s ability to perform its functions. Dr. Vivek Vij, the top Liver Transplant surgeon with the highest success rate (100% donor success rate), offering the lowest cost of Liver Transplant in India; states that mild symptoms like chronic fatigue, yellow discoloration of face and eyes, dark colored urine, fever, loss of appetite and nausea are alarming signs of Primary Biliary Cirrhosis. There is no cure to this hereditarily acquired disease. Medicinal therapy albeit can only reduce the speed of damage being caused to the liver. The disease can only be treated through a Liver Transplantation.

Primary Biliary Cirrhosis causes a major damage to liver. The disease accentuates rapidly and can be fatal. It is therefore strongly suggested not to take hepatic health lightly, and consult a doctor upon experiencing even the mildest of symptoms to avoid serious conditions.

Who needs a Liver Transplant Surgery?

Liver, the second largest organ of the human body, is primarily responsible for metabolism, production of proteins and is important for blood clotting. In case of unrecoverable liver disease, when the liver loses its ability to perform vital functions, a Liver Transplant Surgery can be performed to save the life of the patient.

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Liver transplant is a complex surgery performed upon patients whose liver gets damaged beyond treatment possibilities and its ability to perform functions deteriorates. It is during the end stage hepatic illness, in which the patient has more possibility to lose his life than to recover that a Liver Transplant Surgery is performed. The damaged liver of the patient is surgically removed and replaced with a section of donor’s liver, which eventually regenerates into a whole. According to Dr. Vivek Vij, a renowned Liver Transplant Surgeon with the highest top 5 liver transplant hospitals in Delhi (100% donor success rate); the conditions in which a transplant is required may be benign or malignant.

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People who need a Liver Transplant Surgery typically have one of the following conditions:

Fulminant Hepatic Failure, commonly known as Acute Liver Failure, is a catastrophic hepatic condition in which the liver fails to function without any previously-occurred liver illness. The primary manifestation of Acute Liver Failure is Hepatitis A, B, or E. According to Dr. Vivek Vij, a reputed Liver Transplant Surgeon, offering reasonable Cost of liver transplant in india loss of 70-80% of the liver cells leads to improper functioning of liver, which eventually results in the failure of the organ. Liver diseases progress rapidly and are often asymptomatic. But, the ignorance of the same causes the liver to collapse. Patients have a less chance of survival in case of Acute Liver Failure, and therefore a transplant surgery becomes the need of the hour, to save the life of the patient.

Chronic Hepatic Diseases are hepatic conditions that progressively damage the liver in the long run. Liver diseases show mild symptoms and develop rapidly until a reversible condition develops into a rather serious illness that the symptoms become visibly dominant. CLD damages liver tissues, and deteriorates the functioning ability of the liver. Cirrhosis, Alcoholic Liver Diseases, Hepatitis Infections and other hepatic illness, which degenerate the liver tissues can only be treated by a Liver Transplant Surgery.

Liver transplant surgeries are only performed during the last stages of hepatic illness. It can be avoided by consulting your liver doctor regularly to avoid complications that progress. Treating hepatic illnesses during their onset stage and taking precautions to avoid their recurrence in future, avoids them to develop into an irreversible condition.