https://pubmed.ncbi.nlm.nih.gov/32969959/ Metabolic liver disease
J Pediatr Gastroenterol Nutr. 2020 Sep 22.

Living related Liver Transplantation for Metabolic Liver Diseases in Children
Vikrant Sood 1, James E Squires 2, George V Mazariegos 3, Jerry Vockley 4, Patrick J McKiernan 2

PMID: 32969959

Abstract

Metabolic liver diseases (MLDs) are a heterogenous group of inherited conditions for which liver transplantation can provide definitive treatment. The limited availability of deceased donor organs means some who could benefit from transplant do not have this option. Living related liver transplant (LrLT) using relatives as donors has emerged as one solution to this problem. This technique is established worldwide, especially in Asian countries, with shorter waiting times and patient and graft survival rates equivalent to deceased donor liver transplantation. However, living donors are underutilized for MLDs in many western countries, possibly due to the fear of limited efficacy using heterozygous donors. We have reviewed the published literature and shown that the use of heterozygous donors for LT is safe for the majority of MLDs with excellent metabolic correction. The use of LrLT should be encouraged to complement DDLT for treatment of MLDs.