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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
Dr mathew jacob medium

Dr. Charles Panackel

Consultant
Panikka medium

Dr. Kaiser Raja

Associate Consultant
Dr kaiser rajaaster cmi medium

Dr. Mallikarjun Sakpal

Associate Consultant
Dr mallikarjun sakpalaster cmi medium 190516 093955

Dr. Prakash Doraiswamy

Associate Consultant
Dr prakash doraiswamyaster cmi medium

Dr. Rajiv Lochan J

Associate Consultant
Dr rajeev lochanaster cmi medium

Dr. Sonal Asthana

Associate Consultant
Dr sonal asthanaaster cmi medium

Dr. Arun V

Associate Consultant
Dr arun vaster cmi medium

Dr. Anish G Nair

Specialist
Anish

Dr. Jithin Reji George

Specialist
Jithin

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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