Advanced Search

Journal Navigation

Journal Home



Contact Us

Table of Contents

Click here to register today!

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lucey, M. R.
Right arrow Search for Related Content
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Graft, Vol. 6, No. 2, 80-92 (2003)
DOI: 10.1177/1522162803256702
© 2003 SAGE Publications

Assessment for Liver Transplantation

Michael R. Lucey, MD, FRCPiI

University of Wisconsin School of Medicine, mrl{at}

Selection of recipients for liver transplantation is based on 1) the severity and prognosis of the patient's liver disease; 2) related medical, surgical, and psychological factors; and 3) the desires of the patient. Severity of liver failure in patients with chronic liver disease is assessed by the Child-Pugh classification and the MELD (model for end-stage disease based) score. The Child-Pugh classification is based on empiric evaluation of 1) ascites, 2) encephalopathy, 3) prothrombin time, 4) serum bilirubin, and 5) serum albumin. The MELD score is based on 1) INR, 2) serum bilirubin, and 3) serum creatinine. The timing of placement of patients on the waiting list is based on assessment of stable versus decompensated cirrhosis. In the United States, patients are centrally listed and organs are first allocated to the sickest patient. Priority is given to patients with fulminant hepatic failure or primary allograft nonfunction. Suitability for transplant includes cardiac, pulmonary, renal, endocrine, oncological, infectious, nutritional, and psychological assessments.

Key Words: liver transplantation • Child-Turcotte-Pugh classification • porto-pulmonary hypertension • fulminant hepatic failure

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?