Liver Transplantation is an established, and the only modality of treatment for children with end stage liver disease. It is estimated that about 4000 children in India need liver transplants annually.
Transplant program at Narayana Hrudayalaya began in as developed expertise in all aspects of this challenging children as young as 8 months and as small as 4 kg have undergoes liver transplantation.
The team of surgeons, gastroenterologist/ hepatologists, intensivists are involved in looking after these children. The team is constantly engaged in and is of improving the outlook of children with liver disease sing ongoing research to customize treatment to the needs in our Country. The management too, is committed to keep costs affordable in order to make it available to larger number of children.
Pediatiric Liver Transplantation
"Pediatric liver transplantation sits at the pinnacle of clinical practice. Technically demanding and requiring sophisticated infrastructure and extremely proficient surgeons, physicians and nursing staff, pediatric liver transplantation is the true test of quality for any institution. Narayana Hrudayalaya has now established itself as a member of this special class of care giving institutions.
Our success is the equal of any in the world and are strongly recommend.
Children with serious liver disease now have a centre that can meet that need including liver transplantation. Easy availability by air or ground transport, Bangalore's Narayana Hrudayalaya has the services necessary to meet the needs of children with serious liver disease.
Dr.Ashley D'Cruz, the Director of this program is an experienced and renowned pediatric transplant surgeon.
His gastroenterology associate Dr.Gayathri has a large experience with the care and evaluation of children with liver disease.
The transplant team at Narayana Hrudayalaya is very experienced. Having performed 25 pediatric live donor liver transplants (domestic and international), we have achieved outcomes equal to the best available anywhere in the world.
Frequently Asked Questions
1. When does a child need liver transplant?
» Any child who has severe degree of irreversible chronic liver failure needs a liver transplant. Common indications in children include cirrhosis following biliary atresia,cirrhosis of liver from other diseases. Children with specific metabolic disorders too benefit from Liver transplantation, such as Glycogen storage disease, PFIC, etc.
» Liver transplantation is ideally done before the onset of secondary organ injury from liver failure and before the onset of severe growth failure.
2. Where do we find a suitable graft organ?
» Deceased donor liver transplant: Families of persons who are brain dead- that is have no brain activity, e.g.,after a road accident or stroke, offer the person’s organs for donation. In this instance, the liver and various other organs are harvested and transplanted into different individuals. Well laid out rules govern this allocation system to ensure a fair and transparent system of donation. Unfortunately, in India, lack of awareness and social/ religious beliefs result in a very low rate of organ donation.
3. Who is a suitable donor?
» A suitable donor is one who is between 18-50 years of age and is medically fit. The blood group needs to match.The prospective donor should be willing and have the intellectual ability to understand the nature of the operation and the possible risks
» The donor is evaluated in details to assess suitability for a safe donation. Special tests such as CT scans are performed to study the anatomy of the liver and it’s suitability for donation.
4. What happens to the donor and recipient after the transplant?
» The donor would be discharged by 6-7 days after surgery. THe liver gradually regenerates and acquires full size by 6-8 weeks. About 2% have some minor complication, but these are not life threatening. Donor deaths are very rare (about 4 in 5000 donations) and these are generally in donors donating the right lobe.
» The recipient's course is often determined by the preoperative status of the child. Those who are very sick before transplant usually take longer to recover. Generally, children are ready to go to their parents care by the end of a month and home soon thereafter.