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What are the Criteria for Liver Transplant in India? Liver Failure: Liver transplantation is considered for patients who have end-stage liver disease or acute liver failure that cannot be managed with other medical interventions. MELD Score: The Model for End-Stage Liver Disease (MELD) score is often used to prioritize patients on the waiting list based on the severity of liver disease. The higher the MELD score, the more urgent the need for transplantation. Underlying Liver Diseases: Patients with liver failure resulting from various conditions such as cirrhosis, hepatitis B or C, alcoholic liver disease, autoimmune hepatitis, or certain metabolic disorders may be candidates for transplantation.
No Response to Medical Treatment: Liver transplantation may be considered when other medical treatments and interventions have failed to improve the patient's condition. No Contraindications: Candidates for liver transplantation should not have any medical conditions that would significantly decrease the success of the transplant or pose a threat to the patient's overall health. Psychological and Social Evaluation: Patients must undergo a psychological and social evaluation to ensure they are mentally and emotionally prepared for the transplantation process, including post-operative care and lifestyle changes.
Age and Overall Health: The patient's age and overall health status are considered to assess their ability to tolerate the transplant surgery and post-operative care. Financial and Social Support: Liver transplantation is a complex and costly procedure. Patients must have adequate financial means or social support to cover the expenses related to the transplant and post-operative care.
What Makes You not Eligible for a Liver Transplant? Severe Cardiovascular Disease: If a person has severe heart problems or other cardiovascular issues that would make the transplant procedure too risky, they may be considered ineligible. Active Substance Abuse: Ongoing substance abuse, such as alcohol or drug abuse, may disqualify a person from receiving a liver transplant due to concerns about compliance with post-transplant care and the risk of damaging the new liver. Advanced Age: Advanced age alone may not be an absolute contraindication, but older individuals may have higher risks associated with the surgery and post-transplant care. Metastatic Cancer: If a person has cancer that has spread to other organs (metastasis), they are generally not eligible for a liver transplant.
Inadequate Social Support: Having insufficient social support and a lack of resources to manage the post-transplant recovery process can be a concern for transplant eligibility. Irreversible Multiple Organ Failure: If a person has multiple organ failure that is unlikely to improve with a liver transplant, they may not be eligible for the procedure. Noncompliance with Medical Treatments: Individuals who have a history of noncompliance with medical treatments or lack of follow-up may be considered ineligible. Medical Condition Precluding Surgery: Certain medical conditions, such as severe pulmonary hypertension or severe clotting disorders, may prevent a person from undergoing major surgery like a liver transplant. Uncontrolled Infection: Active and uncontrolled infections can increase the risk of complications after transplantation and may render a person ineligible until the infection is treated and controlled.