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Doctor insights on: Hcv Liver Transplant

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Dr. Amrita Dosanjh
3 doctors shared insights

Transplant (Definition)

In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more


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Liver transplant success rate . Alternate for liver to avoid transplantion?

Liver transplant success rate . Alternate for liver to avoid transplantion?

No alternate. :(: When a liver is diseased enough to require transplantation nothing else will prolong the long-term life. The success rate depends on how sick the patient is, what the quality of the organ is and how the transplant goes. Overall survival rate is 80 -85% in the first year. ...Read more

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Do liver transplant patients livelong?

Do  liver transplant patients livelong?

They can: After the first year they do well. Much longer than w liver disease. ...Read more

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Is liver cirrhosis curable?

Is liver cirrhosis curable?

No: No, but you stop it from progressing further by eliminating the cause: abstaining from alcohol or treating hepatitis b or c. ...Read more

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Mom is 55 F HCV, ESLD massive splenomegaly, decomp cirrhosis, 11cm liver & recurring HE. & gast bleeds, depression. Can she survive transplant?

Mom is 55 F HCV,  ESLD massive splenomegaly,  decomp cirrhosis, 11cm liver & recurring HE. & gast bleeds, depression.  Can she survive transplant?

Yes: Her mortality would depend on her MELD score. Should explore deceased and living donor transplant. Hepatitis C treatment has evolved with excellent cures and is well tolerated. ...Read more

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Could a live-donor liver transplant happen for someone with acute liver failure?

Could a live-donor liver transplant happen for  someone with acute liver failure?

Yes: It can definitely happen, although it also depends on whether your hospital offers this service. ...Read more

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Why HCV attack on liver?

Hepstitid: Because these viruses evolved to preferentially attack the liver. Probably for nutritional needs and metabolic needs of the virus, . ...Read more

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Which liver function test indicates viral hepatitis?

Which liver function test indicates viral hepatitis?

Hepatitis Panels: Liver function tests are not really used to diagnose viral hepatitis, but elevated ast, alt, ggt, alkaline phos, bili can indicate "something" is wrong and needs evaluation::. Hepatitis panels for anti-bodies, core anti-bodies, and antigens for each of the different types of hepatitis (a, b, c, etc.) are used to indicate whether viral hepatitis is present and the severity/length of the infection. ...Read more

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Is there any treatmemt for liver chirrosis aside from liver transplantation ?

Is there any  treatmemt for liver chirrosis aside from liver transplantation ?

Yes and no: Cirrhosis means extensive (stage iv) scarring of the liver which is mostly irreversible. Long standing cirrhosis leads to portal hypertension which leads to complications such as ascites, varices & bleeding, big spleen & low platelets, etc. Treatments such as diuretics & shunts can help manage these symptoms & complications, but only liver transplantation can eliminate them for good. ...Read more

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Could a live-donor liver transplant happen in someone with acute liver failure?

Could a live-donor liver transplant happen in someone with acute liver failure?

Yes: Living donor liver transplantation provides a liver for someone that has chronic or acute end-stage liver disease. There is often time to work up the donor over weeks and go through a thoughtful process in chronic liver disease, however in acute fulminant liver failure, there is life threatening complications measured in days, the whole process is sped up but should never compromise donor safety. ...Read more

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Will a hepatitis b vaccine elevated liver function studies?

Will a hepatitis b vaccine elevated liver function studies?

No: This should not happen as the vaccine has reactivity with your immune system, not your liver. ...Read more

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Do HIV drug regiments cause liver and/or kidney damage?

Do HIV drug regiments cause liver and/or kidney damage?

HIV med/liver damage: Yes; different regimens/medications carry different risks/side effects, but in general there is an association with these classes of medications and liver/renal dysfunction. They should be taken only as directed and their use should be monitored with the ppropriate lab tests recommended. ...Read more

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What percentage of wilson's disease patients need liver transplants? 

What percentage of wilson's disease patients need liver transplants? 

Wilson and transplan: Roughly , about 30 % of patients. These are patient unable to tolerated the quelation therapy and develope neuropsyquiatric symptoms . Hope this help. ...Read more

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Will the hepatitis C be cured by a liver transplant?

Not cured, treated: Hepatitis c virus hides in multiple places throughout the body, not just the liver. That 's why removal of a damaged liver and replacement with a healthier liver does not cure the infection. The virus comes out of hiding and infects the new liver too. The best treatment is using the gentlest approach to suppression of the immune system in order to allow some residual ability to fight the virus. ...Read more

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If someone has hepatitis c, how easy is it for them to get a liver transplant?

If someone has hepatitis c, how easy is it for them to get a liver transplant?

No short answer: Cirrhosis complicating hepatitis C infection is now the most common reason for liver transplantation in the US. ...Read more

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How effective is liver transplantation for treating hepatitis C?

How effective is liver transplantation for treating hepatitis C?

Very effective: The liver transplants are for end stage liver disease...not to treat the hepatitis C.....there is good treatment for hepatitis C now.....however, if failed, transplants are done....and along with treatments....very good results are avhieved ...Read more

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I have hepatitis b and hepatitis c. Can I get a liver transplant?

I have hepatitis b and hepatitis c. Can I get a liver transplant?

Probably: Hepatitis c is the most common reason for liver transplantation today. Hepatitis b is also a fairly common cause. Neither is cured by removal of the old liver since the viruses hide out in other places in the body. Very complex topics. Best to explore with an expert in liver disease. Transplant is always the last resort, used only when other care does not suffice. ...Read more

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Please let me know the best treatment for hepatitis c, if one is above 60 and unable to afford liver transplant pl. Help?

Please let me know the best treatment for hepatitis c, if one is above 60 and unable to afford liver transplant pl. Help?

Hep C treatment: Standard treatment for hepatitis c has been with peginterferon and ribavirin. Response rates varied depending on the type of hep c virus (called genotype). There are new medications boceprevir and telaprevir which have improved response to treatment. ...Read more

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What's invovled in a partial liver transplant?

Liver transplant: It is a modality of liver transplant, where only part of the donor liver is transplanted in one person and the other part in another, is a way to expand the recipients pool. It is a common technique for liver transplants in children. ...Read more

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Is there any age specified for liver transplantation?

Is there any age specified for liver transplantation?

No: There is no absolute age cutoff for liver transplantation. However, the older a person is the more likely they are to have other diseases which could prevent transplant - such as heart disease or lung disease. ...Read more

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What are the requirments to qualify for a liver transplant?

See long answer: 1. Liver irreversibly damaged by disease, or carrying a cancer that not treatable with conventional surgery. 2. Ability to withstand major surgery (basically, heart and lungs ok). 3. Ability to care for organ after transplantation (able to take antirejection meds, no ongoing alcohol or drug addiction) 4. Free of cancer (except possibly liver cancer) and infections. ...Read more

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Could you explain how someone is picked for a liver transplant?

Could you explain how someone is picked for a liver transplant?

UNOS.org: The match for each donor organ will be different and unique to the circumstances of the donor and the patients waiting. Factors affecting ranking may include tissue match, blood type, length of time on the waiting list, immune status and the distance between the potential recipient and the donor. For heart, liver, lung and intestines, the potential recipient's degree of medical urgency considered. ...Read more

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Is there a particular die that a person should have after having a liver transplant?

Is there a particular die that a person should have after having a liver transplant?

Yes contrast needed: If in the question die, contrast agents for imaging studies is meant, then yes a liver transplant recipient would need a type of I.V. Contrast for the best image of the liver. This is usually an iodinated agent for x-ray (ct scan) or gadolinium for mri. However, the safe use of both is dependent on the patients' s kidney function, which should be determined before the tests are ordered. ...Read more

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Do liver transplant patients livelong?

They can: After the first year they do well. Much longer than w liver disease. ...Read more

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Why arent all alcoholics usually disqualified for a liver transplant?

Ethics: Active alcoholics are excluded for transplant. Each center has individual time demands and ways to confirm sobriety but 6 months sober documentation of a treatment program is pretty standard. Excluding them from treatment would be wrong just as wrong as excluding anyone who's actions brought their illness on. ...Read more

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I'm wondering why are alcoholics usually disqualified for a liver transplant?

Depends on disease: Actually, 20% of all liver transplant recipients have alcoholism as the primary cause of their liver failure. We treat alcoholism as any other disease. If the person can control their drinking, then they can be a candidate. At most centers, this requires at least 6 months of complete abstinence and completion of intensive outpatient substance abuse therapy. Patients then screened for alcohol use. ...Read more

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In liver transplant, what are the consideration on deciding which lobe is being donated?

In liver transplant, what are the consideration on deciding which lobe is being donated?

Recipient size: Most adults with advanced liver disease and portal hypertension (increased blood flow coming from their intestines + spleen, to their liver) require the largest lobe of the live donor's liver, which is the right lobe. Children and small adults will probably only require the lesser volume of the left lobe, or part of the left lobe (left lateral segment). The portion left in the donor grows rapidly. ...Read more

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What is a meld test for liver transplant?

Prioritizes patients: Meld (model for end-stage liver disease) score allows for an estimation of life expectancy for people with end stage liver disease.There are more people needing transplants than there are donor livers; those determined by meld score to be highest risk of dying over the next 3 months are placed higher on the list.Meld is calculated from blood test results (bilirubin, creatinine, inr). ...Read more

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Will a liver transplant be affected by my lupus?

My help: It is unclear whether systemic lupus erythematosus (SLE) is the cause of your liver disease. Liver involvement requiring liver transplantation is a rare complication of SLE, although there are specific issues related to SLE, in general, SLE activity is milder or controlled after transplant. SLE is an autoimmune disorder and the drugs used to treat SLE are often ones used to prevent rejection ...Read more

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Nutritional adjustments after a whole liver transplant?

Nutritional adjustments after a whole liver transplant?

Moderation: After successful liver transplantation, nutritional requirements are simple moderation, of food , small frequent meals with vitamin and mineral supplements, avoid salt. Some foods prevent absorption of anti rejection medications, like antacids, grape juice etc, avoid high potassium. Prevent infection from raw uncooked food . Most important aspect is medical team supervision. ...Read more

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Can a patient with history of drinking get a liver transplant?

Can a patient with history of drinking get a liver transplant?

Yes: Most centers in the US require a documented 6 month sobriety. If you restart drinking after a transplant your outcome will be poor. ...Read more

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What is the type of tubing is used in a liver transplant bypass?

What is the type of tubing is used in a liver transplant bypass?

Inert vascular tubes: A type of sterile, inert, plastic tubing is used for veno-venous bypass. There are a number of suppliers that produce medical grade vascular tubing. ...Read more

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Dr. Debra Rosenblatt
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


Dr. Amy Friedman
157 doctors shared insights

Liver Transplant (Definition)

A liver transplant is a surgical procedure that has both a donor and a recipient. The donor has part (if living) or the entire liver removed, and this is transplanted to the recipient. Liver transplantation is a life saving procedure and is performed when the recipient's liver is failing, or has developed a localized cancer that cannot be removed ...Read more