Liver Transplantation for Alcohol-Related Liver Disease (ARLD): An Update on Controversies and Considerations
Table 1
Commonly followed selection criteria for alcoholic hepatitis patients for liver transplantation.
Inclusion for liver transplantation
(i) Maddrey discriminant function (MDF) score >32
(ii) Lille score ≥0.45 (nonresponders to steroid therapy) or not suitable for medical management
(iii) Acute decompensated liver
(iv) Good psychosocial profile
(v) Good family and social support
(vi) Approval of the liver transplant selection committee
Exclusion for liver transplantation
(i) Poor control of infection
(ii) Comorbidity and systemic illness
(iii) Poor prognostic score (e.g., low motivation for alcohol treatment; continued alcohol use after liver disease diagnosis; and history of failed try of alcohol abstinence)
