Dr. manish liver and kidney transplant

Dr. manish liver and kidney transplant A liver transplant is a surgery that removes a liver that no longer functions properly (liver failure

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03/16/2023

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03/16/2023

I am doctors Dr. Manish i have advanced training in surgery (e.g., heart surgery, liver surgery, abdominal surgery, etc.) In case of any surgeon will meet with you before the transplant surgery to determine, with the help of other members of the medical team, whether transplant is the best treatment for you. The surgeon will speak to you about the risks and benefits of the surgery and answer any questions you may have about the surgery or about the follow-up care.

A small percentage of liver transplants each year are from living donors. In these cases, surgeons transplant a small po...
03/16/2023

A small percentage of liver transplants each year are from living donors. In these cases, surgeons transplant a small portion of a liver from a healthy, living person. Living-donor liver transplants were initially used for children needing liver transplants because suitable deceased-donor organs are scarce. Now, it is also an option for adults who have end-stage liver disease.

Living-donor liver transplants offer an alternative to waiting for a deceased-donor liver and allow the organ recipient to avoid possible health complications of waiting for a transplant. The first step is to identify a living donor who is healthy and able to safely undergo a major surgical procedure. The donor's age, blood type and organ size also are critical considerations in determining whether you and the donor are a match for living-donor liver transplant.

Most living liver donors are close family members or friends of the liver transplant candidate. If you have a family member or friend who is willing to donate part of his or her liver to you, talk to your transplant team about this option.

Living-donor transplants have good results, just as transplants using livers from deceased donors. But finding a living donor may be difficult. Living liver donors go through extensive evaluation to ensure they are a match with the organ recipient and to assess their physical and mental health. The surgery also carries significant risks for the donor.

Your transplant team can discuss the benefits and risks with you and the potential donor

Specific tests, procedures and consultations you may undergo include:Laboratory tests, such as blood and urine tests to ...
03/16/2023

Specific tests, procedures and consultations you may undergo include:

Laboratory tests, such as blood and urine tests to assess the health of your organs, including your liver
Imaging tests, such as an ultrasound of your liver
Heart tests to determine the health of your cardiovascular system
A general health exam, including routine cancer screening tests, to evaluate your overall health and to check for any other illnesses that may impact the success of your transplant

03/16/2023

Risks
Complications of the procedure
Liver transplant surgery carries a risk of significant complications. There are risks associated with the procedure itself and with the drugs necessary to prevent rejection of the donor liver after the transplant.

Risks associated with the procedure include:

Bile duct complications, including bile duct leaks or shrinking of the bile ducts
Bleeding
Blood clots
Failure of the donated liver
Infection
Rejection of the donated liver
Mental confusion or seizures
Long-term complications may also include the liver disease returning in the transplanted liver.

03/16/2023

Why it's done
Typical liver and liver cirrhosis
Typical liver vs. liver cirrhosisOpen pop-up dialog box
Liver transplant is a treatment option for some people with liver cancer and for people with liver failure whose condition can't be controlled with other treatments.

Liver failure may happen quickly or over a long period of time. Liver failure that occurs quickly, in a matter of weeks, is called acute liver failure. Acute liver failure is an uncommon condition that is usually the result of complications from certain medications.

Although a liver transplant may treat acute liver failure, it is more often used to treat chronic liver failure. Chronic liver failure occurs slowly over months and years.

Chronic liver failure may be caused by a variety of conditions. The most common cause of chronic liver failure is scarring of the liver (cirrhosis). When cirrhosis occurs, scar tissue replaces typical liver tissue and the liver doesn't function properly. Cirrhosis is the most frequent reason for a liver transplant.

Major causes of cirrhosis leading to liver failure and liver transplant include:

Hepatitis B and C.
Alcoholic liver disease, which causes damage to the liver due to excessive alcohol consumption.
Nonalcoholic fatty liver disease, a condition in which fat builds up in the liver, causing inflammation or liver cell damage.
Genetic diseases affecting the liver. They include hemochromatosis, which causes excessive iron buildup in the liver, and Wilson's disease, which causes excessive copper buildup in the liver.
Diseases that affect the tubes that carry bile away from the liver (bile ducts). They include primary biliary cirrhosis, primary sclerosing cholangitis and biliary atresia. Biliary atresia is the most common reason for liver transplant among children.
Liver transplant may also treat certain cancers that originate in the liver.

Processing nutrients, medications and hormonesProducing bile, which helps the body absorb fats, cholesterol and fat-solu...
03/16/2023

Processing nutrients, medications and hormones
Producing bile, which helps the body absorb fats, cholesterol and fat-soluble vitamins
Making proteins that help the blood clot
Removing bacteria and toxins from the blood
Preventing infection and regulating immune responses
Liver transplant is usually reserved as a treatment option for people who have significant complications due to end-stage chronic liver disease. Liver transplant may also be a treatment option in rare cases of sudden failure of a previously healthy liver.

The number of people waiting for a liver transplant greatly exceeds the number of available deceased-donor livers.

Receiving a portion of a liver from a living donor is an alternative to waiting for a deceased-donor liver to become available. Living-donor liver transplant is possible because the human liver regenerates and returns to its normal size shortly after surgical removal of part of the organ.

In 2018, about 8,200 liver transplants were performed in the U.S. among adults and children. Of those, about 390 involved livers from living donors. At the same time, about 12,800 people were registered on the waiting list for a liver transplant.

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03/16/2023

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Los Angeles, CA

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