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Refractory ascites and Sarcopenia: Hidden determinants of liver transplant outcome

Chairpersons - Dhiraj G Agrawal, Peeyush Varshney, Pooja Baliga, Sanjay Kumar Sharma, Sudeep Khanna

🗓️ 23 Nov 2025 🕒 9:50 - 11:05 📍Hall B

Theme - Recognize Early. Rehabilitate Well. Transplant Better.

Objectives -

1. Review tools to assess sarcopenia and frailty in cirrhosis and their role in transplant evaluation.
2. Understand how sarcopenia and refractory ascites influence liver transplant outcomes.
3. Explore prehabilitation strategies to improve post-transplant recovery and survival.

Integrating ascites and sarcopenia in transplant decision-making: Role of assessment tools

9:50 - 9:56 Introductory talk

Speaker: Amrish Sahney

Pre Liver Transplantation rehabilitation: Prehabilitation approach in Liver Transplant recipients and its impact on Post Liver Transplantation outcomes

9:56 - 10:21 Evidence based Panel Discussion

Moderator : Anil Arora

Panelists: Ankur Jain, Jaya Benjamin, Nipun Verma, Sandeep Sidhu, Somnath Chattopadhyay

Debate: Ascites destines patient for Liver Transplantation

10:21 - 10:40 Debate

For: Better to do early Liver Transplantation for optimal outcome

10:21 - 10:29 Debate- For

Speaker: Thiagarajan Srinivasan

Against: Medical management is no longer a bridge

10:29 - 10:37 Debate- Against

Speaker: Arka De

Rebuttal & Discussion

10:37 - 10:40

Case: “Refractory Ascites in Cirrhosis: Managing Beyond Diuretics”

Sub-topics:
1) Pathophysiology and modern management strategies (TIPS, albumin infusions, vasoconstrictors).
2) When to bridge to transplant and when to delist.
3) Impact of refractory ascites on perioperative mortality.

10:40 - 11:05 Case based panel discussion

Moderator : Pallavi Garg

Panelists: Basant Mahadevappa, Mukesh Kumar, Pawan Rawal, Rakesh Kumar Jagdish, . Naresh Agarwal

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