[Current Status of Deceased Donor Liver Transplantation for Alcoholic Liver Disease in Korea in MELD Era].

Publisher: Korean Society of Gastroenterology Country of Publication: Korea (South) NLM ID: 101189416 Publication Model: Print Cited Medium: Internet ISSN: 2233-6869 (Electronic) Linking ISSN: 15989992 NLM ISO Abbreviation: Korean J Gastroenterol Subsets: MEDLINE

Original Publication: Seoul, Korea : Korean Society of Gastroenterology, [2003]-

End Stage Liver Disease*/diagnosis ; End Stage Liver Disease*/etiology ; End Stage Liver Disease*/surgery ; Liver Diseases, Alcoholic*/complications ; Liver Diseases, Alcoholic*/diagnosis ; Liver Diseases, Alcoholic*/surgery ; Liver Transplantation* ; Severity of Illness Index*; Humans ; Republic of Korea ; Retrospective Studies ; Tissue Donors ; Tissue and Organ Procurement

The organ allocation system should be fair and efficient to predict the prognosis of patients with end-stage organ failure. The liver allocation system in Korea was changed to the model for end-stage liver disease (MELD) score system from Child-Turcotte-Pugh score-based status system in 2016. Since then, there have been some changes in matching liver graft to recipients in deceased liver transplantation. The severity of sickness of the end-stage liver failure patients has been increased in the MELD era than before. Since 2013, liver transplantation for alcoholic liver disease has been gradually increasing in Korea. We should take proper evaluation into consideration when we decide early liver transplantation particularly for patients with severe alcoholic hepatitis, who have a high MELD score. Above all, overcoming organ shortage, it is necessary for us to try to increase the number of deceased donors to meet the need for liver transplantation for end-stage liver disease patients.

Keywords: End stage liver disease; Liver diseases; Liver transplantation; alcoholic

Date Created: 20210126 Date Completed: 20211118 Latest Revision: 20211118

20221213

10.4166/kjg.2020.167

33495428