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Biochemical And Clinical Indications For Liver Transplantation In Chronic Liver Disease








Indikasi Transplantasi Hati pada Penyakit Hati Kronik


Cholestatic Liver Disease
  • Bilirubin >10 mg/dL
  • Intractable pruritus
  • Progressive cholestatic bone disease
  • Recurrent bacterial cholangitis
Hepatocellular Liver Disease
  • Serum albumin <3 g/dL
  • Prothrombin time > 3 sec above control
Both Cholestatic And Hepatocellular Liver Diseases
  • Recurrent or severe hepatic encephalopathy
  • Refractory ascites
  • Spontaneous bacterial peritonitis
  • Recurrent portal hypertensive bleeding
  • Severe chronic fatigue and weakness
  • Progressive malnutrition
  • Development of hepatorenal syndrome
  • Detection of small hepatocellular carcinoma


Referensi:
Cecil Medicine 23rd Edition (Saunders) 2008

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