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Indications for Liver Transplantation 

Indications for Liver Transplantation
Chapter:
Indications for Liver Transplantation
Author(s):

Jana G. Hashash

and Kapil B. Chopra

DOI:
10.1093/med/9780199768899.003.0012
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date: 22 February 2020

Liver transplantation remains to be the only hope for cure and survival in patients with decompensated end-stage liver disease (ESLD), acute/fulminant liver failure, and those with primary hepatic malignancies. Transplanting a new organ not only requires a fit patient and a matching donor but also mandates the presence of a social support system and an experienced multidisciplinary team, consisting of transplant coordinators, hepatologists, liver transplant surgeons, psychiatrists, social workers, as well as critical care physicians. The health-care providers together with the patients and their support system function as a group throughout the pre-transplantation period and as importantly in the post-operative period as well. Currently, liver disease and the need for precious organs are on the rise, surpassing the number of available livers for donation. In this chapter we will present an overview of the criteria for accepting patients to the transplantation list, the indications for liver transplantation, as well as the absolute and relative contraindications for liver transplantation.

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