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Unformatted text preview: In primary sclerosing cholangitis (PSC) and primary biliary cirrhosis (PBC), the bilirubin references are changed to reflect the fact that these diseases feature high conjugated bilirubin levels. The upper limit for 1 point is 68 mol/l (4 mg/dL) and the upper limit for 2 points is 170 mol/l (10 mg/dL). Interpretation Chronic liver disease is classified into Child-Pugh class A to C, employing the added score from above. Points Class Life expectancy Perioperative mortality 5-6 A 15-20 10% 7-9 B Candidate for transplant 30% 10-15 C 1-3 months 82% Other scoring systems Although the Child-Turcotte scoring system was the first of its kind in stratifying the seriousness of end-stage liver disease, it is by no means the only one. The Model for End-Stage Liver Disease (MELD) is used increasingly to assess patients for liver transplantation, although both scores seem to be more or less equivalent....
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- Spring '09