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Chapter-37 Liver Transplantation in Asia and Western Countries

BOOK TITLE: Liver Transplantation

Author
1. K Dilip Chakravarty
2. Lee WC
3. Jan YY
4. Lee Po-Huang
ISBN
9788184487701
DOI
10.5005/jp/books/10445_37
Edition
1/e
Publishing Year
2010
Pages
7
Author Affiliations
1. Chang Gung Memorial Hospital (Linkou), Taipei, Taiwan (ROC)
2. Chang Gung Transplantation Institute (Linkou), Chang Gung University, Taipei, Taiwan (ROC)
3. Chang Gung Memorial Hospital (Linkou), Chang Gung University, Taipei, Taiwan (ROC)
4. National Taiwan University Hospital, Taipei, Taiwan (ROC)
Chapter keywords

Abstract

Liver transplantation is well established in Western countries in the 1980s, after the introduction of cyclosporine A in 1979. The number of liver transplants rapidly increased, leading to a serious shortage of grafts in many transplant centers in Europe and the USA. In Asian countries, cadaveric organ transplantation was introduced in1990s, but due to religious and ethical opposition, debate over the definition of brain death and lack of public understanding about transplantation, the number of DDLTs performed was far less as compared to West. Laws defining brain death were introduced in Taiwan (1987), Singapore (1987), the Philippines (1992) and Japan (1997). Still the rise in the number of DDLTs was not significant. To overcome these obstacles and to meet the donor organ shortage living donor liver transplantation (LDLT) was introduced in Japan, and spread to Korea, Taiwan, Hong Kong and other Asian countries. Asian Society of Transplantation founded in 1989 includes 16 countries involved in this survey were Bangladesh, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Oman, Pakistan, PR China, The Philippines, Saudi Arabia, Singapore, Taiwan, Thailand, and the United Arab Emirates (UAE). Asian countries such as China, Japan, Korea, India, Hong Kong, Saudi Arabia, Singapore, and Taiwan are performing both living and cadaveric liver transplants. Liver transplantation was performed in all the countries except Bangladesh, Indonesia, Oman, and the UAE in 2000.

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