00:01
Let's now take a look at
Liver Transplantation.
00:04
Liver transplantation is more common
than one would like.
00:08
It's 8,000 transplants per year
in the US
and the number sometimes is rising.
00:14
Excellent 1-year and 5 years survival rate.
00:18
Cadaveric or live-donor
transplantation.
00:21
And prioritizing is absolute required
for this
as I was telling you earlier,
what you would want to keep in mind
very much is that MELD score.
00:30
And with the MELD score,
in case you forgotten,
this is your
score of liver disease.
00:34
That with,
with MELD,
you are paying attention to that
hepatorenal syndrome.
00:40
You'll find issues with Bilirubin,
which is your liver.
00:43
But then you'll also find
your creatinine levels.
00:46
And this is a calculator
of what you're looking for here
in this particular website.
00:51
If you want, take a look at this further.
00:53
you may do so.
00:53
I think you'll find this
to be interesting.
00:55
Also, keep in mind,
those individuals that have
gone into
end-stage liver disease due to
alcohol,
they have to exhibit to you
proper abstinence.
01:06
And if they haven't, then,
as well as you're concerned,
they are not worthy of receiving
liver transplantation.
01:13
Because you're worried about the
cycle continuing.
01:17
Indications and contra-indications
are ever-changing.
01:21
I've given you one major
contra-indication.
01:25
Other excluding criteria include Extrahepatic malignancies, metastatic hepatocellular carcinoma and sepsis.
01:32
Or other severe infection.