streamlined and accelerated. The recipient evaluation includes the investigation of four major areas:

i) Assessment of Etiology of Liver Disease

This aspect requires an adequate history, physical examination and laboratory testing.(Table 9.8) Radiologic imaging of the liver and endoscopic evaluation of the GI tract are also needed. A liver biopsy, obtained either percutaneously or via the transjugular route in patients with ascites and severe coagulopathy, can provide a definitive diagnosis and may be critical in selected patients with acute liver failure and for others in whom alcoholic hepatitis is suspected.

ii) Assessment of the Complications of Cirrhosis

Several complications of cirrhosis signal the need to proceed with liver transplantation and require selective diagnostic tests. The tools to complete such work-up are delineated in Table 9.9.

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