Management of liver cirrhosis between primary care and specialists

Table 3 Current indications and contraindications to orthotopic liver transplantation in adult patients with liver cirrhosis

Indications	Contraindications
Advanced chronic liver failure	Relative
Child-Pugh score > 7	HIV seropositivity
Qualifying MELD score	Methadone dependence
	Stage 3 hepatocellular carcinoma
Acute liver failure	Absolute
Drug, toxins or virus induced fulminant hepatitis	Extrahepatic malignant disease
	AIDS
	Cholangiocarcinoma
	Severe, uncontrolled systemic infection
	Multiorgan failure
	Advanced cardiopulmonary disease
	Active substance abuse
General
No alternative available treatment
No absolute contraindications
Willingness to comply with follow-up care and family assistance

AIDS: Acquired immunodeficiency syndrome; HIV: Human immunodeficiency virus; MELD: Model for end stage liver disease.