Thread by @GasBugZa

In the afternoon session on Liver Transplantation, the first talk is by Dr Lliam Brannigan @BranniganLliam, the head of the Transplant Critical Care Unit at Wits Donald Gordan Medical Centre.
#CCSSA2022 #critcare #FOAMcc

The global and local burden of liver disease is substantial, as a result of alcholic and viral liver disease. There are huge barriers to access to liver transplantation in Africa.
10.1111/liv.12884
#CCSSA2022

The programme at WDGMC has grown over the years, and the COVID pandemic has caused in shift, with an increase in the relative proportion of transplant cases that are the result of related living donors (as opposed to cadaveric donors).
#CCSSA2022

The relative proportion of state cases vs private cases are very different in the paediatric and adult cohorts at WDGMC. About 40% of paeds transplants are from the state sector, but only 5-10% of adults are.
#CCSSA2022

The ongoing problems and gaps (in liver transplantation in SA in general) are
- Access to Liver Transplant in SA
- Skill Development regarding Transplant
- Africa-based Research and Development
- Reduction of Need Gap (matching supply to demand)
#CCSSA2022