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BMJ 2003;327:676-679 (20 September), doi:10.1136/bmj.327.7416.676
James Neuberger, consultant physician1, David Price, professor of law2
1 Liver Unit, Queen Elizabeth Hospital, Birmingham B15 2TH, 2 De Montfort University, Leicester LE1 9BH
Correspondence to: J Neuberger j.m.neuberger@bham.ac.uk
Patients who need a new liver usually face a long wait. Some die before a suitable donor is found. Living liver donation is offered routinely in some countries. Should the United Kingdom follow suit?
| The first 150 words of the full text of this article appear below. |
Liver transplantation has become an accepted form of treatment for patients with end stage liver disease and those with an unacceptable quality of life because of liver disease. Despite government initiatives to increase donor rates and surgical innovations to maximise the use of existing donor livers, the number of donor organs is insufficient to meet the existing demand. Living liver donation has the potential to help mitigate the deficit and is offered routinely in many countries in North America, Asia, and continental Europe. Living liver donation is not routinely available in the United Kingdom, although a few living transplant operations have been done led by Roger Williams and Nigel Heaton.1 We believe that living liver donation should be available on the NHS, although it should not be adopted without full public debate and agreement because of the risks to donors.
The United Kingdom has no reliable information on requirements for
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