Liver Transplantation

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.