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Liver Transplant

Community Veteran
Posts: 18,551
Thanks: 195
Registered: 12-08-2007

Liver Transplant

A 19 year old boy needs a liver transplant to survive after ruining his own liver by binge drinking.  He has been told he can't be considered for a transplant for 6 months because of the drink.  There is a possibility that he won't survive the 6 months.  Should he be allowed to jump the queue?

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33 REPLIES
Community Veteran
Posts: 16,865
Thanks: 1,141
Fixes: 13
Registered: 06-11-2007

Re: Liver Transplant

NO.
itsme
Grafter
Posts: 5,924
Thanks: 1
Registered: 07-04-2007

Re: Liver Transplant

I don't think he should be precluded from receiving a transplant from a family member as a living donor.
Community Veteran
Posts: 16,865
Thanks: 1,141
Fixes: 13
Registered: 06-11-2007

Re: Liver Transplant

But he will should still wait his turn on the operating list.....
Community Veteran
Posts: 18,551
Thanks: 195
Registered: 12-08-2007

Re: Liver Transplant

Is it possible for a living donation of a liver?  Is it one organ where a part can be transplanted and not the whole liver?
N/A

Re: Liver Transplant

It is not clear if the lad actually wants a transplant. Drinking at the level required to sustain liver damage indicates a very disturbed young man and his problems will still be there even if he has a successful liver transplant.
Also, we only have the father's word that this is the first admittance to hospital and that they had no prior knowledge of liver involvement.
We don't know if that is true but usually there is a fairly lengthy period between first indications of liver disease and the need for transplant.
It's difficult to judge really, especially as the person is so young.
On the whole, medical staff tend to err on the positive side of things so I suspect that for them to refuse the operation there must have been some history attached to the case and that warnings had been given.
itsme
Grafter
Posts: 5,924
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Registered: 07-04-2007

Re: Liver Transplant

He have not been refused a transplant.
Quote
DUP health spokesman Jim Wells said investigations undertaken by party colleagues have revealed that “contrary to what is being reported, there is no six month rule for liver transplants”.
“A six-month period of abstinence from alcohol is one indicator used by medical staff but it cannot prevent people being placed on the waiting list for transplant,” he said. “Furthermore there are actually conflicting views about how reliable it is as an indicator anyway.”

Read more: http://www.belfasttelegraph.co.uk/news/local-national/fatherrsquos-battle-to-save-life-of-liver-tran...

Regarding the Liver
Quote
Liver allografts for transplant usually come from non-living donors who have died from fatal brain injury. Living donor liver transplantation is a technique in which a portion of a living person's liver is removed and used to replace the entire liver of the recipient. This was first performed in 1989 for pediatric liver transplantation. Only 20% of an adult's liver (Couinaud segments 2 and 3) is needed to serve as a liver allograft for an infant or small child.

Because
Quote
The liver is the only internal human organ capable of natural regeneration of lost tissue; as little as 25% of a liver can regenerate into a whole liver. A human liver is known to grow back in no less than 8 years, due to hyptochronatin cells in the remaining liver
Community Veteran
Posts: 18,551
Thanks: 195
Registered: 12-08-2007

Re: Liver Transplant

According to a spokesman from the Liver Transplant Society on LBC this afternoon the 6 month rule does apply and is strictly adhered to by medical personnel.  It was also stressed that the 6 months is not the time delay to get a transplant but the delay in getting on the waiting list.  The Society backed the decision in this case.
Community Veteran
Posts: 3,291
Thanks: 2
Registered: 10-08-2007

Re: Liver Transplant

Regarding the Liver
Quote
Liver allografts for transplant usually come from non-living donors who have died from fatal brain injury. Living donor liver transplantation is a technique in which a portion of a living person's liver is removed and used to replace the entire liver of the recipient. This was first performed in 1989 for pediatric liver transplantation. Only 20% of an adult's liver (Couinaud segments 2 and 3) is needed to serve as a liver allograft for an infant or small child.

Because
Quote
The liver is the only internal human organ capable of natural regeneration of lost tissue; as little as 25% of a liver can regenerate into a whole liver. A human liver is known to grow back in no less than 8 years, due to hyptochronatin cells in the remaining liver

You may recall my American friend who helped me with contributions to the US healthcare thread recently. She donated part of her liver to their one year old daughter ten years ago. Both are in fine fettle!
itsme
Grafter
Posts: 5,924
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Registered: 07-04-2007

Re: Liver Transplant

Quote from: artmo
According to a spokesman from the Liver Transplant Society

So are the society for or against the transplant?
Community Veteran
Posts: 18,551
Thanks: 195
Registered: 12-08-2007

Re: Liver Transplant

That's good to hear Santiago.  
Community Veteran
Posts: 18,551
Thanks: 195
Registered: 12-08-2007

Re: Liver Transplant

Quote

So are the society for or against the transplant?

The spokeswoman said they were against this person receiving a liver whilst there were others ahead of him on the waiting list.
jim:green quote tag fixed mod:end
itsme
Grafter
Posts: 5,924
Thanks: 1
Registered: 07-04-2007

Re: Liver Transplant

Even from a relative living donor as this should not affect the waiting list?
Community Veteran
Posts: 18,551
Thanks: 195
Registered: 12-08-2007

Re: Liver Transplant

This wasn't discussed so maybe the relatives haven't come forward or maybe there is a comparability issue.  The waiting list would be affected but only by taking up a slot that someone else could use.
pierre_pierre
Grafter
Posts: 19,757
Registered: 30-07-2007

Re: Liver Transplant

in your previous knowledgeable comments, you inferred that living donor liver transplants were for paediatric patients under the age of three?
also dads comments, he suffered the liver problem after just one weekend