Best Doctors in India for Liver Biopsy

Profile Highlights:

  • Dr. Yogesh Batra is one of the best medical gastroenterologists in New Delhi, India. He has been a practicing gastroenterologist for more than three decades. Currently, the doctor works at Indraprastha Apollo Hospital in New Delhi as a senior consultant and director in the Gastroenterology Department.
  • Dr. Batra specializes in therapeutic endoscopy (EUS, ERCP), hepatology, pancreatic disease, and inflammatory bowel disease (IBD). He has successfully performed a variety of diagnostic and therapeutic GI procedures on hundreds of patients throughout his career.
  • Dr. Yogesh Batra made important contributions to national and international periodicals as well as research. He wrote about 30 papers and 6 book chapters.

Profile Highlights:

  • Dr. Pawan Rawal continued to work in PGIMER, Chandigarh after completing his DM for the next few years and gained proficiency in clinical Gastroenterology, Hepatology, and its application to patient care.
  • He has performed several adult and pediatric upper G I endoscopies/ colonoscopies, ERCPs, capsule endoscopies, and push and double-balloon enteroscopy. Dr. Pawan Rawal is quite experienced in performing all kinds of therapeutic procedures.

Profile Highlights:

  • Dr. Subhash Gupta is one of the finest Gastrointestinal and Liver Transplant Surgeons in the country. He has garnered an outstanding reputation in the field of Biliary, pancreas, and liver transplantation.
  • He has conducted over 300 Living Donor Liver Transplants in the year 2013 each lasting 10-16 hours long.
  • Dr. Subhash Gupta is also known to pioneer the development of Living Donor Transplant or LDLT.

Profile Highlights:

  • Known to be a pioneer in the field of liver transplantation, Dr. Arvinder Singh Soin leads one of the world’s most successful liver transplant programs at Medanta. Currently, he is the Chairman of the Institute of Liver Transplantation and Regenerative Medicine, at Medanata- The Medicity, Gurgaon, India.
  • Quite renowned for having a 95 percent success rate, and having performed over 2500 liver transplants throughout his career, Dr. Arvinder Singh Soin was awarded the Padma Shri by the President of India, for his contributions to the field of Medicine.

Profile Highlights:

  • Dr. Vivek Vij is considered one of the most reputed liver transplant surgeons who has over 17 years of proficient experience and has performed multiple exemplary medical procedures involving advanced surgical skills that cover the entire gamut of gastroenterological surgeries.
  • Dr. Vivek Vij’s expertise lies in Adult & Paediatric Liver Transplant, Complex Liver Surgery, Advanced Pancreato-biliary Surgeries, Advanced Laparoscopic and Robotic Surgeries, Basic Science Research, and Regenerative Medicine. His outstanding expertise in liver transplant procedures has earned him many accolades and prestige.

Profile Highlights:

  • Dr. Avnish Kumar Seth is a well-renowned name in the field of gastroenterology. With fellowships in Liver transplant (Birmingham, UK) and Endoscopic ultrasound (South Carolina Alabama, USA), Dr. Avnish Seth’s areas of interest include treatment of hepatitis B, Hepatitis C, liver transplantation, and advanced GI endoscopic procedures.
  • Dr. Avnish Kumar Seth has over two decades of experience in Gastroenterology Hepatobiliary Sciences. An expert in Diagnostic Therapeutic GI Endoscopy, Colonoscopy, ERCP, and Liver Transplantation.

Profile Highlights:

  • Dr. Deepak Govil is one of the best Surgical Gastroenterologists in India, having over 29 years of experience in GI procedures. He has worked as a senior Gastro and laparoscopic surgeon at Indraprastha Apollo Hospitals.
  • Dr. Govil, the founder of PSRI’s Department of GI Surgery, has done a lot of significant GI surgical interventions.
  • He is well-known for having done liver transplants upon living donors. At Apollo Hospital, he has performed over 2000 surgeries that include the liver, gastrointestinal tract, and laparoscopic procedures.
  • In addition to his fieldwork, Dr. Govil has taught at prestigious medical institutes in Delhi.

Profile Highlights:

  • Dr. D K Bhargava is a Medical Gastroenterologist working at Indraprastha Apollo Hospitals, New Delhi.
  • He has 45 years of experience in his field.
  • Dr. Bhargava was a Professor of Gastroenterology at the All India Institute of Medical Sciences, New Delhi formerly.
  • Some of the services he provides are Colonoscopy, Gastroenteritis Treatment, Acidity Treatment, and Irritable Bowel Syndrome Treatment.
  • Exceptionally qualified Dr. D K Bhargava has received the Padma Shri Award and Dr. B C Roy National Award from the President of India.
  • He has published more than 150 articles, papers, and journals throughout his career.
  • He is a member of the American Gastroenterological Association, Indian Society of Gastroenterology and American College of Gastroenterology.

Profile Highlights:

  • Dr. Anupam Sibal is one of the best Pediatric Gastroenterologists in Delhi, having nearly 26 years of experience in treating GI and liver disorders.
  • He is a senior consultant for Pediatric Gastroenterology and Hepatology at Indraprastha Apollo Hospital, Delhi. Additionally, he is working as Group Medical Director of Apollo Hospitals.
  • He has expertise in Congenital Disorders Evaluation & Treatment, Growth & Development Management, injuries in children, and complete Paediatric health checkups.
  • Dr. Sibal went for International certifications and training to improvise.
  • Dr. Sibal won many National and International Awards for his excellent work.
  • Besides authoring 99 medical writing Dr. Sibal has written a bestselling book, “Is Your Child Ready to Face the World?” and edited/proofread a textbook on Gastroenterology & Hepatology.

Profile Highlights:

  • Dr. (Prof.) Mohamed Rela is known as one of the best liver transplant surgeons in the world. His name has also entered the Guinness Book of Records for performing liver transplantation of a 5-day-old baby.
  • With more than 30 years of experience, Dr. Rela is known as a pioneer in liver transplantation & hepatopancreatobiliary (HPB) surgery.
  • Dr. Mohamed Rela is the Chairman and Director of Dr. Rela Institute and Medical Centre, Chennai, India; and the Professor of Liver Surgery and Transplantation, at King’s College, Hospital in London as well.
  • During his career of almost 30 years, Dr. Rela has performed over 4500 liver transplantations worldwide.

Best Hospitals in India for Liver Biopsy

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Rela Hospital, Chennai

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi. With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru. It is one of the largest tertiary care private hospitals in India which was spread across 5 acres and has a capacity of 650 beds.
  • The hospital has 80 consultation rooms spread across two floors, especially for OPD services.
  • With one of the largest critical care programs, the hospital is equipped with 125 ICU beds specifically dedicated to the surgical, medical, neonatal, cardiac, pediatric, neuroscience and organ transplant units.

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Fortis Hiranandani Hospital, Mumbai

Hospital Highlights:

  • Fortis Hiranandani hospital was established in 2007.
  • The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
  • The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
  • The hospital is NABH accredited.
  • The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
  • The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.

LIVER BIOPSY

Liver biopsy is a medical procedure in which a small amount of liver tissue is removed surgically, to analyze it in the laboratory for signs of damage or disease. A liver biopsy is recommended if blood tests or imaging tests suggest that you might be having a liver problem. This procedure can also help in determining the severity of your liver disease.

Purpose

A liver biopsy is usually done for one of the following reasons:

  • To diagnose a liver problem which can’t be identified otherwise
  • Obtaining a sample of tissue from an abnormality which was found in an imaging study
  • Determining how severe the liver disease is
  • Monitoring the liver after a transplant
  • Helping develop efficient treatment plans based on the condition of the liver
  • Determining how well the treatment for your liver disease is working

 

A liver biopsy may be recommended if you have:

  • Abnormal liver test results without any explanation
  • Ongoing, unexplained fevers
  • A mass (tumor) or any other kind of abnormalities on your liver as seen on the imaging tests

 

A liver biopsy is also performed for diagnosis and staging certain liver diseases, including:

  • Nonalcoholic fatty liver disease
  • Autoimmune hepatitis
  • Alcoholic liver disease
  • Chronic hepatitis B or C
  • Primary biliary cirrhosis
  • Primary sclerosing cholangitis
  • Wilson’s disease
  • Hemochromatosis

Preparation

If you are pregnant or having a heart or lung condition, or are allergic to certain medications, you need to inform your doctor. If any blood tests are required, remember to get them done. It is important that you find out how long before the procedure you need to begin fasting. Arrange for a friend or family member as well, to ride you home after the procedure.

For the week before the procedure, you need to avoid aspirin or any products containing aspirin. Avoid all kinds of anti-inflammatory drugs as well such as ibuprofen and Advil, unless your doctor advises otherwise.

Procedure

A liver biopsy is usually done at the hospital or at an outpatient center. You need to arrive early in the morning. Your medical history will be reviewed by your healthcare team.

Before your biopsy, you will have an IV line placed into a vein in your arm, so that you can receive any kind of medications if or when needed. You might also be possibly be given a sedative in order to help you relax during the procedure.

Since you will need to remain in your bed for a few hours, use the toilet in advance if you need it.

There are different types of liver biopsy and the steps vary in each.

Percutaneous biopsy

Before beginning the procedure, your doctor will need to locate the liver by tapping on your abdomen or with the help of ultrasound images. Ultrasound might be used in certain situations during the biopsy so that the needle can be guided properly into your liver.

You will need to lay on your back and then position your right hand above your head on the table. A numbing medication will be applied to the area where the doctor will insert the needle. The doctor will next make a small incision near the bottom of your rib cage on the right side, after which he/she will be inserting the biopsy needle. The biopsy itself takes only a few seconds. You will need to hold your breath, as the needle passes in out and out of your liver.

Transjugular biopsy

You’ll need to lay on your back on an X-ray table. Your doctor will apply a numbing medication to one side of your neck, after which he/she will be making a small incision and then insert a flexible plastic tube into your jugular vein. The tube will be threaded down the jugular vein and then into the large vein in your liver (hepatic vein).

After this, your doctor will inject a contrast dye into the tube after which he/she will be making a series of X-ray images. The dye will show up on the images and allow your doctor to see the hepatic vein. Then a biopsy needle is threaded through the tube, after which one or more liver samples are removed. The catheter is removed carefully removed. The incision on your neck is wrapped with a bandage.

Laparoscopic biopsy

During a laparoscopic biopsy, you will most likely need general anesthetics. You will be positioned on your back on the operating table, and a small incision will be made by your doctor in your abdomen. Special tools will then be inserted through the incisions, which will include a tiny video camera for projecting images on a monitor in the operating room. The doctor will use the video images to guide the tools to your liver in order to remove samples of your tissue. After this, the tools will be removed and the incisions are closed with stitches.

After the Procedure

You will need to stay in a recovery room for up to 4 hours so that you can be observed. You might also experience slight pain or soreness at the biopsy site and dull pain in your shoulders or back. Pain medication can be prescribed if necessary.

Remember not to drive or operate machinery for at least eight hours after your procedure. Avoid taking aspirin or any products containing aspirin, or any kind of inflammatory drugs for at least one week after the procedure.

Avoid any kind of vigorous physical activity or heavy lifting for at least 24 hours for up to a week after the procedure. After some days, your doctor will be discussing the biopsy results with you.

Risks

Though a liver biopsy is a safe procedure when performed by an experienced doctor, there are few possible risks which can include:

  • Pain- Pain at the biopsy site is known to be the most common complication after the procedure. However, it is just mild discomfort. If the pain makes you too uncomfortable, you might receive narcotic pain medication.
  • Bleeding- Bleeding might also sometimes occur after a liver biopsy. If there is excessive bleeding, you might need to be hospitalized for a blood transfusion or surgery to stop the bleeding.
  • Infection- In rare cases, bacteria might enter the abdominal cavity or bloodstream.
  • Accidental injury to a nearby organ- In rare cases, the needle can also stick to another internal organ, such as the gallbladder or a lung, during the procedure.

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