Liver Transplantation in Mexico

Abstract

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Liver transplantation in acute alcoholic hepatitis: should we say no?

“…According to the registry made by the National Transplant Center (CENATRA, Centro Nacional de Trasplantes), the number has increased from 25 in 1999 to 225 in 2019, with a total of 2585 transplants performed; of these, 92% were from cadaveric donor and only 8% from living donor. However, the incidence of chronic liver disease is increasing in the Mexican population and our liver transplantation program has one of the lowest rates per million inhabitants in the Americas 34, 35 .…”

Liver transplantation in Latin America: reality and challenges

“…The Mexican government has attempted to consolidate the public sector, but frequent reforms to health laws challenge continuity and progress. 9 According to the CENATRA, 249 patients were waiting for a LT and seven were waiting for a liver-kidney transplant until November 2023. 59…”

“… 8 However, infections as a cause of cirrhosis are expected to be surpassed by MASLD. 9 Importantly, cirrhosis is a leading cause of death in Latin America, ranking between fifth and tenth, and the cost of care for a patient with cirrhosis without a LT can be high. Namely, a Mexican cost-analysis performed at the Mexican Social Security Institute estimated that the lifetime cost to treat a patient with cirrhosis can be as high as $65,000 USD.…”

Trasplante hepático en hepatitis alcohólica aguda: ¿debemos decir que no?

“…De acuerdo con el registro realizado por el Centro Nacional de Trasplantes (CENATRA), el número se ha incrementado de 25 en 1999 a 225 en 2019, con un total de 2585 trasplantes realizados; de estos, el 92% fueron de donante cadavérico y solo el 8% de donante vivo. Sin embargo, la incidencia de enfermedades hepáticas crónicas está incrementándose en la población mexicana y nuestro programa de trasplante hepático corresponde a una de las tasas por millón de habitantes más bajas en América 34,35 .…”