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Integrated Liver Care

The Integrated Liver Care Unit at Aster Medcity offers highly-advanced services for comprehensive management of complex liver diseases and hepato pancreato biliary diseases in both adults and children. The outstanding team of Doctors comprising Hepato Pancreato Biliary & Abdominal Multi-Organ Transplant Surgeons, Hepatologists, Pancreato Biliary Endoscopy experts, Hepato Biliary Radiologists/Interventional Radiologists and Liver Transplant Anesthesiologists have a collective experience of more than 2600 liver transplants, 200 pancreas and 4000 complex liver, biliary and pancreatic surgeries.

Aster Medcity is the first hospital in the world to perform a simultaneous live-donor liver and kidney transplant on a 20-month old toddler weighing just 7 kilograms and simultaneous liver transplants in one-year old identical twins who suffered liver failure due to accidental poisoning - a first-of-its-kind case in the world.

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The Integrated Liver Care Unit at Aster Medcity offers highly-advanced services for comprehensive management of complex liver diseases and hepato pancreato biliary diseases in both adults and children. The outstanding team of Doctors comprising Hepato Pancreato Biliary & Abdominal Multi-Organ Transplant Surgeons, Hepatologists, Pancreato Biliary Endoscopy experts, Hepato Biliary Radiologists/Interventional Radiologists and Liver Transplant Anesthesiologists have a collective experience of more than 2600 liver transplants, 200 pancreas and 4000 complex liver, biliary and pancreatic surgeries.

Aster Medcity is the first hospital in the world to perform a simultaneous live-donor liver and kidney transplant on a 20-month old toddler weighing just 7 kilograms and simultaneous liver transplants in one-year old identical twins who suffered liver failure due to accidental poisoning - a first-of-its-kind case in the world.

ADULT HEPATOLOGY

Outpatient Services

  • Consultation
  • Liver ultrasound
  • Fibroscan
  • Liver biopsy/FNAC
  • Ascitic tap
  • Endoscopy
  • Liver transplant assessment

Speciality Clinics

  • Viral Hepatitis
  • Auto immune liver disease
  • Jaundice
  • Liver transplant
  • Liver transplant assessment
  • Post liver transplant
  • Complex liver diseases
  • Chronic liver diseases
  • Fatty liver/NASH
  • Alcoholic liver diseases
  • Alcoholic de-addiction

Specialised Services

  • Endoscopy - band ligation, glue injection, sclerotherapy, ERCP
  • Dedicated liver ICU manned by liver intensivists, trained nurses
  • Liver biopsy/FNAC
  • Transjugular liver biopsy
  • TIPS (Transjugular Intrahepatic Shunt)
  • BRTO (for bleeding)
  • TACE
  • TARE (Rhenium/Y90)
  • Radio frequency ablation (RFA)
  • EBRT (radiotherapy)
  • Multidisciplinary care for alcoholic liver diseases
  • Advanced therapeutic interventions for liver tumours
  • Liver intensive care for acute liver failure
  • Dedicated liver ward for decompensated liver diseases
  • Pre and post liver transplant care

TRANSPLANT HEPATOLOGY

  • Pre-liver transplant assessment
  • Transplant counselling
  • Nutrition optimisation
  • Infection screening
  • Preventive vaccinations - Hepatitis B/A
  • Annual post -transplant evaluation
  • Live and deceased donor liver transplantation

PAEDIATRIC HEPATOLOGY

  • Assessment of neonatal jaundice
  • Management of congenital liver diseases
  • Biliary atresia management
  • Paediatric liver transplant
  • Live and deceased donor transplant
  • Paediatric hepato oncology

HEPATOBILIARY ENDOSCOPY

Upper GI endoscopy

  • Variceal ligation (banding)
  • Glue injection
  • Sclerotherapy
  • Esophageal stents for bleeding

ERCP

  • For stones, strictures
  • Metallic stent palcements
  • Spy glass cholangioscopy

Endoscopic Ultrasound (EUS)

  • Diagnostic
  • Staging
  • Therapeutic

HEPATO PANCREATO BILIARY SURGERY

Day care surgery/procedures for

  • Liver abscess drainage
  • Pain relief from cancer
  • Pain relief for chronic pancreatitis
  • Gall bladder surgery

Liver Resection For

  • Primary liver cancers (HCC)
  • Hilar Cholangio carcinomas
  • Secondary liver tumours
  • Bile duct cancers
  • Gall baldder cancers
  • Benign liver tumours - Adenoma

Biliary Surgery

  • Bile duct injury - biliary reconstruction
  • Choledochal cyst
  • Biliary strictures
  • Palliative bypass
  • Bile duct stones

Pancreatic Surgery

  • Whipple’s pancreaticoduodenectomy
  • Distal pancreatectomy
  • Frey’s procedure
  • Biopsy

Laparoscopic Hepato Pancreato Biliary Surgery

  • Major hepatectomy (liver resection)
  • Minor hepatectomy
  • Bile duct exploration for stones
  • Laparoscopy assisted tumour ablation/biopsy
  • Pancreatetctomy
  • Surgery for chronic pancreatitis
  • Minimally invasive necrosectomy

Robotic Hepato Pancreato Biliary Surgery

  • Hemi hepatectomy for liver cancers
  • Bile duct explorations
  • Bile duct reconstructions
  • Cholangiocarcinomas
  • Pancreatic resections
  • Splenectomy

Speciality Clinics

  • Liver tumour
  • Neuroendocrine
  • Sarcoma
  • Biliary cancer

Liver Trauma

24/7 on call services for management of injuries of the liver, including advanced intensive care management, interventional radiological and surgical treatment.

Hepato Biliary Oncology

Surgical/non-surgical management of complex hilar carcinomas, metastatic liver tumours, primary liver cancers, with a multidisciplinary approach.

MULTI-ORGAN TRANSPLANT

  • Liver transplant
  • Pancreas transplant
  • Abdominal multi-organ transplant

Liver Transplantation

  • Live donor liver transplantation
  • Deceased donor liver transplantation
  • Split liver transplantation
  • Combined dual organ transplantation
  • Multi visceral transplantation

Paediatric Hepato Pancreato Biliary /Liver Transplant

  • Liver transplant for Hepatoblastoma
  • Liver resection for primary liver tumour
  • Multidisciplinary treatment for Hepatoblastoma
  • Biliary Atresia
  • Biliary diversion for PFIC
  • Liver donor liver transplant

ADVANCED SUPPORT SERVICES

Hepatobiliary Radiology & Interventional Radiology

  • Advanced 3D imaging
  • Liver MRI
  • Percutaneous transhepatic biliary drainage and stenting for biliary strictures
  • Portal vein embolisation
  • Radiofrequency ablation of liver cancers
  • Intra operative Doppler studies
  • Transjugular liver biopsy
  • Hepatic venous pressure gradient measurements to assess portal hypertension
  • Transjugular intrahepatic portosystemic shunt (TIPS) for variceal bleeding

Nuclear Medicine

  • HIDA Scan (Hepatobiliary Scintigraphy)
  • Liver Spleen Scintigraphy
  • Techtenium RBC Labeled Blood Pool Scintigraphy
  • Yttrium 90 SIR Sphere Therapy for metastatic liver tumour patients who are no longer responding to chemotherapy/ those with primary liver care cancer that cannot be surgically managed
  • PET scan for cancer staging
  • TARE - Transarterial Radioembolisation (Rhenium/Y90-SIRT)
  • DOTA PET scan for neuro endocrine tumours

Hepato Pancreato Biliary & Transplant Pathology

  • Immunohistochemistry
  • Liver transplant pathology
  • Molecular diagnosis and genetic mutation analysis

Advanced Technology

  • Dedicated OR 1 Karlstorz fusion integrated transplant surgical suites
  • Green OT Certified Operation Theatres with autopilot anaesthesia
  • Dedicated ICCA (IntelliSpace Critical Care and Anaesthesia) transplant ICUs
  • Level 3 Paediatric ICU
  • India’s first independent ICUs with a view
  • Kerala’s first da Vinci Surgery Robot
  • Highly advanced Infection Control: Air is HEPA Filtered to 0.3 microns
  • India’s first flat panel bi-plane vascular hybrid cathlab
  • Kerala’s first fourth generation Time of Flight 16 Slide PET CT
  • GE SPECT-CT OPTIMA NM 640 Gamma Camera EPIQ
  • 3 Tesla Wide Bore Digital MRI
  • 256 slice Philips iCT scanner
  • State-of-the-art lab

NUTRITIONAL REHABILITATION

Expert clinical nutritionists to provide dietary advice/plan a healthy, balanced diet for the patient.

TRANSPLANT REHABILITATION

  • Physical therapy
  • Occupational therapy
  • De-addiction and rehabilitation for patients with substance abuse
  • Psychotherapy and behavioural therapy
  • Counselling services
  • Quality of life assessment pre and post-transplant

TRANSPLANT COORDINATORS (FOR LIVER & PANCREAS TRANSPLANT)

  • Pre-transplant clinic visits
  • Registration for transplants
  • Single point of contact
  • Post-transplant clinic visits
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Doctors

Dr. Mathew Jacob

Consultant
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Dr. Charles Panackel

Consultant
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Dr. Kaiser Raja

Associate Consultant
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Dr. Mallikarjun Sakpal

Associate Consultant
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Dr. Prakash Doraiswamy

Associate Consultant
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Dr. Rajiv Lochan J

Associate Consultant
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Dr. Sonal Asthana

Associate Consultant
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Dr. Arun V

Associate Consultant
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Facilities

Inpatient Facilities

Aster Medcity offers world-class inpatient care to its patients, with the support of an award-winning team of Nurses, Therapists and Technicians.

  • Wards, double rooms, standard rooms, executive rooms, deluxe rooms presidential suites
  • Dedicated ICUs
  • Independent ICUs with a view that minimise chances of infection and ICU psychosis
  • Dedicated cardiac surgery suites
  • Advanced infection control facilities
  • State-of-the-art cardiac imaging

Patient Stories & Case Studies

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