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End stage cirrhosis

How long does end stage cirrhosis last?
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683231 tn?1467323017
“A person can remain asymptomatic for years, although 5–7% of those with the condition will develop symptoms every year. Decompensated cirrhosis: People with decompensated cirrhosis already experience symptoms and complications.”


https://www.medicalnewstoday.com/articles/cirrhosis-of-the-liver-life-expectancy#life-expectancy-by-stage
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683231 tn?1467323017
Could be many years.

I’ve had ESLD since January 2008

Depends more on MELD or CHILD/PUGH score how severe the liver disease is. Is the Pearson symptomatic? Do they have Ascities requiring draining? Do they have bleeding esophageal varicies? Do the have Hepatic encepatholopathy? All those combined could be an indication the person has very advanced liver disease and is in liver failure.

If the person is able to prevent additional liver damage like curing hepatitis C or stopping all drinking the liver may actually have a chance to improve with time. Or at least not continue to decline. If that happens it is possible the person could live long enough to pass away from something other than liver disease.

The best person to ask would be the persons liver specialist.

Also if the patient gets to the point they need and qualify for a liver transplant they could live a full life span.
Helpful - 1
2 Comments
Thank you for talking the time to respond.  Husband was cured from Hep C ten years ago, when it was the year long treatment.  liver was already cirrhotic.   Portal vein thrombosis, all abdominal veins thrombosed, all are recanalized. Grossly enlarged spleen, ascities comes and goes, but never tapped. platelets range 12-22.  Bone marrow not producing as it should and we are considering promacta.  He has never been a candidate for transplant because of PVT. He now has neutropenia and the fevers that result from it.  Has well over 30 bandings over the years.  Has lost over 25 lbs.  has had three events of esophageal bleeds, one episode of encephalopathy.  Has taken Xifaxin for several years, and now also lactulose. Also has gastric varicies.  He still works and it’s hard work.  He is 71, very positive thinker- Dr said that has gotten him a long way.  Now I am facing my own surgery and am concerned abt. His longevity in regards to that.  We never ask Dr about ‘time’, But because of my own surgery and the long recovery,  I need to have an idea of it.  My husband does not.  
All I can say is we are not stamped with an expiration date. Really there is no way to know how long he will continue. He could go on for still many years or have a major esophageal bleed tomorrow.

I was diagnosed with cirrhosis in January 2008. I have also had bandings done back in 2012. I had hep c for probably 37 years before I was finally cured on my 5th attempt in 2014. I had treated 3 times with interferon based treatments for 6 months each time and then with two of the newly at the time approved DAA’s but unfortunately relapsed. I was finally cured with 6 months of Harvoni and Ribavirin in 2014.

I’ve had scant ascities but they have mostly resolved. My platelet count was around 80 before I was cured but now is around 125. I have an enlarged spleen as well. Never had an esophageal bleed or any HE. I get checked every 2 years with upper endoscopy. I was being checked every year for several years after the bandings but my doctor said we can now go longer between.

I have gastric varicies as well. Recently had some masses on my liver but I’m having dye enhanced CT scans for the last couple of years and they appear to be stable and so non cancerous at least so far.

So that’s my story. But again there is no way to predict how long any of us have. We could get hit by a bus tomorrow.

Best of luck to you both and best wishes for continued health.
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