Division of Gastroenterology & Liver Diseases

Liver Transplantation Evaluation

Liver transplantation is an accepted therapeutic modality for complications of chronic liver disease or acute liver failure. In general, liver transplantation is recommended when a patient with end-stage liver disease manifests signs and symptoms of hepatic decompensation, not controlled by alternative therapeutic measures. This is evidenced by the following:

  • esophageal and/or gastric variceal bleeding, or bleeding from portal hypertensive gastropathy
  • hepatic encephalopathy
  • spontaneous bacterial peritonitis
  • significant ascites, hepatic hydrothorax or hepatorenal syndrome
  • coagulopathy
  • liver cancer
  • fulminant (acute) liver failure

Evaluation and selection of patients for transplantation is the result of a multidisciplinary coordinated process which assesses the patient holistically. This includes evaluation by a surgeon, hepatologist, transplant coordinator, social worker, and psychiatrist. Patients and their families participate in transplant education during which the surgery, pre- and post-operative care, medications, and long-term follow-up are discussed. Options for liver transplantation, incuding deceased donor and liver donor liver transplantaion, are also discussed with patients and families.

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Albert Einstein College of Medicine
625 Ullmann Building
1300 Morris Park Avenue
Bronx, NY 10461

Phone: 718.430.2098

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