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Chandigarh’s PGIMER to start living donor liver transplant

Besides Delhi, PGIMER only govt institute to offer facility in north India.

punjab Updated: Feb 07, 2018 18:40 IST
Tanbir Dhaliwal
Tanbir Dhaliwal
Hindustan Times, Chandigarh
Chandigarh,PGIMER,living donor liver transplant
Besides, reducing the wait for a transplant, living donor liver transplantation offers an improved survival rate for the adult transplant recipients against deceased-donor transplantation.(HT File )

In what could be a major relief for patients suffering from end-stage liver disease and waiting for a liver transplant, the Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, is set to introduce living liver donor transplantation in the next three months, Dr RK Dhiman, head of hepatology department, confirmed on Tuesday.

Living donor liver transplantation involves removing a portion of liver from a living donor and transplanting it into a recipient. The procedure is possible due to the liver’s unique ability to regenerate and grow in both the donor and recipient to form complete organs. Besides, reducing the wait for a transplant, living donor liver transplantation offers an improved survival rate for the adult transplant recipients against deceased-donor transplantation. Critical patients waiting for deceased donor transplant often die in wait.

So far, the premier institute has only been conducting deceased donor liver transplant since 2011. Over 40 such transplants have been performed in the past seven years.

Doctors perform first combined liver-kidney transplant at Chandigarh’s PGIMER

Dr Dhiman said the initiative will bring down the number of patients waiting for a liver transplant at PGIMER, which was currently 50. The hospital stops registering patients for the waiting list after the number reaches 50, forcing patients to look for other options.

“In north India, besides hospitals in Delhi, PGIMER is the only government institution to offer this facility,” he said, adding that the procedure will cost between Rs 7 to Rs 17 lakh at PGIMER, far lesser than the around Rs 60 lakh charged at private hospitals.

Know the procedure
  • Living donor liver transplantation involves removing a portion of liver from a living donor and transplanting it into a recipient.
  • The procedure is possible due to the liver’s unique ability to regenerate and grow in both the donor and recipient to form complete organs.
  • Siblings, parents or close relatives can donate up to 65% of their liver, which will regenerate to 100% in a month
  • Besides, reducing the wait for a transplant, living donor liver transplantation offers an improved survival rate for the adult transplant recipients against deceased-donor transplantation.
  • Critical patients waiting for deceased donor transplant often die in wait.

“Siblings, parents or close relatives can donate up to 65% of their liver, which will regenerate to 100% in a month,” Dr Dhiman added. On why it took years to introduce living donor transplants, he said,“It demands great responsibility, as here two lives are involved and the safety of donor is much more important. Everything should be perfect and there is zero acceptance of complication.”

The doctor added, “We had been performing deceased donor transplant for years, and have recently performed a very demanding combined kidney-liver transplant. It has given the doctors a new confidence, and now the time has come when to start with living donor liver transplants.”

Rise in liver disease

Dr Dhiman said the number of people suffering from liver diseases had increased tremendously in the last two decades. “In 1993, there used to be 5-10 patients per clinic, which was held twice a week. In 2018, the number has increased to 120 new and 500 old patients per clinic twice a week. Of the new cases, around 20% are in the need of liver transplant,” he said, while attributing the rise to use of alcohol and increase in hepatitis B and C, fatty lever, obesity, hypertension and diabetes cases.

He said in view of the increasing number of patients, the department of hepatology had also started a special Liver Transplant Clinic last month for people suffering from end-stage liver disease.

First Published: Feb 07, 2018 10:13 IST