Liver Transplantation

by Carlo Raj, MD

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    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 modified type of score of liver disease.

    00:37 That with, with MELD, you are paying attention to that hepatorenal syndrome.

    00:43 You'll find issues with Bilirubin, which is your liver.

    00:46 But then you'll also find your creatinine levels.

    00:49 And this is a calculator of what you're looking for here in this particular website.

    00:54 If you want, take a look at this further.

    00:56 you may do so.

    00:56 I think you'll find this to be interesting.

    00:58 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.

    01:09 And if they haven't, then, as well as you're concerned, they are not worthy of receiving liver transplantation.

    01:16 Because you're worried about the cycle continuing.

    01:20 Indications and contra-indications are ever-changing.

    01:24 I've given you one major contra-indication.

    About the Lecture

    The lecture Liver Transplantation by Carlo Raj, MD is from the course Cirrhosis – Liver Diseases.

    Included Quiz Questions

    1. The sickest patient is given the highest priority.
    2. The healthiest patient among the sickest patients is given priority.
    3. Priority is given based on the life expectancy.
    4. Priority is given based on the age of the patient.
    5. Priority is given based on the alcohol status.
    1. MELD score
    2. Child score
    3. NAS score
    4. TNM score
    5. CLIP score

    Author of lecture Liver Transplantation

     Carlo Raj, MD

    Carlo Raj, MD

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