Liver Transplant in India – The liver is the largest internal organ in the body (approximately three pounds in adults). It’s on the right side of the abdomen, underneath the diaphragm.
According to Dr. Gaurav Gupta who is one of the well known liver transplant surgeon in Mumbai, the liver is responsible for a number of complicated activities in the body, including:
- Produces the majority of the body’s protein requirements.
- When needed, it metabolizes (breaks down) nutrients from food to produce energy.
- By storing certain vitamins, minerals, and sugar, it prevents nutrition deficiencies.
- Produces bile, a substance required for fat digestion and absorption of vitamins A, D, E, and K.
- Produces the majority of the chemicals that keep blood clotting in check.
- By eliminating bacteria from the blood, it aids your body in fighting infection.
- Certain drugs’ potentially harmful metabolites are removed.
When it becomes necessary to have a liver transplant?
- When the liver no longer works properly, liver transplantation is considered (liver failure). Acute (sudden) failure due to infection or problems from particular drugs are two possible causes of liver failure.
- Long-term liver failure is usually more common and can be caused by a variety of factors, including:
- Primary sclerosing cholangitis & Autoimmune liver disease (inflammation and scarring of the liver tissue) are two examples of chronic (long-term) hepatitis (scarring and narrowing of the bile ducts inside and outside of the liver). This results in bile accumulation in the liver, resulting in liver failure.
- Atresia biliary (abnormal inflammation and scarring of the bile ducts). This is a common reason for youngsters to need a liver transplant.
- Urea cycle abnormalities, for example, are metabolic liver diseases.
- Wilson’s disease is an example of acute liver failure (a rare inherited disease in which copper is accumulated abnormally throughout the body, including the liver).
- Hepatoblastoma in young children and hepatocellular carcinoma in older children and adolescents are examples of liver cancer.
What criteria are used to choose candidates for liver transplantation?
Candidates for liver transplantation in Mumbai are assessed by a team of experts from several professions. A study of the patient’s medical, surgical, and psychosocial histories, as well as a number of tests, are all part of the evaluation.
Many liver transplant hospitals use an interdisciplinary approach to evaluate and select liver transplant candidates. The following individuals may be part of this interdisciplinary healthcare team if you are getting liver transplant in Mumbai:
- Specialist in hepatology.
- Surgeons who do transplants.
- A registered nurse who specializes in the treatment of liver transplant patients is called a transplant coordinator. This individual will serve as your primary point of contact with the transplant team.
- Psychiatrist, to assist you in dealing with concerns such as anxiety and depression that may arise as a result of your liver transplant.
- Anesthesiologist, to talk about the hazards of anesthesia.
- Chemical dependency specialist to help persons who have abused alcohol or drugs in the past.
- To act as a bridge between you and your insurance companies, a Patient Financial Advocate is available.
- To assist you in determining your present nutritional condition, consult a nutritionist.
- To get your medications reviewed by a pharmacist for possible drug interactions.
What happens when a matched organ is available?
A transplant coordinator will contact you once an organ has been found for you. Once you’ve been admitted to the hospital, don’t eat or drink anything. Any additional instructions will be communicated to you by the transplant coordinator.
Before the procedure, you will have additional blood tests, an electrocardiogram, and a chest X-ray when you arrive at the hospital. You may also meet with a surgeon and an anesthesiologist. You will proceed with the transplant if the donor liver is judged to be acceptable. If you don’t, you’ll be sent home to wait some more.
What tests must be completed prior to receiving a liver transplant?
At your initial examination, your healthcare professional will want to look through all of your medical records, X-rays, liver biopsy slides, operation reports, and a list of medications. Some or all of the following studies are frequently done during your examination to complement and update previous tests:
- CT scan, which utilizes X-rays and a computer to create images that reveal the size and form of the liver, as well as the blood flow and any liver abnormalities. A CT scan of the chest may also be required.
- Doppler ultrasound is used to see if your liver’s blood arteries are open.
- To evaluate your heart, you’ll need an echocardiogram and, if you’re an adult, stress testing.
- Pulmonary function tests are used to figure out how well your lungs can exchange oxygen and carbon dioxide.
- Blood tests are used to detect blood type, clotting ability, and biochemical state, as well as to assess liver function. Serology testing (looking for antibodies in the blood) is also included.
If the results of these tests show specific issues, the medical team may prescribe other tests.