CRITERIA FOR HEPATIC TRANSPLANTATION IN CIRRHOSIS

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  • 1 January 1980
    • journal article
    • research article
    • Vol. 151  (1) , 30-32
Abstract
Among the patients considered for hepatic transplantation, cirrhosis should be theoretically the best indication. Results so far are disappointing because the patients who have undergone a transplantation had end stage liver disease. When gastrointestinal bleeding, renal failure, coagulopathy and encephalopathy are used as criteria, one can accurately select patients who will die from cirrhosis within 1 mo. Results for those who had a liver graft in this group are poor. Criteria were then selected to identify a less dramatically ill group of patients with cirrhosis. These patients have residual poor liver function after surviving acute severe complications and have a spontaneous survival of less than 1 yr. The results of liver transplantation in 2 patients in this group are encouraging.

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