Liver Explants- How to sign them out

(Special thanks to my GI attending, Dr. Jessica Tracht, for these awesome tips)

(Examples/pictures coming soon)

Clinical History & Radiology Findings

These are usually pretty end stage livers and there might not necessarily be great features of the etiology that caused the cirrhosis. Examples of changes include:

-NASH/ASH can burn out and have no fat left

-HCV is usually treated now- fibrosis will regress and there will be little if any inflammation.

  • Clinical history is very important! (labs, serology workup, previous biopsy etc)

  • Always check the radiology reports/imaging to make sure a mass was not seen prior to explant.