A liver transplant replaces a diseased liver with a healthy donor liver. It is needed for chronic liver conditions like cirrhosis, genetic disorders, or liver damage. Candidates are evaluated by a team of specialists and undergo tests. Living donors can donate part of their healthy liver, while deceased donors provide whole livers after death. The transplant surgery implants the donor liver, and immunosuppressants prevent rejection. Risks include infection, recurrence of the original disease, and side effects of medication. India provides liver transplants at a lower cost than other countries.

2. 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.

3. When Is a Liver Transplant Needed?
The following conditions may result in chronic liver failure:
 Chronic hepatitis with cirrhosis.
 Primary biliary cholangitis (it is a rare condition where the immune system
inappropriately attacks and destroys the bile ducts)
 Sclerosing cholangitis (scarring and narrowing of the bile ducts inside and outside of
the liver, causing the backup of bile in the liver)
 Biliary atresia (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)

4. 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
 Hepatocellular Carcinoma

5. 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

6. 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.

7. 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.

8. 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.

9. 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.

10. 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.

11. 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)

12. Best hospitals for Liver Transplant in
India?
 Medanta- The Medicity, Gurgaon
 Fortis Escorts, New Delhi
 Apollo Hospital, Bangalore
 Kokilaben Dhirubhai Ambani 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

13. 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).

14. 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).

15. 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.

16. How to get medical visa to India
 Lazoi is an online healthcare portal where the patients can come and book their
appointments with any of the doctors irrespective of their location. We are having
best Gastrointestinal surgeons in India who remains ready to work for the welfare
of the patients.
 If you are an international patient and you had your medical treatment done in
India, you will get the facility of having second opinion with the doctor in the
mode as you like which will be provided by us. You can ask an online query, get
tele-consultation with the doctor or you can have an online video consultation.
This helps in saving the travel time of the international patients.
 We act as a bridge and provide various facilities to the patients as well as the
doctors. This is because patients do not have the access of doctors. Lazoi is a
formal and a high reputed organization which is trusted by many. Beware of
misguiding agents which further can harm you and may also take huge amount of
money.

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