Organ Donation - Sqad Maybe?

[WELSHYORKIE]

Sqad - I know this isn't your particular specialty but you may be able to answer the following - my BIL who is/was Sylvia's twin offered to donate part of his liver while she was in Critical Care but was refused as he had not had 'psychological counselling'. Mt question is this - is there a possibility that if he had been able to donate part of his liver would/could both have survived? A bit loaded, I know but it has been niggling at me recently.

[Sqad]

Oh! Dear......welshy, that really has put me on the spot and I am not sure that I can answer this in any reassuring way.

Being Sylvia's twin would almost certainly have been a suitable donor for transplant and from that point of view, may well have been lifesaving.
However, I remember the case well and the cause of her liver failure was indeed baffling from the start, when she was on the Wirral.
On transfer to the Birmingham unit, the situation as far as diagnosis was concerned, did not become much clearer and I'm my opinion would have taken a brave surgeon to have taken on such an operation under the most difficult of circumstances.

I understand how you must feel, but Sylvia was treated in one of the most prestigious and departments of excellence and that in my opinion, no stone was left unturned, including the possibility of liver transplant.

I hope that has helped.

[WELSHYORKIE]

Sqad, thank you for your time in answering and, yes, your reply has helped. I know that she could not have had better care than Birmingham and the medical team were absolutely fantastic people. I suppose deep down I knew that if they thought it would have worked they would have done it.

[LazyGun]

Living Donor Liver Transplantation carries significant risk of morbidity and mortality Yorkie, and counselling is very definitely required. I think it is impossible to call the likely outcome of such a transplant

I have attached a link to NICE guidelines on LDLT procedures, for your reference, as well as one from Stanford University Hospital, which gives some additional information.

http://www.nice.org.u...df/IPG194guidance.pdf

http://www.hcvadvocat...rticles/Keeffe-2.html