TY - JOUR T1 - Recent advances in liver transplantation JF - Frontline Gastroenterology JO - Frontline Gastroenterol SP - 57 LP - 63 DO - 10.1136/flgastro-2020-101425 VL - 13 IS - 1 AU - N Thomas Burke AU - James B Maurice AU - David Nasralla AU - Jonathan Potts AU - Rachel Westbrook Y1 - 2022/01/01 UR - http://fg.bmj.com/content/13/1/57.abstract N2 - Liver transplant is a life-saving treatment with 1-year and 5-year survival rates of 90% and 70%, respectively. However, organ demand continues to exceed supply, such that many patients will die waiting for an available organ. This article reviews for the general gastroenterologist the latest developments in the field to reduce waiting list mortality and maximise utilisation of available organs. The main areas covered include legislative changes in organ donation and the new ‘opt-out’ systems being rolled out in the UK, normothermic machine perfusion to optimise marginal grafts, a new national allocation system to maximise benefit from each organ and developments in patient ‘prehabilitation’ before listing. Current areas of research interest, such as immunosuppression withdrawal, are also summarised. ER -