Hepatology

Gleneagles Global Hospitals, Lakdi-ka-pul, Hyderabad was started two decades ago, with a vision to offer advanced surgical gastro and comprehensive care for liver diseases including liver transplantation at affordable costs in India. Our country first successful cadaver liver transplant was done at this pioneering institute in February 2003.
Gleneagles Global Hospitals, Lakdi-ka-pul, Hyderabad was started two decades ago, with a vision to offer advanced surgical gastro and comprehensive care for liver diseases including liver transplantation at affordable costs in India. Our country first successful cadaver liver transplant was done at this pioneering institute in February 2003.

Overview of department

The liver is an important organ in the body. It is considered the chemical factory of the body. It is responsible for over 500 chemical reactions in the body. It also detoxifies toxins and helps them excrete out of the body through the bile. The Department of Hepatology and Liver Transplant centre at Gleneagles Global Hospitals is a one-stop solution for all problems related to the liver.

Our doctors are experienced and well trained. They work together and provide a care plan that not only identifies the patient’s illness but also address the emotional stress which is diagnosed when a person is suffering from liver disease. Our team specializes in diagnosing liver disease and provide modern treatment approaches with innovative techniques, even in difficult to treat situations.

symptoms

Diseases & Conditions we treat

The Department of Hepatology at Gleneagles Global Hospitals offers comprehensive treatment for all liver-related diseases. Some of the common liver related diseases include – hepatitis, jaundice, liver cirrhosis, liver failure, biliary cancer, fatty liver disease and others. An expert team of hepatologists and specialized staff work round the clock to deliver the best of care. The Department of Hepatology delivers excellent treatments and procedures for the following diseases.

  • Pediatric liver disease (especially metabolic liver disease and cholestatic jaundice)
  • Acute liver Failure
  • Acute-on-chronic liver failure
  • Cirrhosis liver with its associated complications (bleed, fluid accumulation, kidney dysfunction, altered sensorium)
  • Prolonged jaundice
  • Infiltrative disorders of liver
  • Hepatocellular carcinoma
  • Secondaries in Liver
  • Metabolic liver disease like Wilson Disease
  • Diabetes and liver related complication

Procedures

Interventional Radiology (under fluoroscopy and USG):

  • Percutaneous liver biopsy
  • Percutaneous trans-hepatic biliary drainage (PTBD)
  • Percutaneous cystic drainage (PCD)
  • Radio-frequency ablation (RFA)
  • Trans-arterial chemo-embolization (TACE)
  • Trans jugular intrahepatic Porto-systemic shunt (TIPS)

Endoscopy services:

  • Advanced diagnostic upper GI endoscopy, colonoscopy, enteroscopy.
  • Therapeutic endoscopy (EST, EVL, APC, Heater probe, glue injection, dilatation)
  • Emergency GI Bleed services (round the clock strictly maintaining door to needle time < 10 mins and door to scope time < 6 hours)
  • Endoscopic retrograde pancreato-cholangiography (Diagnostic and therapeutic)
  • Endoscopic ultrasound (Diagnostic)
  • Cholangioscopy (Diagnostic and therapeutic)

Day Care:

  • Post-intervention monitoring of patients as per protocol
  • Large volume paracentesis
  • Periodic albumin infusions

Liver nutrition services:

  • Body composition analysis
  • Protein content and salt content
  • Lifestyle modifications

Liver Rehab services

  •  Round the clock physiotherapy services for providing rehabilitation care for these sick and frail end stage liver disease patients

Psycho-social services:

  • Alcohol de-addiction clinics
  • Manage families of liver transplant patients on psycho-social issues to maintain compliance to drugs and follow up post-surgery

Advanced liver support systems:

  • Therapeutic plasmapheresis

Facilities

To develop a comprehensive care program for patients with liver diseases with evidence-based protocol driven management strategies and approach. It will also provide a platform for training and research opportunities especially in liver transplantation and liver regeneration.

Liver Clinic:

  • Specialized clinic to specifically cater to the needs of patients with liver and bilio-pancreatic diseases.
  • Virtual clinics (Tele-conferencing)

Intensive care Liver unit:

  • The multi-disciplinary approach to intensive care in liver disease is different from other diseases and it is a rapidly growing field with new opportunities.
  • New treatment algorithms developed for treatment of patients with acute liver failure, acute-on-chronic liver failure, hepatic encephalopathy and GI bleed.

Hepatic Hemodynamic Laboratory:

  • Trans jugular liver biopsy: Needed in patients with diagnostic dilemma but cannot undergo percutaneous liver biopsy due to ascites or coagulopathy or need simultaneous HVPG measurement.

  • Hepatic venous pressure gradient:
    • To risk stratify patients with liver cirrhosis
    • To measure hemodynamic response to beta-blockers
    • Part of pre-op evaluation of patients with cirrhosis going for surgery.
    • Part of pre-op evaluation of patients going for liver transplantation
    • Best surrogate marker of clinical events in hepatology
    • Gold standard for measurement of portal hypertension

Mobile Liver clinics as part of rural outreach programs (To start):

  • OPD
  • Viral hepatitis screening, USG abdomen
  • Mobile endoscopy

Liver transplantation:

  • The transplant team comprising of
    • Transplant surgeons
    • Hepatologists
    • Intensivists
    • Nutritionist
    • Transplant coordinators
  • Supportive services
    • General Medicine
    • GI Surgery
    • Infectious Diseases (Transplant service)
    • Pulmonology
    • Cardiology
    • Psychiatry
    • Nephrology
    • Neurology
    • Radiology (Diagnostic and interventional)

Every hour counts in the successful management of these complex and critically ill patients. Continuous monitoring and aggressive completion of necessary tests is essential to get these challenging patients to transplantation

why choose us?

Strong and committed team

Our liver team is fully committed to give 24 x 7 care for these critically ill liver disease patients to give timely attention and ensure the best outcomes.

Best Liver Intensive care unit

The liver ICU is designed as Kings College Hospital London. The highest standards of care are offered as per international recommendations in order to ensure quick and timely recovery.

Advanced infrastructure

This unit has the best infrastructure to run a successful liver transplant programs with best outcomes offering multidisciplinary care.

Liver helpline

The liver team with qualified and highly skilled manpower offers 24 x 7 emergency services for those with liver disease in order to ensure the best possible timely cure to save lives.

Our Team of Specialized Doctors

Dr Mettu Srinivas Reddy
MS, DNB, FRCS, PhD

23 Years of Experience Director – Department of Liver Transplantation & HPB Surgery

Dr K N Chandan Kumar
MD (Gen Med), DM (Hepatology)

10 Years of Experience Senior Consultant & Lead Transplant Physician

    Locate us

    GLENEAGLES GLOBAL HOSPITALS

    6-1-1070/1 to 4, Lakdikapul, Hyderabad,

    Telangana 500004

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