Liver Transplant in Delhi
Expert Evaluation & Personalized Liver Transplant Care
When the liver becomes severely damaged and can no longer perform its essential functions adequately, liver transplantation may be considered as a treatment option.
Liver transplant involves replacing a diseased or severely damaged liver with a healthy donor liver or an appropriate portion of a donor liver. Depending on the situation, transplantation may involve a deceased donor or a living donor.
Dr. Sri Aurobindo Prasad Das, specialist in Surgical Gastroenterology and Liver Transplantation, provides comprehensive evaluation and treatment planning for patients with advanced liver disease who may require transplant assessment.
Get Your Liver Disease Evaluated
What Is a Liver Transplant?
A liver transplant is a major surgical procedure in which a diseased or severely damaged liver is removed and replaced with a healthy donor liver or a suitable portion of a donor liver. A transplant may be considered when severe liver disease or liver failure significantly affects the liver’s ability to function.
Liver transplantation may be considered for selected patients with conditions such as:
- Advanced cirrhosis
- End-stage liver disease
- Acute liver failure
- Selected liver cancers
- Chronic viral hepatitis with advanced liver damage
- Alcohol-related liver disease
- Metabolic dysfunction-associated steatotic liver disease (MASLD/MASH)
- Autoimmune liver diseases
- Certain inherited or metabolic liver disorders
Conditions That May Lead to Liver Transplant
Liver Cirrhosis
Cirrhosis is advanced scarring of the liver. As the disease progresses, normal liver tissue is replaced by scar tissue, affecting the liver’s ability to function.
When cirrhosis progresses to advanced or decompensated liver disease, transplant evaluation may become appropriate.
Hepatitis B & Hepatitis C
Long-term viral hepatitis can cause progressive liver damage, cirrhosis, and liver cancer.
Patients with advanced liver disease related to viral hepatitis may require transplant evaluation.
Fatty Liver Disease
Advanced metabolic dysfunction-associated steatotic liver disease and steatohepatitis can lead to severe fibrosis, cirrhosis, and liver failure.
Selected patients with advanced liver disease may require assessment for transplantation.
Alcohol-Related Liver Disease
Long-term alcohol-related liver injury can result in cirrhosis and liver failure.
Patients with advanced disease may be evaluated for liver transplantation based on comprehensive medical and psychosocial assessment.
Acute Liver Failure
Acute liver failure occurs when severe liver dysfunction develops rapidly in a person without previously established advanced liver disease.
Some patients with acute liver failure require urgent specialist assessment and may need emergency transplantation.
Liver Cancer
Liver transplantation may be an option for carefully selected patients with certain primary liver cancers when the disease meets accepted transplant criteria.
The decision requires detailed imaging, staging, and multidisciplinary evaluation.
Symptoms of Advanced Liver Disease
Advanced liver disease can cause symptoms and complications such as:
Yellowing of the eyes or skin
Abdominal swelling
Recurrent abdominal pain
Persistent constipation or diarrhoea
Unexplained low haemoglobin or anemia
Repeated bloating or abdominal discomfort
A change in stool calibre that persists
A biopsy confirming colon cancer
Who May Need a Liver Transplant Evaluation?
You may benefit from a transplant evaluation if you have:
Advanced or decompensated cirrhosis
Progressive liver failure
Recurrent complications of cirrhosis
Acute liver failure
Selected liver cancers
Severe liver disease despite medical treatment
A rapidly worsening liver condition
A previously recommended liver transplant
Types of Liver Transplant
There are two main donor pathways.
Living Donor Liver Transplant
In a living donor liver transplant, a healthy donor provides a suitable portion of their liver to the recipient.
The donor and recipient are evaluated carefully before surgery to ensure that donation is medically appropriate.
The liver has a unique regenerative capacity, allowing the remaining liver in the donor and the transplanted liver segment to grow toward an appropriate functional size after surgery.
Deceased Donor Liver Transplant
In a deceased donor transplant, the liver comes from a donor who has died and whose organs are suitable for transplantation.
Patients who are approved for deceased donor transplantation may be placed on the appropriate transplant waiting system according to applicable allocation policies.
Living Donor Liver Transplant
Potential advantages may include the possibility of planning surgery rather than waiting for a deceased donor organ, depending on donor evaluation, availability, and transplant-centre protocols. However, living donation is a major surgical procedure for the donor and requires a separate, detailed medical evaluation.
Living Donor Evaluation May Include:
- Medical history
- Physical examination
- Blood tests
- Liver assessment
- Heart and lung evaluation when required
- Donor-recipient compatibility assessment
- Psychological and social assessment
- Detailed discussion of donor risks and benefits
Liver Transplant Surgery
During liver transplantation, the diseased liver is removed and replaced with the donor liver or appropriate donor liver segment.
The procedure is performed under general anaesthesia and requires careful reconstruction of major blood vessels and the bile duct.
The surgical team connects:
- Hepatic artery
- Portal vein
- Hepatic veins or vena cava
- Bile duct
The exact surgical technique depends on the type of transplant and the patient’s anatomy.
Liver transplant surgery is a major operation and may take many hours.
Why Choose Dr. Sri Aurobindo Prasad Das?
Dr. Sri Aurobindo Prasad Das is a specialist in Surgical Gastroenterology and Liver Transplantation, with expertise in complex gastrointestinal and hepatopancreatobiliary surgery.
His academic and clinical training includes leading institutions such as JIPMER and AIIMS, along with further experience at reputed healthcare centres.
Areas of Expertise
- Liver Transplantation
- Surgical Gastroenterology
- Complex Gastrointestinal Surgery
- Hepatobiliary & Pancreatic Surgery
- Laparoscopic GI Surgery
- Complex GI Cancer Surgery
For patients considering liver transplantation, the focus is on detailed evaluation, appropriate transplant assessment, individualized treatment planning, and coordinated surgical care.
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Talk to a Liver Transplant Specialist Today
If you have liver disease or have been advised to consider transplantation, discuss your condition with a qualified transplant specialist.
Frequently Asked Questions
A liver transplant may be considered for selected patients with advanced or end-stage liver disease, acute liver failure, and certain liver cancers or other severe liver conditions. The decision requires specialist evaluation.
No. Many patients with cirrhosis can be managed with medical treatment and monitoring. Transplant evaluation is generally considered when liver disease becomes advanced or complications indicate that transplantation may be appropriate.
A living donor provides a suitable portion of their liver, while a deceased donor provides a liver after death. Both are established transplant pathways, and the appropriate option depends on the patient's and donor's circumstances.
A family member may be evaluated as a potential living donor, but donor eligibility is determined through a detailed medical and psychosocial assessment. Donation must be voluntary and medically appropriate.
Liver transplantation is a complex major operation and can take many hours. The exact duration varies according to the type of transplant and the patient's circumstances.
Patients require regular follow-up, blood tests, medication management, and monitoring for complications such as rejection and infection. Long-term follow-up is an essential part of transplant care.
Yes. Patients generally need immunosuppressive medicines to reduce the risk of rejection of the transplanted liver. These medicines require regular monitoring.
Selected patients with certain liver cancers may be considered for liver transplantation. Eligibility depends on the type, size, number, location, spread of the cancer, liver function, and established transplant criteria.