Aa
Aa
A
A
A
Close
Avatar universal

support for PSCer and liver transplant recipient

Hi,

I would like to tell you a few words about my story and kindly ask for your opinion. I have had problems with my liver for about 7 years which I figured up by having ache in my upper-right hand side just behind my ribs. At that time my blood tests showed that I had incresed values mainly for ALAT, ASPAT, GGTP and alcaline phosphatase. Since that days I've been tried to be diagnosed which finally ensued 4 years ago when a liver biopsy proved fibrosis of 3rd degree and got diagnosed with PSC + IBD. I was told and later on read about this that they often come in pair. Currently my GGTP is about 350, ALAT=125-150[U/L], ASPAT=59-70[U/L], BIL=1.45-1.93[mg/dL], ALP=483-586[U/l] and I've been evaluated to have a MELD score of 11. My doctors say I will not be able to enter a waiting list for a liver transplant until after it reaches 15. Could you tell me if this value is an internationally respected threshold or rather locally established for a country or medical center? I'm being cured with Ursofalk (for PSC) and Salofalk(for IBD). Do you think there is anything else I can take that would help in my treatment?

I would appreciate all your suggestions and involvement.

Regards,
Paul.
3 Responses
Sort by: Helpful Oldest Newest
517301 tn?1229797785
MEDICAL PROFESSIONAL
i think the MELD allocation system is the same for all nations with only minimal differences
Helpful - 0
Avatar universal
Thank you very much for your reply, dr Schiano.
I wonder if you could possibly tell me if the MELD scores are considered as high enough to perform a liver transplant according to any standard international tresholds or are the threshold values set up in each country on their own?

Thank you in advance,
Best Regards!
Paul
Helpful - 0
517301 tn?1229797785
MEDICAL PROFESSIONAL
this sounds like appropriate treatment.  You should regular screening for bile duct cancer as well as colon cancer screening.  also, you should have a bone density test.
Helpful - 0

You are reading content posted in the Liver Transplant Forum

Popular Resources
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.