Thanks to its dedicated, highly trained staff, University of Iowa Health Care has been a long-time liver transplant performance leader. Transplant patient care is provided by a team of specialists whose focus is the total well being of each patient before, during, and after transplantation.
Patients receiving liver transplants at UI experience a higher chance of getting transplanted within one year on the wait list compared to national averages, with patient survival rates among the best in the country.
Several of the team’s internationally recognized members have accepted leadership roles in organizations like the United Network for Organ Sharing, the American Society of Transplant Physicians, and the Transplantation Society.
All UI liver transplant patients receive efficient, individualized care from the moment of referral to the day they begin their post-transplant lives. This includes a rapid patient evaluation, a prompt decision regarding transplant status, and frequent follow-up communication with referring physicians.
We have developed a multidisciplinary hepatobiliary service to better care for patients with benign and malignant diseases of the liver and bile ducts, including metastatic disease to the liver. Represented on this service are surgeons, medical oncologists, hepatologists, gastroenterologists, radiation oncologists, interventional radiologists, body imaging radiologists and hepato-pathologists. The goal is to work with referring physicians in the community to coordinate the care of these challenging diseases and offer patients state-of-the-art care.
Common indications for liver transplant:
- Cirrhosis with any major complication, irrespective of current model end-stage liver disease/pediatric end-stage liver disease
- Acute liver failure
- Chronic liver disease which interferes with the patient’s quality of life
- Metabolic diseases remediable by transplant
- Primary liver cancer
- Polycystic liver diseases
- Cystic fibrosis
- Hereditary hemorrhagic telangiectasis
- Budd-Chiari syndrome
- Recurrent bacterial cholangitis
- Acute alcoholic hepatitis
- Primary non-function or hepatic artery thrombosis post-transplant
Referral for transplant
Any condition with a five-year mortality <50% (i.e. any decompensated cirrhosis or complication from cirrhosis) is an indication for referral for transplant.