When A Liver Becomes Cirrhotic, Those Are

If We Had Enough Cadaver Organs To Go Around We Wouldn't Do Living Donor Liver Transplants Because One Is We Don't Want To Put A Donor At Risk, But The Second Is That It's A More Difficult Surgery For The Recipient Because You're Getting A Piece Of A Liver Rather Than A Whole Liver. It Takes You Longer To Recover, And It Has More Complications Related To Where We Sew Together The Blood Vessels And The Bile Ducts.

There Is A Risk Of Death Associated With Donating A Piece Of Liver. It's About One In 500 For The Risk Of Death. The Risk Of Death Of Donating A Kidney Is About One In 3000, So This Is A Riskier Operation Than Donating A Kidney. The Stakes Are Usually Higher For The Recipient Of The Transplant Because Unlike Kidney Failure, Where You Have A Dialysis Machine, In Liver Failure We Don't Have That Kind Of Machine That Allows A Patient To Survive Until They Can Get A Cadaver Organ.

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There Are Many Different Causes Of The Scarring. Viruses Are Common. Hepatitis B, Hepatitis C, What We Call Autoimmune Diseases Where The Body Attacks The Liver Itself Such As Primary Biliary Cirrhosis Is An Autoimmune Disease; Sclerosing Cholangitis Is An Autoimmune Disease; And So Those Diseases Where The Liver Is Being Destroyed By Either The Virus Or An Autoimmune Disease, It Can Only Scar, And Why It Doesn't Regenerate Has To Do With The Fact That There Is This Ongoing Scar Tissue That Blocks That Regeneration.

Pretty Much Everybody Knows There Are Not Enough Organs For All Of Those Patients Who Need To Get Transplants, And What Happens Is, Is That Organs Are Actually Directed In Liver Transplantation To Those Patients Who Are The Sickest. So The Patients Who Have The Greatest Chance Of Dying In The Next Three Months Or So Are The Ones Who Get The Priority For The Liver Transplant.