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All Posts in Category: Liver Transplant Surgery

Diagnosing Liver Health – Fibroscan

Diagnosing Liver Health - Fibroscan :

Fibroscan is  a pain free,risk free and convenient way for diagnosing Liver fibrosis. A fibroscan can monitor the progression of an individual's liver disease and gives an accurate quantitative measure of success of treatment. It can also suggest life style modifications required for maintaining a healthy liver and ensure stopping further damage to already damaged liver.

Diagnosing Liver Health - Fibroscan :

Fibroscan is the latest technology for assessment of liver stiffness. Liver tissues are spongy naturally but in a diseased liver the spongy tissues undergoes fibrosis. A fibroscan is an instant ,non-invasive and painless diagnostic test for knowing liver health. The newer and latest versions of A Fibroscan machine can also measure Liver fat.

Advantages of Fibroscan Over normal ultrasound scan:

A normal ultrasound of liver can detect only tumors of liver ,Cysts, abscesses , structural lesions of liver and gallstones. Whereas a fibroscan can detect significant liver fibrosis even in early stage. It can also estimate liver fat accurately ,even in early stage.

Who can benefit from Fibroscan :

A fibroscan can diagnose liver health accurately for everyone but those who stand a high risk of liver tissue degeneration can benefit tremendously from a fibroscan.
  • People known to have chronic liver disease.
  • Frequent Alcohol consumers.
  • Obese or overweight people ( When body mass index is more than 23.5)
  • Abnormal liver function test.
  • Enlarged liver.
  • Diagnosed with fatty liver.
  • Diagnosed with hepatitis-B or Hepatitis-C infection.
  • Diabetics.
  • Family history of liver disease.
  • A possible Liver Donor.

Duration of Fibroscan:

No Hospitalization is required for fibroscan. It takes approx. 10 minutes and reports are printed immediately. A person can go to home immediately after a fibroscan as it is pain free and done without sedation.

How Fibroscan is done:

A person undergoing fibroscan lie on his/her back with right arm raised behind the head. The Technician operating Fibroscan applies a waterbased gel to skin of the person undergoing fibroscan. A fibroscan probe is placed with a little pressure at the abdomen of the person. The fibroscan probe sends a sheer wave into liver and the on board computer registers the data and values. Ten such readings are noted by placing the probe at different places and the average gives the result.

Who should be advised to not undergo a Fibroscan:

A Fibroscan is a generally safe diagnostic tool for diagnosing liver health but
  • Anyone who has implantable device such as a pacemaker or defibrillator.
  • Pregnant Females.
  • People with abdominal ascities.
Dr Pawan Rawal MBBS , MD, DM Gastroenterology  is Unit Head -Department of Gastroenterology , digestive and liver diseases at Artemis Hospital ,Gurgaon.  

 
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Hepatitis-C – Symptoms ,Diagnosis and Treatments.

Hepatitis-C - Treatment -Symptoms -Diagnosis.

Dr Pawan Rawal- Liver Disease Specialist | Gastroenterologist is one of the leading and most experienced Gastro. Physician of North India and is HOD - Hepatobiliary sciences and Gastroenterology at Artemis Hospital ,Gurgaon,India. A New generation Hospital with best Medical equipment and Best Liver transplant ICUs and Paramedical ICU staff in the country.

What is Hepatitis-C ?

Hepatitis C is a viral infection that infects liver and causes inflammation and scarring of normal liver tissues. If left untreated it may cause serious, life threatening damage to liver over a period of time. The prolonged and persisting inflammation in liver tissues may cause scarring of healthy liver tissues. An extensive scarring of Liver tissues leads to cirrhosis. It is this stage of chronic liver disease that starts affecting the life of the Infected. Chronic cirrhosis may also cause Cancer of Liver. Hepatitis-C can be cured in many cases with combination of drugs.Sometimes the treatment for cirrhotic liver is Liver transplant.

How one acquires Hepatitis-C Infection?

Hepatitis-C spreads through mingling of blood from a infected person to a healthy person.Usually it is percutaneous transmission of HCV from an infected person to a healthy person.Hepatitis-C is seven times more infectious than HIV. The most common cause of Hepatitis-C infection is Intravenous drug usage and infected needles (Injections). Unhygienic tattooing and body piercing centers which may use unsterile needles for the purpose,It may be transmitted from an infected mother to an unborn child,Very few and rare chances of transmitting through sexual intercourse,Using common household items like a shaving razor,Scissors,Manicuring equipments,tooth brushes etc., People who may have taken a blood transfusion before 1990,Hemodialysis,a medical procedure , an accidental injection needle prick from an infected person in a healthcare worker etc.

Who are at Risk of Hepatitis-C infection?

Healthcare workers,people who uses common shaving and hair cutting saloons,may be because of an infected razor or scissor,People who had a blood transfusion before 1992,people who had received hemodialysis on a machine which has dialysed an HCV infected person,elderly people who may have had a surgery before 1990. An unborn child whose mother may be HCV positive.

Symptoms Of Hepatitis-C:

Majority of people in early stages of Hepatitis-C Infection does not have noticeable symptoms.But once the disease progress the symptoms start appearing, are: The early symptoms appear in a very small infected population and may be because of other medical conditions too. Yellowing of Skin (jaundice) and whites of eye,Uncommon fatigue or general malice, Dark coloured urine,loss of appetite,fever,muscles and joint pains, Stomach ache etc. But in an advanced stage of disease the symptoms may include Itching and rashes on skin,Weight loss,Enlargement of breast in men(Gynecomastia),Easy bleeding and bruising of skin,Prolonged blood coagulation time ( time taken in stopping of bleeding from a wound is prolonged),swelling of feet,rashes on palms,fluid accumulation in stomach (ascites),appearance of spider web like blood vessels ( Spider angiomas),Kidney functions being derailed ( Cryoglobulinemia),persistent yellowing of skin and eye whites. More severe symptoms of chronic hepatitis-C include portal hypertension ,esophageal varices ( engorged veins in the swallowing tube) that may bleed suddenly,enlarged spleen that may result in anemia,fall in platelets count (thrombocytopenia) that makes the infected person prone to bleeding easily and prolonged time of stopping of bleeding and confusion,disorientation and even coma because of hepatic encephalopathy.

How Hepatitis-C is diagnosed?

HCV Antibody testing ,HCV viral load testing, HCV genotype testing for determining the treatment course and duration,and the possibility of curing the disease.Other tests may be done for a Hepatitis-C patient like LFT (liver function test) to determine the damage to liver,a liver biopsy to determine cirrhosis,imaging tests like ultrasound,CT scan and MRI to determine fatty liver and liver cancer.

Treatment of Hepatitis-C :

Treatment,duration and medication for Hepatitis-C depends on several factors. A gastro. Physician will consider all the aspects in every individual patient before prescribing a medicine or combinations of medicines. Some of the factors determining the course of treatment and management of Hepatitis-C are listed below:
  • Genotype of HCV.
  • Viral load ( The quantity of virus present in blood stream)
  • treatment history ( Previously treated or untreated patient)
  • degree of damage to liver (Cirrhosis).
  • status of patient,i.e., if patient is a liver transplanted patient or a candidate for a planned liver transplant in future.
  • Patient's general health and tolerability of treatment.
The invention and approval of sofosbuvir a new drug for treating Hepatitis-C infection have brought in a dramatic change in the outcome of treatment of HCV. Sofosbuvir can be used in combination with ribavirin or as a three drug combination of Sofosbuvir,pegylated Interferon Alfa and ribavirin. There are contraindications for Sofosbuvir and it should not be used as an empirical therapy for every Hepatitis-C patient.

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Liver Transplant in India

Liver Transplant in India | Best liver Transplant In India

Liver Transplant in India

Liver Transplant in India-At CMCS Health we are associated with best Indian Liver transplant Hospitals and best indian Liver transplant surgeons for Best and Cost Effective Liver Transplant in New Delhi-NCR,for our Global Guests. Dr. Anupam Saha did his Post Graduation in General Surgery from Armed Forces Medical College Pune and 2 yr Fellowship in Castro Intestinal Surgery from AIIMS New Delhi. He completed 1 yr Fellowship in Liver Transplantation from Kings College Hospital London.

Best and Cost-effective Liver Transplant in New Delhi-NCR, India.

Liver Transplant in India-He was entrusted to establish the only Liver Transplant Centre of the Indian Armed Forces at the premier Army Hospital Research & Referral, New Delhi in 2007. He was the lead Liver Transplant surgeon of the Indian Armed Forces and has the experience of more than 250 Liver Transplantations involving adult as well as paediatric patients. Performed India's First In Situ Split Liver Transplant in 2008 Performed Liver Transplant in the youngest recipient in India in 2010. Liver Transplant in India-Liver is necessary for survival of a human because of its complex functions in human body. Although liver dialysis techniques can be used for a short term survival but CURE definitely is a liver or hepatic transplant. Liver is the only human organ capable of regeneration. Even 25% of healthy and disease free liver can regenerate in to a full liver.

Best Liver transplant Surgeon In India

Orthotopic transplantation is the most common and widely used liver transplant procedure. in which the diseased liver in a patient is removed and replaced by a portion of liver donated by a healthy Live relative donor. The transplanted liver grows into the recipient to full functionality, and donor’s liver also regenerate to a full liver within few weeks. With the advent of newer class of immunosuppressant medicines, like tacrolimus ,the successs rates have increased many folds.

Best and Cost effective Liver Transplant in New Delhi - NCR,India.

What Liver Patients, require a liver transplant?

Anyone with an irreversible liver damage.Most transplants are done for chronic liver diseases leading to cirrhosis, such as chronic hepatitis C, alcoholism, autoimmune hepatitis, and many others.

Who is a Suitable Liver donor ?

Any member of the family, parent, sibling, child, spouse can donate their liver. The criteria for a liver donation include:
  • Being in good health and preferably of the same or bigger physical size as recipient.
  •  Having a blood type that matches or is compatible with the recipient's.
  • Being between 18 and 60 years old.
  • With the recent advances of noninvasive imaging, living liver donors usually have to undergo imaging examinations for liver anatomy to decide if the anatomy is feasible for donation. The evaluation is usually performed by doing current MDCT and MRI. This will allow to rule out un suitable donor and unnecessary surgery for donor.
Dr Anupam Saha is one of the most experienced liver transplant surgeons of India and director of Liver transplant surgery at Fortis Memorial Research Institute,Gurgaon,India.

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