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MELD 점수 도입 이후 국내 알코올 간질환의 뇌사자 간이식 현황

Other Titles
 Current Status of Deceased Donor Liver Transplantation for Alcoholic Liver Disease in Korea in MELD Era 
Authors
 주동진 
Citation
 Korean Journal of Gastroenterology, Vol.77(1) : 4-11, 2021-01 
Journal Title
 Korean Journal of Gastroenterology 
ISSN
 1598-9992 
Issue Date
2021-01
Keywords
End stage liver disease ; Liver diseases ; Liver transplantation ; alcoholic
Abstract
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.
Files in This Item:
T202101029.pdf Download
DOI
10.4166/kjg.2020.167
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Joo, Dong Jin(주동진) ORCID logo https://orcid.org/0000-0001-8405-1531
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182336
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