Functions of Human Liver, Liver Functions, Liver treatment in India

Liver is the powerhouse of body. It is the main organ of metabolism i.e. it involves, series of breaking down and making up of chemical reactive and generation of energy. If one were to compare our body to a train, then liver would be its engine.

Liver performs many important functions that are essential for a healthy body as follows –  

Liver  covert food into chemicals necessary for life and growth.

Liver processes and removes toxins and other substances generated in body that may be harmful.

Liver  produces Bile, a yellowish-greenish fluid that is stored in the gall bladder and secreted into the bowel. Bile is necessary for the absorption of fats and vitamins

Liver  manufactures important proteins that are necessary for normal blood clotting and building muscle.

Liver  maintains hormonal balances.

Liver store important vitamins.

How much one should rely on Doctors in the era of Corporate Hospitals?

In this era of mushrooming corporate hospitals, how much a patient should rely upon the advice of doctors. Most of time which is governed by the pressure of salaries they are getting from the sector. Is the health sector appropriate for corporate world. Need comments .. Liver disease treatment is very expensive specially when it comes to Liver Transplant which cost above 15 lacs. Liver Helpline started for such patients 9266882222

Liver Transplant Consultant: Liver Transplant in India - Not Just an Operation ...

Liver Transplant Consultant: Liver Transplant in India - Not Just an Operation ...: Liver Transplantation is not just an operation its a process and a beginning of a new relationship which is between the patient, the tra...

Liver Transplant in India - Not Only an Operation but a Process

Liver Transplantation is not just an operation its a process and a beginning of a new relationship which is between the patient, theLiver transplant team and the transplant institute. As we all know that, to maintain a healthy relationship we need purity, dedication and transparency from both sides – Health care workers as well as the patient and his family. And one should pledge to maintain this relationship.

Shortage of organs, immediate finances, lack of pre and post transplant education, failure to understand pre transplant management in detail, pros and cons of liver transplant, life long medication, post transplant life, effect of transplant children and donor safety are the major patient issues.

A new organ gives new life but only well-informed execution can optimize the chances of success to the satisfaction of patient and the family. It is important that the patient and care givers are fully guided and educated regarding the process to prepare themselves for this major undertaking. This precisely where the role of experienced coordinator matters most to facilitate solving minor and major problems that may creep up before, during and after the operation. This can be done through education and counselling sessions, group interactions and guidance. In my considerable experience, I have had occasions of dealing with the patients and families of the patients with liver failure who resign themselves to death even when some of them can be saved by timely emergency liver transplantation. A majority of them have no way of getting timely, reliable, round the clock information. Drawing from my experience with over 50 such cases, we provide a 24 hrs helpline - +91 – 9266882222 service to answer queries, educate, counsel and motivate such patients who can be saved by liver transplantation if they arrive in time. All these issues need to be reinforced repeatedly by transplant coordinator to keep the family vigilant and motivated life long. Apart from education Transplant Registry has become a necessity if we intent to create a patient centric synergies. Every developed country has Transplant Registry which maintains records of patient with organ failure on waiting list, updates their health status regularly, number of transplants done every year, type of transplants done every year – whether living or cadaveric, result of transplant, immediate survival rate, so that a patient is fully aware of the actual scenario of livertransplant in India before taking this major decision i.e. Liver transplant. After this a patient and his family cannot blame any doctor, institute in any phase of transplant.

Liver Transplant between Different / Mismatched / Incompatible Blood Groups – Views and Comments

First time in India, doctors in Gurgaon, Haryana on Wednesday claimed to have successfully conducted a liver transplant with donor and recipient with different blood groups, giving a new hope to thousands of patients suffering from organ failure.

Liver Transplant Consultant, Jyotsna Verma, comments, “But one must keep in mind all pros and cons, facts related to such kind of surgery which involves more cost (about 25% or even more) and also increases risk related to Liver transplant specially in adults in comparison to children below 5 years of age. We not only need to increase the numbers of transplants but there is a need to increase the success rate of liver transplant by proper selection, conduct and close follow up of all post transplant patients. Also there is dire need to start Transplant Registry in India like other countries which are far ahead of us in Liver Transplantation so that patients opting for such surgeries must get full knowledge about the facts related to transplants”.

Dr. Vivek Vij, Chief Surgeon, Fortis Hospitals, Delhi and NOIDA, comments, “ABO incompatible transplants are feasible in liver and kidney transplant. Results are best in the children. This kind of liver transplant is recommended in children and adults in emergency settings only. New strategies like plasma exchange to decrease antibody count below 1:16, Rituximab and infusion of Prostaglandins E1 and Gabexate Mesylate into liver may improve outcomes and survival almost equivalent to ABO compatible liver transplant”.

Dr. Vinay Kumaran, Chief Surgeon, SGRH, Delhi, comments, “Transplantation of the liver from a donor with an incompatible blood group has been used in desperate situations where no other donor is available. The results, particularly in adults, have been inferior with higher mortality and more serious complications. Relatively better results have been obtained in infants. The cost of the protocols used to prevent antibody mediated rejection in such cases has led to reluctance to attempt this in India but there may be a role in selected cases”.

               

Dr Rahul Kakodkar, Senior Consultant Surgeon, Gurgaon Haryana, said, "The purpose of the entire treatment was to suppress the antibody levels in body to less than eight units for at least three weeks after the transplant so that the body adapts to the mismatched liver. This kind of transplant is not recommended for patients with Autoimmune Cirrhosis. Cost of the procedure is definitely increased but varies from patient to patient. “

Dr. Puneet Dargan, Senior Consultant Surgeon, Fortis, Noida and Delhi, comments, “ABO-incompatible live transplantation (ILT) is  occasionally performed due to a relative high risk of graft failure. Knowledge of both graft and patient survival rate after ILT is essential for donor selection and therapeutic strategy. ABO-Incompatible liver grafts should be viewed as an important treatment option in selected adult patients with acute liver failure in need of an emergency liver transplant”.

"Thousands of liver transplants that could not happen because the donor's blood group was different from the one of the recipient can now happen. With this surgery, we have conquered the mismatch blood group barrier that did not allow many patients of organ failure undergo a transplant," Dr AS Soin, Chief liver transplant surgeon, Gurgaon, Haryana, said.

Dr Neelam Mohan, Paediatric hepatologist, Gurgaon, Haryana, said, "There was no cadaver donor even after waiting for six months. She had reached the stage of coma and her survival was dependent on the transplant. It was then that we decided to go for the mismatch blood group transplant (scientifically termed as ABO-incompatible transplantation).

 Liver Transplant Helpline : 9711224402, Liver Disease Helpline 9266777585

Happy, Healthy and Prosperous New Year

Happy, Healthy and Prosperous New Year

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Liver Donor India, Liver Donor Surgery, Risk to Liver donor’s life, Liver Donor Mortality rate

Need to be aware of all such facts before opting for Liver Transplant, India Liver Transplant launched by Jyotsna Verma to help, guide and educate liver disease patient and those in the need of liver transplant.

No one can deny the fact that Liver transplant is an acceptable therapeutic option these days to cure end stage liver disease patients, liver cirrhosis, fulminant / sudden liver failure in adults as well as children. Most challenging thing for Doctors related to this field is to judge the timings of liver transplant surgery i.e. when to do? or when not to do? What is the best time to get liver transplant? For all such queries not only doctors but the patient and his family also need to be educated about the liver disease and its management to a certain extent.

In view of lack of cadaveric organ donations in India it is very difficult for end stage liver disease patients to wait but one should be properly aware of risk to their loved one’s life who is opting for liver donation. It is good to be generous and lovable but not at the cost of life. Donor must be aware of all the pros and cons of this operation and must have proper evaluation and education about liver transplant surgery. Liver donor should not hide any medical history from the surgical or physician transplant team members. Marginal liver donors should be avoided  / rejected despite of the fact which ever transplant center / transplant team is selected for liver transplant by the patient and his family.  Sometimes emotional decisions may cause double shock to patient’s family in other words loss of both the patient and the donor. After coordinating more than 650 liver transplants, Liver Transplant Consultancy Service has been started to create awareness about liver transplant procedure and liver disease management. This service is  for the benefit of all liver disease patients and the family members.  “Informed Decision Successful Transplant” is the motto of Liver Transplant Consultant. In fact there is a need to have a National Liver Transplant Registry where every liver transplant and its outcome should be reported so that liver disease patients and his family opting for this procedure should know about all the facts related to success rate of liver transplant.

A sincere Consultation and Patient Education Session related to Liver Diseases and Liver Transplantation in India will Solve 100s of your Problems, Answer 1000s of Queries and can even SAVE Lacs of your Hard-earned money. Liver Transplant India helpline 9711224402, 9266777585 which are open 24 hrs to help liver disease patients and their families.