Liver Transplant Evaluation and Assessment Guide

Will I make the list?

There are some reasons that transplant may not be recommended as the best treatment for you. Some common reasons include:

• Severe heart or lung problems.
• Cancer of another organ, for example breast or bowel cancer.
• Liver cancer is too big, too many or it has spread into the blood vessels or outside of the liver.
• Technical problems that would make the surgery itself very difficult and or complicated. Examples include presence of blood clots in the liver veins or arteries and some forms of previous abdominal surgery.
• Lack of social supports.
• Continued substance abuse, for example continuing to drink alcohol, use illicit drugs or smoking.
• Advanced age.
• Too unwell.

For some patients, liver transplantation may not be recommended by the liver transplant team. In this situation, you may return to the care of your referring doctor or a referral may be made to the palliative care team depending on your specific needs.

In this guide:

1. Information and contact details for the liver transplant hepatology team
2. The liver - its function and anatomy
3. Signs of liver disease
4. Pre-transplant assessment and evaluation
5. The assessment team
6. Allied Health Services
7. Palliative care
8. Pharmacy—medications before your transplant
9. Case discussion and assessment presentation
10. Will I make the list?
11. The liver transplant waiting list
12. Model for End stage Liver Disease (MELD)
13. Support Through Education Program (STEP)
14. The Donor
15. What happens when you are notified that a donor liver is available?
16. The liver transplant operation
17. Intensive Care Unit (ICU) patient information
18. The recovery period
19. Pharmacy—medications after your transplant
20. Rejection
21. Donor family correspondence and information
22. Glossary

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