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Know all the information about Liver Transplant in Delhi, India and the Cost of Liver Transplant in India. You will find the details about the process of the treatment and the advantages as well as disadvantages associated with it.<br>
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About Liver Transplant in India • A liver transplant is a medical procedure in which a patient's diseased liver is replaced with a whole or partial healthy liver taken from another person. This article explains the current indications for liver transplantation, types of liver donors, the operation itself, and the immunosuppression that is required after liver transplantation. • Liver Transplant patients are diagnosed by an integrated multidisciplinary team consisting of GI and Liver Transplant Surgeons, Hepatologists,Surgical Critical Care Specialists, Interventional Radiologists and other Supporting services such as radiology, transfusion services, infectious diseases, microbiology, histopathology, nephrology and dedicated ICU staff.
When Is a Liver Transplant Needed? The following conditions may result in chronic liver failure: • Chronic hepatitis with cirrhosis. • Primary biliarycholangitis (it is a rare condition where the immune system inappropriately attacks and destroys the bile ducts) • Sclerosingcholangitis (scarring and narrowing of the bile ducts inside and outside of the liver, causing the backup of bile in the liver) • Biliaryatresia (a rare disease of the liver that affects newborns) • Alcoholism • Wilson's disease (a rare inherited disease with abnormal levels of copper throughout the body, including the liver) • Hemochromatosis (a common inherited disease where the body has too much iron) • Alpha-1 antitrypsin deficiency (an abnormal buildup of alpha-1 antitrypsin protein in the liver, resulting in cirrhosis)
Causes of Chronic Liver Injury • Viral Hepatitis • Hepatitis B • Hepatitis C • Alcoholic Liver Disease • Metabolic Liver Disease • Autoimmune Liver Disease • Genetic Liver Disease • Vascular Liver Disease • HepatocellularCarcinoma
How are candidates for Liver Transplant selected? The team may include the following professionals: • Liver specialist (hepatologist) • Transplant surgeons • Transplant coordinator or usually a registered nurse who specializes in the care of liver transplant patients • Social worker to discuss your support network of family and friends, employment history, and financial needs • Psychiatrist to help you deal with issues, such as anxiety and depression, which may accompany a liver transplant • Anesthesiologist to discuss potential anesthesia risks • Chemical dependency specialist to aid those with history of alcohol or drug abuse
Which Tests are required before getting a Liver Transplant? Some or all of the following studies are generally performed during an evaluation. • Computed tomography, or CT, which uses X-rays and a computer to create pictures of the liver, showing its size and shape to rule out hepatocellular carcinoma. CT scan and chest x-rays will also be taken to evaluate your heart and lungs. • Doppler ultrasound to determine if the blood vessels to and from the liver are open. • Echocardiogram to help check the heart function. • Pulmonary function studies to determine the lungs' ability to exchange oxygen and carbon dioxide • Blood tests to determine blood type, clotting ability, and biochemical status of blood, and to gauge liver function. HIV, other viral testing and hepatitis screening are also included.
Where does a Liver for a Transplant Come From? There are two types of liver transplant options: living donor transplant and deceased donor transplant. • Living donor: • Living donor liver transplants are an alternative for some patients with the end-stage liver disease. This involves removing a segment of liver from a healthy living donor and implanting it into a recipient. Both the donor and recipient liver segments will grow to normal size in few weeks.
Continue • Deceased Donor: • In deceased donor liver transplants, the donor may be a victim of an accident or head injury. The donor's heart is still beating, but the brain has stopped functioning. Such a person is considered legally dead, because his or her brain has permanently and irreversibly stopped working. At this point, the donor is usually in an intensive-care unit and life support is withdrawn in the operating room during the transplant.
Types of Liver Transplant Procedure: • Orthotopic Liver Transplantation • In Orthotopic Liver Transplantation, the recipient's diseased liver is completely replaced with the healthy liver. • 2. Heterotopic Liver Transplantation • In Heterotopic Liver Transplantation, the diseased liver is kept remain intact at its place and donor's liver is placed at the nearest site to the diseased liver. Heterotopic Liver Transplantation is performed when the doctor is of the opinion that the diseased liver might recover, if the liver recovers, the other organ shrivels away, if not, then the original one shrivels and the donor's liver performs the body functions.
Continue • 3. Reduced size Liver Transplantation • Reduced Size Liver Transplantation is done on children and involves the transplanting a part of the healthy donor liver into a patient. Reduced Size Liver Transplantation is performed when 15-20% of the original liver is intact. This way, one donor liver can be used for two successful transplants.
What complications are associated with Liver Transplant? Some common problems related to liver transplant are the following: • Rejection • Infection • Recurrent Disease • Post-Transplant Lymphoprolipherative Disorder (PTLD)
Best hospitals for Liver Transplant in India? • Medanta- The Medicity, Gurgaon • Fortis Escorts, New Delhi • Apollo Hospital, Bangalore • KokilabenDhirubhaiAmbani Hospital, Mumbai • Jaypee Hospital, Noida • BLK Hospital, Delhi • Global Hospital, Delhi • Artemis Health and Research Institute, Gurgaon • Dr. L. H. Hiranandani Hospital, Mumbai • Breach Candy Hospital, Mumbai • Lilavati Hospital, Mumbai • Sir Ganga Ram Hospital, Delhi
What is the cost of Liver Transplant in India? Cost of Liver Transplant in India is: • 1. Government Hospitals • The cost of liver transplant in India lies between 5 Lakhs - 10 Lakhs INR (i.e. USD 7500 - USD 16000). • 2. Private Hospitals • In these hospitals the cost of liver transplant in India lies between 18 Lakhs - 24 Lakhs INR (i.e. USD 28000 - USD 40000).
Cost Comparison India vs Other Countries • Cost of Liver Transplant Surgery in USA is approx to Rs. 2 crores ($300,000). • Cost of Liver Transplant Surgery in Singapore is approx to Rs. 1.2 crores ($200,000). • Cost of Liver Transplant Surgery in UK is approx to Rs. 1.2 crores ($200,000). • Cost of Liver Transplant in India is approx to Rs. 20 lakhs ($35,000).
Medical Tourism in India • Medical Tourism is a form of associating patients to world class medical, dental and cosmetic surgery facilities overseas. India is a growing destination for medical tourism, and people from all over the world are looking to visit India for medical needs. • Medical Tourism involves traveling abroad to take world class medical treatment at very economical rates, as compared to countries like US, UK and Australia. As a result of which, we can see a rise in Indian medical tourism with each of the passing day.
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