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Liver Transplant – Understanding the Surgery, Complications & Survival Rates

Liver transplant surgery is a life-saving procedure for individuals suffering from end-stage liver disease or acute liver failure. It involves replacing a failing liver with a healthy liver from a donor, allowing patients to improve their quality of life and extend their lifespan. While this procedure can offer a fresh start, it comes with a set of risks and challenges that patients must carefully consider. Understanding these potential complications and the survival rates can help patients make informed decisions about their treatment options.

What Is Liver Transplant Surgery?

Liver transplant surgery is typically performed when a patient’s liver is no longer functioning effectively due to conditions such as cirrhosis, liver cancer, or acute liver failure. The procedure involves removing the diseased liver and replacing it with a donor liver.

The surgery can be categorized into two types: Orthotopic Liver Transplant

The diseased liver is removed, and a donor liver is placed in its original location. Living Donor Liver Transplant

A portion of the liver from a living donor is transplanted into the patient.

Liver transplant surgery has become a standard treatment for liver failure, but it’s important to understand the potential challenges and the factors that affect survival rates.

Liver Transplant Complications

Liver transplant complications can arise both during and after the surgery. Though the procedure is life-saving, it comes with risks, some of which can affect the transplanted liver’s functionality.

Rejection

One of the most common complications following a liver transplant is the rejection of the new liver. Rejection occurs when the body’s immune system attacks the transplanted organ, recognizing it as foreign. To prevent rejection, transplant recipients must take immunosuppressive medications for life. However, these medications come with the risk of increased infections and other side effects.

 

Infections

Patients are at an increased risk of infections due to the use of immunosuppressive drugs. Infections can be bacterial, viral, or fungal and may affect areas like the lungs, urinary tract, or wound sites. Regular monitoring and preventive care are crucial to reduce the risk of infections post-surgery.

Bleeding

Given the liver’s high vascularity, bleeding is a risk during liver transplant surgery. Major blood loss can occur during the procedure, and bleeding can continue after surgery, requiring blood transfusions and additional interventions.

Bile Duct Complications

After a liver transplant, patients may experience bile duct issues such as bile leaks, strictures (narrowing), or infections of the bile ducts, which can interfere with liver function. These complications might require additional medical treatments or surgeries.

Blood Clots

Blood clots are a potential risk after liver transplant surgery. These clots can travel to vital organs like the lungs, leading to a pulmonary embolism. To prevent this, blood-thinning medications are often prescribed to reduce clot formation.

Cancer Recurrence

For patients who have undergone a liver transplant due to liver cancer, there is a risk that the cancer could recur in the liver or other parts of the body. Ongoing monitoring and screenings are essential to detect any recurrence early.

Chronic Rejection

Over time, chronic rejection can occur, where the liver’s function gradually declines despite immunosuppressive treatment. This long-term complication may require further treatments or, in some cases, a second transplant.

Liver Transplant Survival Rates

Liver transplant survival rates have greatly improved over the years due to advancements in surgical techniques, post-surgical care, and better management of immunosuppressive medications. These survival rates are important metrics for patients to understand the success and challenges of transplantation.

 

1-year Survival Rate

The one-year survival rate for liver transplant recipients is generally around 85-90%. This means that most people who undergo this procedure will survive at least one-year post- operation. The early recovery period is often marked by significant improvements in the patient’s health and quality of life.

5-year Survival Rate

The five-year survival rate typically ranges between 70-80%. After the first year, survival rates tend to stabilize, but long-term risks, such as rejection and infections, still need to be managed carefully.

10-year Survival Rate

The ten-year survival rate is usually between 60-70%. Although liver transplants offer long- term success, recipients must continue to follow medical guidelines, take medications, and monitor their health to reduce the risk of complications. The ongoing need for immunosuppressive drugs also plays a role in long-term survival.

Factors that can influence liver transplant survival rates include the patient’s overall health before surgery, the quality of the donor’s liver, and how well the patient adheres to the prescribed post-surgery care regimen. Transplantation and medication management advances continue to improve survival rates and patient outcomes.

Conclusion

Liver transplant surgery offers a critical opportunity for individuals suffering from liver failure or liver disease to regain their health and quality of life. However, it’s important to be aware of potential liver transplant complications that can arise during and after the procedure. These complications can range from organ rejection to infections and bleeding, all of which require careful management.

Liver transplant survival rates provide a positive outlook for many patients, with most surviving at least a year after the surgery. Long-term survival is possible, though it depends on factors such as post-surgery care, medication regimen adherence, and regular complications monitoring. By understanding both the risks and the potential benefits, patients can approach liver transplantation with realistic expectations and a clear plan for recovery and long-term health management.

Liver Transplant – Understanding the Surgery, Complications & Survival Rates

Liver transplant surgery is a life-saving procedure for individuals suffering from end-stage liver disease or acute liver failure. It involves replacing a failing liver with a healthy liver from a donor, allowing patients to improve their quality of life and extend their lifespan. While liver transplant surgery can offer a fresh start, it comes with a set of complications and risks that patients must carefully consider. Understanding these complications and the survival rates can help patients make informed decisions about their treatment options.

What Is Liver Transplant Surgery?

Liver transplant surgery is typically performed when a patient’s liver is no longer functioning effectively due to conditions such as cirrhosis, liver cancer, or acute liver failure. The procedure involves removing the diseased liver and replacing it with a donor liver.

The surgery can be categorized into two types; Orthotopic Liver Transplant

The diseased liver is removed, and a donor liver is placed in its original location. Living Donor Liver Transplant

A portion of the liver from a living donor is transplanted into the patient.

Liver transplant surgery has become a standard treatment for liver failure, but it’s important to understand the potential complications and the factors that affect survival rates.

Liver Transplant Complications

Liver transplant complications can arise both during and after the surgery. Though the procedure is life-saving, it comes with risks, some of which can affect the transplanted liver’s functionality.

Rejection

One of the most common complications following liver transplant surgery is the rejection of the new liver. Rejection occurs when the body’s immune system attacks the transplanted organ, recognizing it as foreign. To prevent rejection, transplant recipients must take immunosuppressive medications for life. However, these medications come with the risk of increased infections and other complications.

 

Infections

Liver transplant patients are always at an increased risk of infections due to the use of immunosuppressive drugs. Infections can be bacterial, viral, or fungal and may affect areas like the lungs, urinary tract, or wound sites. Regular monitoring and preventive care are crucial to reduce the risk of infections post-surgery.

Bleeding

Given the liver’s high vascularity, bleeding is a risk during liver transplant surgery. Major blood loss can occur during the procedure, and bleeding can continue after surgery, requiring blood transfusions and additional interventions.

Bile Duct Complications

After a liver transplant, patients may experience bile duct complications. These can include bile leaks, strictures (narrowing), or infections of the bile ducts, which can interfere with the function of the liver. These complications might require additional medical treatments or surgeries.

Blood Clots

Blood clots are a potential risk after liver transplant surgery. These clots can travel to vital organs like the lungs, leading to a pulmonary embolism. To prevent this, blood-thinning medications are often prescribed to reduce clot formation.

Cancer Recurrence

For patients who have undergone liver transplantation due to liver cancer, there is a risk that the cancer could recur in the liver or other parts of the body. Ongoing monitoring and screenings are essential to detect any recurrence of cancer early.

Chronic Rejection

Over time, chronic rejection can occur, where the liver’s function gradually declines despite immunosuppressive treatment. This long-term complication may require further treatments or, in some cases, a second transplant.

Liver Transplant Survival Rates

Liver transplant survival rates have greatly improved over the years due to advancements in surgical techniques, post-surgical care, and better management of immunosuppressive medications. These survival rates are important metrics for patients to understand the success and challenges of liver transplant surgery.

 

One-Year Survival Rate

The one-year survival rate for liver transplant recipients is generally around 85-90%. This means that most people who undergo liver transplant surgery will survive at least one-year post-operation. The early recovery period is often marked by significant improvements in the patient’s health and quality of life.

Five-Year Survival Rate

The five-year survival rate for liver transplant recipients typically ranges between 70-80%. After the first year, survival rates tend to stabilize, but long-term risks, such as rejection and infections, still need to be managed carefully.

Ten-Year Survival Rate

The ten-year survival rate for liver transplant recipients is usually between 60-70%. Although liver transplants offer long-term success, recipients must continue to follow medical guidelines, take medications, and monitor their health to reduce the risk of complications. The ongoing need for immunosuppressive drugs also plays a role in long-term survival.

Factors that can influence liver transplant survival rates include the patient’s overall health before surgery, the quality of the donor’s liver, and how well the patient adheres to the prescribed post-surgery care regimen. Advances in liver transplant surgery and medication management continue to improve survival rates and patient outcomes.

Conclusion

Liver transplant surgery offers a critical opportunity for individuals suffering from liver failure or liver disease to regain their health and quality of life. However, it’s important to be aware of potential liver transplant complications that can arise during and after the procedure. These complications can range from organ rejection to infections and bleeding, all of which require careful management.

The liver transplant survival rates provide a positive outlook for many patients, with most surviving at least a year after the surgery. Long-term survival is possible, though it depends on factors such as post-surgery care, adherence to medication regimens, and regular monitoring for complications. By understanding both the risks and the potential benefits, patients can approach liver transplant surgery with realistic expectations and a clear plan for recovery and long-term health management.

Prof. Faisal Dar in Rawalpindi – PKLI Rawalpindi Center Now Operational

Prof. Faisal Dar in Rawalpindi – PKLI Rawalpindi Center Now Operational

 

 In a bid to provide accessible and specialized care, the Pakistan Kidney and Liver Institute (PKLI), a renowned name in healthcare, has recently inaugurated its new facility in Rawalpindi. Located at the bustling Murree Road, the PKLI Rawalpindi Center brings world-class kidney and liver care closer to residents of the region.

Comprehensive Services Under One Roof

The PKLI Rawalpindi Center now offers both outpatient (OPD) and dialysis services, catering to the growing healthcare needs of the local population. The facility began providing OPD Clinic on November 11, 2024, every Monday from 9:00 a.m. to 5:00 p.m. This addition is a significant relief for patients who previously had to travel all the way to PKLI (Lahore) for consultations and checkups.

OPD by Prof. Faisal Dar

One of the most notable services at the PKLI Rawalpindi Center is the Outpatient Department (OPD) consultation provided by the renowned Prof. Faisal Dar in Rawalpindi. As a leading specialist and the pioneer of Liver Transplant in Pakistan, Prof. Dar’s presence at the center is a major advantage for patients in Rawalpindi and Islamabad.

His availability eliminates the need for residents to travel to Lahore for consultations, ensuring expert medical advice is just a short drive away. With his extensive experience and expertise, patients can trust they are receiving the highest standard of care right in their own city.

Dialysis Services: A Critical Need Addressed

Chronic kidney disease is a growing health concern in Pakistan. Dialysis is a lifesaving procedure for many patients, but its availability has often been limited to select urban centers. With its advanced dialysis services, the PKLI Rawalpindi Center is filling this gap, enabling patients to receive high-quality care without the stress of commuting long distances.

Future Plans: Expanding the Horizon of Care

While the current offerings of OPD and dialysis services are already a monumental step, PKLI has ambitious plans for the Rawalpindi Center. The management is working towards establishing an Operation Theater, which will further enhance the facility’s capabilities. Once operational, it will allow patients to undergo surgical procedures locally, reducing their dependency on moving miles away.

 

How to Access Care?

For patients seeking expert consultation, booking an appointment is simple. You can call 051- 9291659 (Ext 1121) to schedule an OPD visit. The facility’s central location on Murree Road makes it easily accessible to residents of Rawalpindi, Islamabad, and neighboring areas.

Whether you are searching for Dr. Faisal Dar in Rawalpindi or Islamabad, the PKLI Rawalpindi Center brings his expertise closer than ever before.

Conclusion – A Step Towards Accessible Healthcare

The inauguration of the PKLI Rawalpindi Center underscores the institute’s commitment to providing quality care where it is needed most. This move not only saves time and travel costs for patients but also brings hope to those in dire need of specialized medical attention.

From consultations with Prof. Faisal Dar in Rawalpindi to top-notch dialysis services, the center is poised to become a beacon of hope for kidney and liver patients in the region. This initiative reflects PKLI’s vision of expanding its healthcare services, ensuring specialized medical services are accessible to those who need them most.

For more updates on PKLI’s facilities and services, stay connected and spread the word to ensure everyone benefits from this exceptional healthcare opportunity.

 

 

To Book an OPD Appointment, Call  051-9291659 Ext 1121

CAUSES OF PANCREATIC CANCER

CAUSES OF PANCREATIC CANCER

– ALL YOU NEED TO KNOW ABOUT THIS DEADLY DISEASE –

 Pancreatic cancer is among the deadliest cancers, often termed the “silent killer” because it progresses with minimal symptoms in its early stages. It is crucial to understand the causes of pancreatic cancer to raise awareness, encourage preventive measures, and improve early detection. This blog explores the major risk factors and underlying causes behind this aggressive disease, offering valuable insights for better health awareness.

Understanding Pancreatic Cancer

The pancreas is a gland behind the stomach that produces digestive enzymes and hormones like insulin. Pancreatic cancer develops when abnormal cells in the pancreas grow uncontrollably, forming a tumor. This disease is categorized into two main types;

  • Exocrine Tumors

These affect the cells that produce digestive enzymes and account for most pancreatic cancer cases.

  • Endocrine Tumors

A rarer form, involving hormone-producing cells.

This disease often remains undetected until it reaches advanced stages. It is so because early symptoms like abdominal pain, jaundice, and weight loss are either absent or non-specific.

Understanding the Causes of Pancreatic Cancer

While the exact causes of pancreatic cancer remain unknown, several factors contribute to its development and progression. These factors include genetic traits, lifestyle choices, medical conditions, and environmental exposures.

1.      Genetic Factors

Some cases of pancreatic cancer arise due to inherited genetic mutations. These mutations can interfere with normal cell growth and division, leading to pancreatic cancer.

Family History

A strong family history of pancreatic or related cancers (e.g., breast or ovarian cancer) increases the chances of one suffering from pancreatic cancer.

Inherited Conditions

Syndromes like hereditary pancreatitis, caused by genetic mutations, are strongly linked to pancreatic cancer risk.

2.      Lifestyle Factors

Unhealthy lifestyle choices are among the most preventable causes of pancreatic cancer.

Smoking

Smoking doubles the risk of pancreatic cancer compared to non-smokers, making it one of the most significant risk factors.

Unhealthy Diet

Diets high in red or processed meats and low in fruits, vegetables, and whole grains can certainly increase the pancreatic cancer risk.

Obesity

Excess body fat causes and promotes chronic inflammation, which may also contribute to the cancer development in the pancreas.

Alcohol Abuse

Heavy alcohol consumption can lead to chronic pancreatitis, a known precursor to pancreatic cancer.

3.  Medical Conditions

Certain health issues are strongly associated with the development of pancreatic cancer

Chronic Pancreatitis

Prolonged inflammation of the pancreas is a well-known risk factor.

Type 2 Diabetes

Long-term diabetes is closely linked to pancreatic cancer, though it can also serve as an early symptom.

  1. Pylori Infection

Persistent bacterial infections in the stomach have been linked to an increased risk of cancer in the pancreas.

 

4.  Environmental Factors

Exposure to harmful substances in the environment or workplace also contributes to the causes of pancreatic cancer.

Toxins & Chemicals

Prolonged exposure to pesticides, petroleum products, and industrial chemicals can elevate cancer risk.

Radiation

Excessive radiation exposure, whether medical or occupational, is another potential factor.

How to Reduce the Risks of Pancreatic Cancer

Although not all risk factors are controllable, adopting healthier habits can lower them; Quit Smoking

This single step can significantly reduce your likelihood of developing pancreatic cancer. Ensure Balanced Diet

Add fruits, vegetables, whole grains, and lean proteins to your meals, and reduce the intake of processed and red meat.

Exercise Regularly

Maintaining a healthy weight and staying active lowers the risk of obesity-related cancers. Limit Alcohol

Moderate alcohol consumption can help prevent chronic pancreatitis and associated cancer risks.

Regular Health Checkups

Individuals with a family history or chronic medical conditions must ensure routine medical screenings and thorough examinations.

Conclusion

Understanding the causes of pancreatic cancer is essential for taking preventive steps and promoting early detection. While genetic factors cannot be changed, modifying lifestyle habits, addressing medical conditions, and avoiding harmful environmental exposures can help reduce the risk.

We must realize the undeniable fact that pancreatic cancer remains a formidable health challenge due to its late detection and aggressive nature. However, awareness and education about the causes of pancreatic cancer can empower individuals and societies to make informed choices about health-related matters.

Spread the word and encourage proactive measures to combat this deadly disease!

LIVER CANCER – RISK FACTORS & PREVENTIVE METHODS

Did you know? Liver cancer is one of the most severe and rapidly progressing types of cancer. Being one of the body’s vital organs, the liver plays a critical role in processing nutrients, removing toxins, and supporting digestion. When liver cancer develops, it compromises these essential functions which eventually leads to life-threatening complications. Understanding the top liver cancer risk factors and adopting preventive measures can certainly reduce the risk of developing this fatal disease.

Top Liver Cancer Risk Factors

  • Chronic Viral Hepatitis Infection

Chronic infections with Hepatitis B (HBV) & Hepatitis C (HCV) are among the leading liver cancer risk factors all over the world. Both of these viruses cause long-term liver inflammation, which can progress to liver fibrosis, liver cirrhosis & ultimately liver cancer. Preventing or treating such life-threatening infections earlier is crucial to minimizing liver cancer risk.

  • Cirrhosis

Liver Cirrhosis is a condition classified as scarring of the liver tissue due to long-term damage. This scarring can result from various factors, including viral hepatitis, excessive alcohol use, or non-alcoholic fatty liver disease (NAFLD). Cirrhosis causes grave damage to the liver, impairs liver function, and significantly increases the likelihood of developing liver cancer. Identifying the cause of cirrhosis and taking steps to manage it can help reduce this risk.

  • Excessive Alcohol Consumption

Excessive, long-term alcohol consumption, especially in the Western world, is a leading risk factor for liver damage. It often results in liver cirrhosis, which is again, one of the top liver cancer risk factors. Limiting alcohol intake or avoiding it entirely is a powerful way to protect your liver and reduce the risk of cancer development.

  • Non-Alcoholic Fatty Liver Disease (NAFLD)

NAFLD is identified as the accumulation of fats in the liver. It is common in people with obesity, type 2 diabetes, or metabolic syndrome. Moreover, NAFLD can also lead to non- alcoholic steatohepatitis (NASH) and cirrhosis, both of which significantly increase the liver cancer risk. Conversely, with necessary lifestyle modifications, healthy diet intake, and regular exercise, fatty liver can certainly be managed slowing down its progression.

  • Obesity & Diabetes

Obesity and type 2 diabetes are metabolic disorders that are highly linked with fatty liver disease, which is one of the top risk factors for liver cancer. High body fat accumulation in the liver provokes liver inflammation, potentially leading to fibrosis and cancer. Ensuring essential measures, such as maintaining a healthy weight, staying physically active, and managing blood sugar levels, help prevent unavoidable complications.

Preventive Methods for Liver Cancer

Adopting precautionary measures to prevent liver cancer involves both medical intervention and lifestyle modifications. Some of the preventive techniques are;

  • Vaccination for Hepatitis B

Vaccination is one of the most effective ways to prevent Hepatitis B (HBV) infections, which, as a result, significantly reduces the risks of liver cancer. Hepatitis B vaccines are widely available and are highly recommended, especially for those living in high- prevalence zones of Hepatitis B.

  • Regular Screening for Hepatitis C

As of now, unlike Hepatitis B, there is no vaccine available for Hepatitis C. However, early detection through regular screening can help detect, manage, and treat HCV infections, before they lead to irreversible liver damage. Timely treatment of Hepatitis C can drastically reduce the risks of liver cancer, particularly among high-risk groups.

  • Limiting Alcohol Intake

Reducing or refraining from alcohol helps prevent the development of liver cirrhosis and shields the liver from further damage, which, in return, lowers the risk of liver cancer. For those struggling with alcohol dependency, seeking medical or therapeutic support can be instrumental in avoiding alcohol consumption.

  • Healthy Diet & Weight Management

A balanced diet rich in vegetables, whole grains, and lean proteins, and a diet low in added sugars and saturated fats, can certainly help maintain liver health while equally preventing obesity, diabetes, and fatty liver disease. Regular exercise and an active lifestyle also ensure overall health and support liver function.

Conclusion

Liver care is in your hands! Understanding the top liver cancer risk factors and taking preventive measures can significantly decrease the chances of developing liver cancer. While certain risk factors, like genetic predispositions, are beyond individual control, many lifestyle changes and medical interventions have been proven to be relatively effective in lowering the risk. By prioritizing liver health, individuals, especially those living in vulnerable settings, can certainly protect themselves against this serious and life-threatening disease.

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