The most common indication for liver transplantation in end-stage liver disease?
Correct Answer: Chronic hepatitis C
Description: Liver transplantation--the replacement of the native, diseased liver by a normal organ (allograft)--is now a lifesaving operation applied more optimally in the natural history of an end-stage liver disease. The preferred and technically most advanced approach is ohotopic transplantation, in which the native organ is removed and the donor organ is inseed in the same anatomic location.Potential candidates for liver transplantation are children and adults who, in the absence of contraindications, suffer from severe, irreversible liver disease for which alternative medical or surgical treatments have been exhausted or are unavailable. The timing of the operation is of critical impoance.Currently, chronic hepatitis C and alcoholic liver disease are the most common indications for liver transplantation, accounting for over 40% of all adult candidates who undergo the procedure.Indications for Liver TransplantationChildrenAdultsBiliary atresiaPrimary biliary cirrhosisNeonatal hepatitisSecondary biliary cirrhosisCongenital hepatic fibrosisPrimary sclerosing cholangitisAlagille's syndromeAutoimmune hepatitisByler's diseaseCaroli's diseasea1-Antitrypsin deficiencyCryptogenic cirrhosisInherited disorders of metabolismWilson's diseaseTyrosinemiaGlycogen storage diseasesLysosomal storage diseasesProtoporphyriaCrigler-Najjar disease type IFamilial hypercholesterolemiaPrimary hyperoxaluria type IHemophiliaChronic hepatitis with cirrhosisHepatic vein thrombosisFulminant hepatitisAlcoholic cirrhosisChronic viral hepatitisPrimary hepatocellular malignanciesHepatic adenomasNonalcoholic steatohepatitisFamilial amyloid polyneuropathyRef: Harrison&;s Principles of Internal Medicine; 19th edition; Chapter 368; Liver Transplantation; Page no:2068
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