Liver transplant in India

Liver transplant in India

Liver transplant in India is done at approved hospitals. Liver transplant is performed by super specialist liver transplant surgeons. Now a days prognosis and results of liver transplant has immensely increased because of use of newer drugs and advanced technology. Liver transplant specialists in India uses latest drugs and technology to perform liver transplant. India is also known to perform most cost effective liver transplant in the world.

What is liver transplant ?

Liver transplant is a surgical procedure in which a deceased or non functional liver is replaced by a healthy & functional liver from a healthy or deceased donor. This is undertaken by the patients who are on end stage liver diseases.

Causes of liver diseases

Why liver transplant is done ?

  • Liver failure leading to indigestion problems.
  • Liver cancer
  • Chronic liver failure

People not eligible for liver transplant

  • Advanced age
  • Severe heart diseases
  • Recently treated cancer
  • Mental illness
  • Dementia
  • Alcohol or drug abuse

Risks associated with liver transplant

  • Bile duct complications
  • Bleeding
  • Blood clots
  • Failure of donated liver
  • Infection
  • Rejection of donated liver

Side effects of liver transplant

  • Acne
  • Bone thinning
  • Diarrhea
  • Excessive hair growth or hair loss
  • Diabetes
  • High BP
  • High cholesterol
  • Infection

Best hospitals for liver transplant in India

  1. Max hospital, New Delhi
  2. Narayana Health City, Bangalore
  3. Artemis Hospital, Gurugram
  4. BLK Super Specialty Hospital, Delhi
  5. Gleneagles global, Bangalore
  6. Continental hospital, Hyderabad
  7. Yashoda hospital, Hyderabad
  8. Global hospital, Chennai
  9. Kokilaben, Mumbai
  10. Narayana, Raipur

Guidelines for liver transplant in India

GUIDELINES FOR LIVING DONOR LIVER TRANSPLANTATION

  1. The patient must have a letter/ prescription from a Gastroenterologist/ Hepatologist/ Physician who will recommend a Liver Transplant as the treatment of the liver disease. After the treatment we will be referring you back to the concerned referring doctor for the after care at your home town.
  2. The need of liver transplant will be re-assessed and confirmed once the patient reaches our facility.
  3. In case, the patient wants to have an opinion earlier to their travel to know the possibility and need of liver transplant, then you can send us the necessary reports as mentioned below through mail. A Medical Summary prepared by the referring doctor with detailed history and symptoms of the patient.

HbsAg, Anti HCV, HIV I & II, CBC/ Hemogram, Liver Function Test (LFT), Urea, Creatinine, Sodium, Potassium, P time/ INR, AFP. 

A good quality triple phase CT Angiography of the liver (it is safe to do this test in those who have normal urea, creatinine levels and no contrast allergy) or ultrasonography abdomen. 

Urine routine/ microscopy, urine protein creatinine ratio.

  • A recent upper GI endoscopy report.
  • Height and body weight
  1. Once the patient reached our facility, some additional tests and examination will be carried out to assess the patient’s fitness to undergo such a major surgery.

DONOR SELECTION CRITERIA 

The patient has to arrange for blood group compatible related donors from the family.The donor has to be a relative.

Blood group should be compatible to the patient (either the same blood type as your patient, or blood type “O.” Rh factor—positive or negative— does not affect the suitability to donate, Patients with blood group AB can receive organ from any blood group).

Age of the donor should be between 18 to 50 years. The donor should not be too obese. There should not be huge difference in height and weight of the recipient and donor.

In case same or compatible blood group donor is not available, it is also possible to perform transplant across blood group with similar success rate but this increases the cost and duration of stay in India.

It is preferable to perform basic tests to the donor at a centre near home to avoid the disappointment of a potential donor being rejected.  Blood grouping  CBC, LFT, KFT  HBs Ag, Anti HCV, HIV  Blood Sugar, HBA1C  USG abdomen for fatty liver, Chest X ray  Blood group (Donor  & Patient) .

The stay will be 6-8 weeks for the recipient and 4-5 weeks for the donor in India.

After arrival, the patient and the donor will be evaluated and approval from the legal committees will be taken.   

The time required for these is approximately 10-14 days.  The stay of the recipient in the hospital is approximately 21 days and the stay of the donor in the hospital will be 8 days. 

After the transplant, the recipient has to stay for at least 3-4 weeks and the donor for at least 2-3 weeks in India.

FOLLOW-UP:  The follow-up protocol will be explained by the team after the transplant with a printed format  customized for the patient. The team will be in continuous touch with the patient and the family and will ask for necessary test from time to time.

Documents & formalities required for liver transplant in India

Hospital need to be a registered organ transplant centre as per the provisions of Section 15 of the Transplant of Human Organs Act, 1994 (THOA).

  1. The patient, donor & donor’s next of kin also has to come to approved hospital to appear in the authorization Committee meeting to get the legal clearance to undergo Liver Transplant surgery, which is a legal requirement and is mandatory for all the patients. (The donor’s next of kin can be spouse- if donor is married, parents –if donor is unmarried, Siblings –if the donor is unmarried and parents not available) In case if the donors next of kin is not able to come to India, a video conference should be done on the day of authorization committee meeting at selected Hospital to record their consent for the donors surgery.  As per the law, the donor should be a near relative of the recipient (The patient).
  2.  The definition of the term “near relative” means spouse, son, daughter, father, mother, brother, sister, grandfather, grandmother, grandson or grand daughter.  If the Donor is married –presence of spouse is necessary.
  3.  If Donor is unmarried – presence of Father OR Mother is necessary.  In events of Father OR Mother not alive, Brother, Sister/ Son/ Daughter should be present (above the age of 18 years).
  4.  Relationship between Donor/Patient/Donor’s next of kin needs to be established through any of the following documents; 

Passport

 National ID card/ Nationality certificate

 Birth certificate

 Marriage certificate

 Driving license

 Family card/ Family registry·

 Or any other proof like, certificate along with attested photographs from court/concerned Govt.

Department/ high commission of their country.

3) If the donor is not a near relative (any relative other than –Father, Mother, Brother, Sister, Son, Daughter) the following documents are necessary.

  1. Bank statements 2 year OR Affidavit stating income OR Letter from employer stating salary. The document has to be attested by the concerned authority (court/Notary/concerned Govt. Department/ high commission of the country)
  2. Proof of unfit donors in the family *(This means proof explaining why patient’s blood relatives/ first degree relatives like Patients wife, children, brothers, sisters, Father, mother are not donating. The proof can be Blood group report OR any other medical reports explaining t
    he reason for being unfit for donation OR Medical certificates –on illness/not able to travel /donate.)
  3. FAMILY TREE demonstrating the relationship between the Patient, Donor and the Donor Close Relative. The document should contain passport size photograph of the Patient, Donor and the Donor Close Relative and it should be attested by the court OR high commission of respective country.
  4. Documentary evidence to prove the claimed distant relationship. The ID proofs, Birth certificate, Marriage certificate& Family photographs of all the individuals involved in the relation.
  5. Old family photographs (minimum 4-5 different old photographs), showing recipient, donor and donor’s near relative. The photographs should be minimum 3-4 years old.

NOTE:  International patients have to come on – valid medical visa for patient & donor  Once the above listed documents are prepared you are requested to send a scanned copy of all the documents to us by email at the earliest to crosscheck & confirm whether the legal documents that has been prepared are in order so as to avoid any errors in documentation.  All the documents in native language should be translated in English and attested by the Court/ Notary/Legal translator.  All the photographs on the two affidavits are required to be attested by the State’s Judicial representatives (Court/ Notary/Legal translator etc.)  The following documents are necessary for spousal donor: o Marriage certificate or Marriage Album o Information on the number and age of children o Birth certificate of children containing the particulars of the parents other credible evidence.

Cost of liver transplant in India

Cost of liver transplant is approximately $ 35,000 USD  in a good hospital in India.

 

Please connect with +91 96 1588 1588 for details on liver transplant, documents & formalities required in India.

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