Joo Dong Jin
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2021 Jan 25;77(1):4-11. doi: 10.4166/kjg.2020.167.
The organ allocation system should be fair and efficient to predict the prognosis of patients with end-stage organ failure. The liver allocation system in Korea was changed to the model for end-stage liver disease (MELD) score system from Child-Turcotte-Pugh score-based status system in 2016. Since then, there have been some changes in matching liver graft to recipients in deceased liver transplantation. The severity of sickness of the end-stage liver failure patients has been increased in the MELD era than before. Since 2013, liver transplantation for alcoholic liver disease has been gradually increasing in Korea. We should take proper evaluation into consideration when we decide early liver transplantation particularly for patients with severe alcoholic hepatitis, who have a high MELD score. Above all, overcoming organ shortage, it is necessary for us to try to increase the number of deceased donors to meet the need for liver transplantation for end-stage liver disease patients.
器官分配系统应该公平且高效，以预测终末期器官衰竭患者的预后。韩国的肝脏分配系统于2016年从基于Child-Turcotte-Pugh评分的状态系统转变为终末期肝病模型（MELD）评分系统。从那时起，在已故肝脏移植中，肝脏移植供体与受体的匹配情况发生了一些变化。与之前相比，MELD时代终末期肝衰竭患者的病情严重程度有所增加。自2013年以来，韩国酒精性肝病的肝移植数量一直在逐渐增加。在决定早期肝移植时，尤其是对于MELD评分高的严重酒精性肝炎患者，我们应该进行适当的评估。最重要的是，为了克服器官短缺的问题，我们有必要努力增加已故供体的数量，以满足终末期肝病患者肝移植的需求。
