What is the survival after liver transplant ?
August 4, 2023 Liver Section 357 ViewsHow long can liver transplant people survive?
The survival after a liver transplant varies depending on several factors, such as the individual’s overall health, the reason for the transplant, and how well the body accepts the new liver. Generally, the survival rates are quite promising.
Many liver transplant recipients can live for many years after the procedure, and some have even been able to live decades with a healthy transplanted liver. However, it’s essential to follow the recommended post-transplant care and take immunosuppressive medications to prevent organ rejection and ensure long-term success.
What are the factors on which liver transplant depends upon?
Liver transplant depends on various factors, including:
- Severity of Liver Disease: The primary reason for a liver transplant is often severe liver disease or end-stage liver failure.
- Medical Eligibility: The candidate’s overall health and medical condition will be evaluated to determine if they are physically fit for the surgery and post-transplant care.
- Liver Transplant Evaluation: Comprehensive medical and psychological evaluations are conducted to assess the patient’s suitability for transplantation.
- MELD Score: The Model for End-Stage Liver Disease (MELD) score is used to prioritize patients on the transplant waiting list based on the severity of their liver disease.
- Availability of Donor Liver: The availability of a suitable donor liver is a critical factor. It can come from a deceased donor or a living donor.
- Blood Type Compatibility: The donor’s and recipient’s blood types need to be compatible to minimize the risk of rejection.
- Cross-Match Compatibility: A cross-match test is performed to check if the recipient’s immune system will react to the donor liver.
- Age: Age is a factor in determining transplant candidacy, but it’s not the sole criterion.
- Support System: Having a strong support system and adherence to post-transplant care instructions are essential for successful outcomes.
- Alcohol and Drug Use: Candidates must demonstrate a commitment to abstaining from alcohol and drug use post-transplant.
The final decision for liver transplantation is made by a multidisciplinary team of medical professionals after considering all these factors to ensure the best possible outcome for the patient and a long term survival after liver transplant.
( Know more about- What is Liver Transplant Surgery ? )
What is the MELD Score for liver transplant ?
The MELD score (Model for End-Stage Liver Disease) is a numerical scale used to assess the severity of liver disease in adult patients. It is used to prioritize patients on the liver transplant waiting list in many countries. The MELD score is based on laboratory tests and is calculated using three parameters:
1. Serum Bilirubin: This measures the level of bilirubin in the blood, which can indicate how well the liver is functioning.
2. Serum Creatinine: This measures the level of creatinine in the blood, which reflects kidney function.
3. International Normalized Ratio (INR): This measures the blood’s ability to clot and provides insight into liver function.
The MELD score ranges from 6 to 40, with higher scores indicating more severe liver disease. Patients with higher MELD scores have a higher priority on the transplant waiting list, as they are considered to be at a greater risk of liver failure.
( Know more – What is MELD Score ? )
Is liver transplant successful in patients above age 50 ?
Liver transplant can be successful in patients above the age of 50. The success of a liver transplant depends on several factors, including the overall health of the patient, the severity of liver disease, and the availability of a suitable donor liver. While age is a consideration, it is not the sole determining factor for transplant eligibility.
Transplant centers carefully evaluate potential candidates of all ages to assess their overall health and ability to withstand the surgery and post-transplant care. Older patients may face some additional challenges related to age-related health issues, but many older adults have undergone successful liver transplants and have gone on to live with a good quality of life for many years after the procedure thus ensuring a good and long term survival after liver transplant.
The decision for liver transplantation in older patients is made on a case-by-case basis, considering the individual’s health status, comorbidities, and overall life expectancy. The goal is to ensure that the patient has a reasonable chance of benefiting from the transplant and leading a fulfilling life with the new liver. Age alone should not be a reason to exclude someone from consideration for a liver transplant.



