In our country, a popular practice is to take alternative medicines for jaundice and liver disease. Most acute viral hepatitis is resolved spontaneously, and over time, the messy quack doctors can lead to the use of alternative drugs. When jaundice is spontaneously compensated by its natural course, quacks are given. Many liver ICUs in our country work with patients with DILI (drug-induced liver injury) who are victims of these Quacks who step on “jaundice” therapy. Jaundice is not a disease. This symptoms may be caused by stones, stenosis, cancer, infection, immune diseases, blood diseases, etc. This requires expert evaluation and management
6. It is possible to pick up curable liver cancer only during screening.
Early liver cancer will not cause any symptoms, and it is too advanced when the patient develops symptoms such as jaundice, pain, ascites, etc. The only way to detect liver cancer during the treatable stage is to screen people at high risk. All patients with ethanol liver disease NAFLD, hepatitis B, hepatitis B, autoimmune and metabolic liver disease, etc. need regular screening through imaging and tumor marking. Discovered early.
7. Liver oncology is a sub-essential
The liver is very susceptible to radiation therapy, and traditional chemotherapy does not work in liver tumors. The liver requires special targeted therapies, immunotherapy and special local interventions such as TACE, TARE, microwave oven, RFA ablation. Liver surgery requires an in-depth understanding of its physiology, comprehensive decision-making expertise and technology. Since liver cancer occurs in the setting of basic liver disease, liver cancer in selected patients can be cured by liver transplantation.
Therefore, the management of liver cancer requires a highly professional center with a multidisciplinary team that has expertise in hepatology, liver imaging, interventional radiology and endoscopy, liver surgery and liver transplantation. This expertise will not be provided by general cancer centers and the management of these tumors should be managed only by highly professional units for optimal results.
8. Not every patient with cirrhosis requires liver transplantation
The need to determine liver transplantation is the function of the liver, not the structure of the liver. Just because imaging shows structured evidence of cirrhosis, this does not mean that immediate transplantation is required. The mortality rate for transplantation is 5% to 10%, and we consider listing patients as liver transplantation only if the risk of liver disease death is far outweighs the risk of liver transplantation. When function worsens by 16 or more of the childhood stages of Meld (MELD).
9. Liver transplantation is a treatment for end-stage liver disease
Liver transplantation is not an experimental therapy. It is the only effective treatment for end-stage liver disease for more than 40 years. >5000 transplants, 90-95% success rate in India each year. The success rate depends on the patient’s physical condition and the severity of liver disease. Therefore, it is necessary to refer it to the Expertise Center quickly without delaying the time of invalid remedies.
This article was written by Kims Hospitals, Kondapurur’s College of Liver Diseases, Metabolic Surgeon, High School, Metabolic Surgeon, High School, Metabolic Surgeon, Metabolic and Robotic Surgeon, Dr. Ravula Phani Krishna, GI & HPB Oncologist, Pharmacist, Metabolic and Robotic Surgeon.
