What is the workup process like?

There are many different tests and consults that will be performed to determine if you are a suitable candidate for liver transplantation. Below is a list of some of the tests that will be ordered as part of your evaluation. Other tests or consults may be ordered based on the results of these tests.

  • Blood/Urine/Stool tests - Blood tests and specimen collection to help assess your overall physical condition.
  • Colonoscopy – A procedure to screen your colon.
  • Endoscopy- A procedure to screen your upper gastrointestinal tract.
  • Chest X-ray - The test assesses the size of your heart and any lung abnormalities
  • MRI or CT Scan of Abdomen - Examines the kidneys, liver, and gallbladder for the presence of cysts, stones, lesions, portal vein patency, ascites, and or other abnormalities.
  • TB Skin testing - A small amount of solution is injected under the skin on your forearm to determine if you have been exposed to tuberculosis. 
  • Gynecological exam – All women will need a gynecological exam within the last year. Mammograms are also required for all women over age 40.
  • Pulmonary function studies - If you have a history of lung disease or tobacco use, your transplant work-up may include pulmonary (lung) function studies.
  • Cardiac tests – These tests will assess your heart function and will include an echocardiogram, and electrocardiogram (EKG or ECG).  A stress test and a cardiac catheterization are done if indicated.
  • Physical examination (gives the doctor an overall picture of the patient’s condition).

Everyone is different; therefore, every evaluation will be tailored to evaluate specific patient’s needs. Medical Review Board: When your evaluation is complete, your case will be presented to the Medical Review Board (the MRB).  The MRB consists of a multidisciplinary team of hepatologists, transplant surgeons, transplant coordinators, a dietician, social workers, financial counselor and consulting physicians.  The purpose of the MRB is to discuss each evaluant case by case and to determine possible candidacy. Recommendations may be made by the MRB prior to making a final decision for transplant eligibility. All evaluants will be notified via certified mail and contacted by their assigned coordinator of the MRB outcomes and recommendations.