Best Doctors in India for Whipple Procedure
- 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 Whipple Procedure
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.
Whipple Procedure
Whipple procedure or pancreaticoduodenectomy is a medical procedure involving the removal of the head of the pancreas, the duodenum (first part of the intestine), the bile duct and the gall bladder.
Doctors perform this complex operation to treat tumors and disorders related to the intestine, pancreas and the bile duct. It is the most common surgical procedure for the treatment of pancreatic cancer that does not extend beyond the head of the pancreas. After the procedure, your doctor will reconnect the remaining organs to allow easy digestion of the food you eat after the surgery. The Whipple procedure is a lifesaving procedure for people suffering from pancreatic cancer.
Who needs the Whipple procedure?
Approximately 25% of the patients suffering from pancreatic cancer need the Whipple procedure. This is mainly because the tumors of these patients remain confined to the pancreas (head of the pancreas) and do not spread to the surrounding blood vessels, lungs, liver and/or the abdominal cavity. One can go for intensive testing to understand he or she needs the Whipple procedure. In some cases, the doctors perform laparoscopic Whipple procedure by making several small incisions rather than a single large incision. Ultimately, there is lesser blood loss, quick recovery, a short stay at the hospital and fewer complications.
Around 40% of the patients are diagnosed with tumors when they spread beyond the pancreas and are not eligible for the Whipple procedure. However, it is an option rarely for 40% of the patients having a locally advanced disease that continues to spread to the nearby areas or for the patients whose tumors continue to spread to the tail or body of the pancreas.
When should you opt for the Whipple procedure?
Whipple procedure is an option for you if cancer of any other disorder affected your duodenum, pancreas or bile duct. The Whipple procedure is done for cancer for the removal of the tumor and to prevent the growth & spread of the tumor to the surrounding organs. Pancreas, present behind your stomach in the upper abdomen, works with the ducts and the liver carrying bile. The enzymes secreted by the pancreas held in the digestion of food. It also secretes hormones that help to regulate your blood sugar level. Your doctor will recommend the Whipple procedure to you if you have:
- Pancreatic cysts
- Pancreatitis
- Bile duct cancer
- Small bowel cancer
- Other disorders or tumors that involve your pancreas, bile ducts or duodenum.
- Pancreatic cancer
- Pancreatic tumors
- Ampullary cancer
- Neuroendocrine tumors
- Trauma to the small intestine or the pancreas
What to expect?
Before the procedure
You need to check-in and register on the day of the surgery. The staff at the hospital will confirm your appointment, procedure, timings and your appointed surgeon. Your nurse will ask you to change and wear a surgical gown for the surgery. Your doctor will put up an intravenous line (IV line) into the vein of your arm before the surgery. He or she will inject medications and fluid into your veins through the IV line. If you are nervous, then your doctor may also give you some medications to relax you. He or she may place you under an epidural catheter or a spinal injection apart from local nerve blocks in your abdominal wall. This helps in easier and faster recovery without causing any discomfort or pain to you after the surgery. This also decreases the amount of medication for narcotic pain that you may need.
During the procedure
The team will take all the necessary measures and follow all the protocols to ensure that you have effective and safe surgery. The team comprises of pancreatic surgeons, anesthesiologists & anesthetists, specialized surgical nurses, nurses and doctors trained for the surgery. They will administer anesthesia (sleeping medicine) to you.
After you sleep, the doctors will place additional intravenous lines along with other monitoring devices according to the complexity of the condition and your overall health. The team will then, insert a urinary catheter into your bladder. It will drain urine during the surgery and after the surgery. You can remove it after one to two days from the day of surgery. The surgery may require around 6-12 hours which depends on the approach the team is using and the complexity of the surgery. Done under general anesthesia, you will be unaware and fell asleep during the Whipple procedure.
Your surgeon will make an incision or cut in your abdomen to gain access to your internal organs. The size of the incision and its location will depend on the particular situation and the approach of your surgeon. Your surgeon will remove the duodenum (the beginning of the small intestine), the bile duct, the head of the pancreas and the gall bladder in the Whipple procedure. He or she may also remove a part of your stomach or the nearby lymph nodes. Your doctor may perform some other type of pancreatic operations also that depends on the situation.
After the procedure
Most of the people directly shift to the general ward after the surgery for their recovery. The team will monitor your condition and the improvements in your health regularly at various times of the day. Furthermore, they will carefully look out for any complications or signs of infection. Some people even get to walk out of the hospital on the day of the surgery. For your overall recovery, you may expect to stay at the hospital for a week. If your case is complex or you have certain medical conditions, the doctor will admit you to the ICU after the surgery. The nurses in the ICU will regulate your condition and watch for complications if any. The team will give you medications, fluids and nutrition through intravenous (IV) lines.
A urinary catheter will drain urine from the urinary bladder while other tubes will drain blood and fluid from the surgical area. People suffering from particular health conditions or old adults may need to stay in a rehabilitation facility for a few days. Many people can perform their routine activities within four to six weeks from the day of surgery. Your physical condition before the surgery and the complexity of the operation will govern the time required by you for recovery.
Risks
The Whipple procedure is a complex operation that involves open surgery in many cases. There are associated risks during and after the procedure. These risks may be:
- Infection at the site of the incision or within your abdomen
- Weight loss after the surgery
- Development of the fistulas or false channels
- Leakage from the connection of the bile duct or the pancreas
- Bleeding at the site of the surgery
- Diarrhea for two to three months
- Diabetes because of the removal of excess insulin-producing cells from the pancreas.
- Delayed stomach emptying which makes it difficult to keep food down or to eat.
If a highly experienced surgeon is performing the procedure then there are fewer chances of complications. You must ask your surgeon about his or her experience apart from their hospital’s experience regarding Whipple procedure and operations related to the pancreas.