Donor Evaluation in Living Donor Liver Transplant in India

Liver Transplant in India - Transplant Coordinators Perspective
Dr Jyotsna Verma, from the field of Liver Transplant in India
http://www.indialivertransplant.com launched by to help, guide and educate liver disease patient and those in need of Liver transplant.


Living donor should be evaluated by multidisciplinary team that includes a surgeon, transplant coordinator, psychiatrist, hepatologist, chest specialist, cardiologist, gynaec (in case of female donors) and authorisation committee to ensure that there are no elements of coercion. All necessary blood and radiological investigations should be done including blood group testing, LAI (Liver Attenuation Index), Hematology, biochemistry, serologies. Donors must have a compatible blood group with the recipient. Costly Imaging studies like triphasic CT and MRCP should be performed only after the basic evaluation completed and accepted. Advanced noninvasive methods like CT Scan com¬puted tomography and MRI magnetic resonance imaging helps a lot in selecting a healthy and suitable living donor. In my experiences with about 600 living donor liver transplants invasive test¬ing like liver biopsy should be performed at last if required in certain case like if LAI < 6 or BMI is more than 30.