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Pre Transplant Evaluation

Pre-transplant evaluation
If a patient is suffering from chronic liver diseases and there is no other option than liver transplant for curing them, they have to undergo a series of medical exams to determine if they would be able to undergo the operation and handle any post-operative complications. Some of the tests that a patient has to undergo include: -

  • Imaging tests: - of the abdominal region such as x-ray, CT Scan, Ultrasound, etc.
  • Heart tests: - like Stress Echo and ECG to determine the strength of the cardiovascular system.
  • Laboratory tests: - extensive laboratory testing such as urine and blood tests to be able to assess the health of all major organs including the liver.
  • General Health Exam: - to evaluate overall health levels including cancer screening tests.
  • Liver Biopsy: - to determine the health of the liver and seriousness of the ailment.
  • Nutrition counseling: - to assess nutritional status and recommendations regarding regulating eating habits, before and after transplant.
  • Psychological evaluation: - to help a patient understand the implications of the surgery and to be able to cope with the stress. 
  •  Addiction counseling: - for patients with a history of alcohol or drug abuse.
  • Coronary Artery Disease (CAD): - Liver transplant patients are at high risk for coronary artery disease. Coronary artery disease can lead to liver failure even after transplant as such. It is a predictor of poor outcomes; as such it becomes necessary to identify the patients with CAD and give treatment before transplant.

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