Best Doctors in India for Liver Cirrhosis treatment
- Liver Transplant Surgeon and HPB Surgeon, New Delhi, India
- Over 20 years’ experience
Profile Highlights:
- With over 20 years of experience in performing complex operations for cancer, and other diseases involving the pancreas, liver, and gall bladder, Dr. Anupam Saha has been the foremost gastro intestinal and Hepato-Pancreato-biliary surgeon of the Indian Armed Forces.
- He did a 1-year fellowship in Liver Transplantation as well, at King’s College Hospital, London.
- For his service, Dr. Anupam Saha has also been awarded the Vishist Sewa Medal by the Armed Forces.
- Liver Transplant Surgeon & HPB Surgeon, Noida, India
- Over 17 years’ experience
Profile Highlights:
- Dr. K R Vasudevan is a surgical gastroenterologist who has been trained at one of India’s best hospitals. Over a short span of 17 years, his career has progressed to the role of leading a team.
- He has established and sustained a liver transplant program at PSRI over the last few years. Due to his experience with over 1200 live donor liver transplants, he was selected for this role.
- HBP & Liver Transplant Surgeon, Bengaluru, India
- Over 35 years’ experience
Profile Highlights:
- Dr. Sanjay Govil is an accomplished HBP & Transplant Surgeon. He completed FRCS from the Royal College of Surgeons in England.
- He has achieved a few major accomplishments throughout his life as well, which include the First Liver Resection in Karnataka, in 2007, First Laparoscopic Liver Resection in a Cirrhotic Liver in Karnataka in the year 2008, First Laparoscopic Pancreatic duodenectomy in Karnataka in 2008, First ALPPS procedure in India in 2012 and several more.
- He trained in liver surgery and transplantation at Kings College Hospital in London, Queen Mary’s Hospital in Hong Kong, and the Graduate School of Medicine in Tokyo.
- Hepatologist & Gastroenterologist, Chennai, India
- Over 18 years’ experience
Profile Highlights:
- Dinesh Jothimani is a Hepatologist and Gastroenterologist with over 18 years of experience.
- He completed his MRCP (UK) from the Royal College of Physicians, London in 2004.
- Dr. Dinesh Jothimani is a liver specialist trained in the UK and Australia. He cares for his patients who suffer from liver diseases and performs skillful liver transplants.
- Senior Consultant - Hepatology and Liver Transplant, Mumbai, India
- Over 13 years’ experience
Profile Highlights:
- Dr. Uday Sanglodkar is a highly motivated and compassionate medical gastroenterologist with experience in hepatology/transplant hepatology.
- Dr. Uday Sanglodkar has vast experience in pre and post-liver transplant care, liver intensive care management, and evidence-based management of gastrointestinal and liver diseases.
- Dr. Sanglodkar is also an expert at diagnostic and therapeutic gastrointestinal endoscopy.
- Liver Transplant Surgeon, New Delhi, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Sanjiv Saigal is a trained Hepatologist who has spearheaded the medical team of liver transplantation in the largest liver transplant program in India for over a decade
- Dr. Saigal is a bright name in the field of Gastroenterology and a famous liver transplant specialist with over 3400 successful Liver Transplants in his career.
- Medical Gastroenterologist, New Delhi, India
- Over 54 years’ experience
Profile Highlights:
- Dr. Sohan Lal Broor is a Gastroenterologist and has an experience of 54 years in this field. Dr. Broor practices at Indraprastha Apollo Hospitals in New Delhi.
- He completed MBBS from Panjab University in 1967, MD – Medicine from PGIMER, Chandigarh in 1972, and DM – Gastroenterology from PGIMER, Chandigarh in 1974.
- Dr. Sohan Lal Broor is a member of the 2-Year Fellowship in Gastroenterology at Medical College Of Wisconsin, Milwaukee, USA.
- Some of the services provided by Dr. Broor are Irritable Bowel Syndrome ( IBS ) Treatment, Peptic/ Gastric Ulcer Treatment, Inflammatory Bowel Disease (IBD) Treatment, Hemorrhoids Treatment, and Gastritis Treatment.
- Surgical Gastroenterologist, Chennai, India
- Over 22 years’ experience
Profile Highlights:
- Dr. Jameel is an internationally acclaimed GI and Minimal Access Surgeon from India with more than 22 years of experience.
- He underwent higher surgical training and Oncology research in Yorkshire. Dr. Jameel also did Robotic Surgical training at the University College Hospitals, London.
- Following his successful completion of training and obtaining CCT, he practiced at MidYorkshire Hospitals. In addition to consultation, he was an educational supervisor and provided surgical training to many surgeons.
- Surgical Gastroenterologist, Chennai, India
- Over 41 years’ experience
Profile Highlights:
- Dr. Bala Chandran T G is a veteran gastroenterologist with over 41 years of experience.
- Apart from completing his MBBS, MS, and MCh, he has done a fellowship from the Royal College of Surgeons of Edinburgh, the UK.
- He obtained training in laparoscopic techniques from Ethicon Endosurgery Institute, Mumbai.
- Dr. Bala Chandran T G has done much research, authored, and published several articles in many publications.
- Surgical Gastroenterologist, Chennai, India
- Over 48 years’ experience
Profile Highlights:
- Dr. Prasanna Kumar Reddy is a veteran gastroenterologist in Chennai.
- Along with MBBS and DNB in surgery, he has a Diploma in Laparoscopy from Strasbourg.
- Over the years, Dr. Prasanna Kumar Reddy has gained enough recognition and appraisals for his treatment methods and has become one of the most preferred doctors.
Best Hospitals in India for Liver Cirrhosis treatment
Wockhardt Hospitals, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
- Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
- Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
- Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
- The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
- It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.
Pushpawati Singhania Hospital & Research Institute, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
W Pratiksha Hospital, Gurgaon
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
Narayana Superspeciality Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
Sir Ganga Ram Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
CK Birla Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
- The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
- The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.
KIMS Hospital, Hyderabad
- City: Hyderabad, India
Hospital Highlights:
- KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
- The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
- The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
- The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
- The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.
Fortis Hospital, Shalimar Bagh
- City: New Delhi, India
Hospital Highlights:
- Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
- Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.
Reliance Hospital, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
- The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
- The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery
Lilavati Hospital & Research Centre, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
- Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
- The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
- The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.
Cirrhosis
Cirrhosis is a late stage of the fibrosis or scarring of the liver. Many liver diseases or conditions like chronic alcoholism or hepatitis result in cirrhosis. Whenever any disease or excess consumption of alcohol damages your liver, it tries to undergo repair. The scar tissue forms during this process. With the advancement of cirrhosis, more scar tissue develops so that the liver functioning becomes difficult. This condition is decompensated cirrhosis. Advanced cirrhosis may turn out to be life-threatening.
Causes of Cirrhosis
A wide range of conditions and diseases cause cirrhosis by damaging the liver. Some of the causes enumerated are:
- Hemochromatosis or iron buildup in the body
- Alpha-1 antitrypsin deficiency
- Chronic alcohol abuse
- Inherited sugar metabolism disorders like glycogen storage disease or galactosemia
- Nonalcoholic fatty liver disease accumulates fat in the liver
- Chronic viral hepatitis like hepatitis B, C, and D
- Cystic fibrosis
- Biliary atresia in which there is a poor formation of bile ducts
- Infections like brucellosis or syphilis
- Primary biliary cirrhosis or destruction of the bile ducts
- Alagille syndrome that is a genetic digestive disorder
- Primary sclerosing cholangitis in which there is scarring and hardening of the bile ducts
- Autoimmune hepatitis where the body’s immune system causes liver disease.
- Medications like isoniazid and methotrexate
Symptoms of Cirrhosis
Cirrhosis does not show signs or symptoms until extensive liver damage. The signs include:
- Yellow discoloration in the eyes and the skin
- Swelling called edema in the legs, ankles, and feet
- Easy bruising and bleeding
- Spiderlike blood vessels on your skin
- Nausea
- Fatigue
- Itchy skin
- Redness in the palms of the hands
- Loss of appetite
- Weight loss
- Absence of menstrual cycle in women, not related to menopause
- Gynecomastia (breast enlargement) or testicular atrophy in men
- Fluid accumulation in the abdomen called ascites
- Drowsiness, confusion & slurred speech
Diagnosis of Cirrhosis
People don’t experience any symptoms in the early stages of liver cirrhosis. Most commonly, doctors detect liver cirrhosis through checkup or routine blood tests. They carry out a combination of imaging tests and laboratory tests to confirm the diagnosis.
Imaging Tests
It includes magnetic resonance elastography (MRE). This advanced imaging test is non-invasive and detects the stiffening or hardening of the liver. Some other imaging tests are MRI (magnetic resonance imaging), CT (computed tomography), and ultrasound.
Laboratory Tests
Your doctor may recommend some blood tests to you to check for the signs of malfunctioning in the liver like excess bilirubin. He or she may also check for specific enzymes indicating liver damage. The doctor will also check for creatinine in your blood as it helps to assess kidney function. You might also need to undergo screening for the hepatitis virus.
The doctor may also check your International Normalized Ratio (INR) to test the clotting ability of your blood. The blood test results will help your doctor to diagnose the underlying causes of cirrhosis of the liver. It also reveals the severity of the cirrhosis of the liver.
Biopsy
If you have cirrhosis, your doctor will recommend biopsy. Although a tissue sample or biopsy is not necessary to form a diagnosis, your doctor may use it for identifying the cause, extent & severity of the liver damage in your body and plan the treatment accordingly.
Your doctor would recommend regular diagnostic tests to monitor the signs of the disease as it advances and to identify the complications, like liver cancer & esophageal varices. These days, non-invasive tests are widely available to the doctor for the purpose of monitoring.
Treatment Options for Cirrhosis
The cause and extent of damage to the liver by the disease is a key component in deciding the treatment for liver cirrhosis. The primary aim of the treatment is to slow down the advancement of the scar tissue in the liver and to either prevent or treat the symptoms & complications of the liver cirrhosis. Serious liver damage may require you to hospitalize.
It is possible to minimize the damage to the liver in early cirrhosis if your doctor treats the underlying cause.
Treatment for alcoholism
People suffering from cirrhosis due to alcohol dependency must stop drinking alcohol. Your doctor may recommend a treatment program to get rid of alcohol. If you are suffering from cirrhosis, it is critical that you stop drinking immediately as even a slight amount of alcohol is toxic to your liver.
Weight loss
People suffering from cirrhosis due to nonalcoholic fatty liver disease may become healthy if they control the blood sugar levels in their body and try to lose their weight.
Medications
Medications are for controlling hepatitis. Medications have the potential to limit further damage to the liver cells caused due to hepatitis B or C through the particular treatment for these viruses.
Medications for other causes
They slow down the advancement of liver cirrhosis by delaying progression to cirrhosis.
Treatment options for the complications
Excess fluid in the body
Medications and a low-sodium diet prevent fluid buildup in your body and help to control swelling & ascites. Your doctor may drain the fluid or perform surgery to relieve the pressure if there is severe fluid buildup.
Portal hypertension
Some blood pressure medications control portal hypertension and prevent severe bleeding in your body.
Infections
If you are suffering from infections, then you may receive antibiotics for the same. You may also need to take vaccinations for influenza, hepatitis, and pneumonia.
Hepatic encephalopathy
Your doctor may prescribe medications for reducing the toxin buildup in your blood that occurs due to poor liver function.
Increased cancer risk
You may need to undergo periodic blood tests and ultrasound examinations for the detection of signs for liver cancer.
Liver transplant surgery
When the liver fails to function in advanced cases, your doctor will recommend a liver transplant surgery. It replaces your liver with a healthy one from a deceased donor.
Potential treatments
There is a continuous research for the expansion of current treatments for liver cirrhosis. A combination of regular screening, medications, and lifestyle changes may improve the results for people suffering from liver damage.