Over half of the livers from live donors and 80 percent of the livers from cadavers are rejected because there is excess of fat accumulation in the organ, says top surgeons in India.
Doctors fear that the rise in obesity, diabetes and metabolic syndrome could increase the rate of rejection.
"A liver that's up to 20% fatty is accepted for donation. When a donor is diagnosed with 20-30% fat in the liver, we try to put him or her on special diet and strict exercise regimen to reduce the fat. But those with higher percentage of fat are outrightly rejected," said Dr Subhash Gupta, chief liver surgeon at Apollo hospital in New Delhi.
Indians who are lean may also have fatty liver said Dr Gupta. Fat is not accumulated in a healthy liver but in a disease. Fatty liver disease is caused due to high consumption of alcohol. Non-alcoholic fatty liver disease occurs due to diabetes and obesity.