Pune: A city-based hospital undertook the first paediatric living liver transplant surgery for a 17-year-old boy. The boy was diagnosed with a rare disease called ‘Wilson’s disease,’ which causes too much copper to accumulate in vital organs. The aunt of the patient donated him the live liver.
The 17-year-old started showing symptoms like constant swelling in hands and feet episodes of nose bleeding and burning sensation in eyes and was later diagnosed with the Wilson’s disease.
Explaining about Wilson’s disease Dr Bipin Vibhute, Liver transplant and hepatobilliary surgeon at Sahyadri Hospital, where the patient was treated said that typically, Wilson’s disease is an inherited condition that causes the body to retain excess copper.
“The liver does not release copper into bile as it should. As the copper builds up in the liver, it begins to damage the organ. The liver then releases the copper directly into the bloodstream which carries it throughout the body. The copper buildup leads to a damage in the kidnyes, brain and eyes. If not treated Wilson’s disease can cause severe brain damage, liver failure and eventually death. Often, an otherwise apparently normal child can suffer with life threatening acute liver failure in this setting, warranting warranting urgent liver transplantation, “said Vibhute.
Dr Dinesh Zirpe, liver transplant and GI surgeon at the hospital, who treated the patient said , “When the 17-year-old and his family came to visit us, his health was already deteriorating. He had a bleeding nose, abdominal swelling, loss of balance and joint ache, which were symptoms of Wilson’s disease. Thankfully, the boys aunt had a matching blood group and she was found fit for organ donation after complete liver assessment.”
“The transplantation surgery was conducted recently and lasted for 10 hours. Considering his young age and multi-system involvement, this was a high-risk procedure. But because of advance precision, he was discharged on the seventh day,” said Zirpe.
Source: Sakal Times
On July 14, the patient suffering from liver cirrhosis was saved thanks to the Kolhapur-based youth’s liver donation, after the youth was declared brain dead at Kolhapur’s Aster Aadhar Hospital, following a serious brain injury.
The life of a 54-year-old patient at Sahyadri super Speciality hospital in Deccan has been saved by a 24-year-old youth.
On July 14, the patient suffering from liver cirrhosis was saved thanks to The Kolhapur-based youth’s liver donation, after the youth was declared brain dead at Kolhapur’s Aster Aadhar Hospital, following a serious brain injury.
The liver transplant was successfully conducted at Sahyadri, where a team of doctors harvested the liver on Saturday afternoon following which, the organ was moved to Pune via a ‘green corridor’ created between Kolhapur and Pune. The team was led by liver-transplant and hepatobilliary surgeon Dr. Bipin Vibhute.
Dr. Dinesh Zirpe, hepatobilliary surgeon, said, “We got information about the donor at Kolhapur and immediately our team went to Ashter Adhar in Kolhapur to harvest the liver. The green corridor with the help of traffic police ensured quick passage and the liver reached Pune in three hours. The liver was successfully transplanted into the 54-year old patient from Bhosri.”
“The patient had a swelling on both his kidneys and required an urgent liver transplant. The kind and noble act of the relatives of the donor and the swift team work at our department ensured that the patient got a new lease of life,” he added.
In addition to Dr Vibhute and Dr Zirpe, the team of doctors included Dr Aniruddha Bhosale, transplant anaesthetist; Dr Manish Pathak; Dr Manoj Raut , clinician; Dr Abhijeet Mane; transplant coordinators Rahul Tambe and Arun Ashokan; medical social worker Sharmila Padhye.
“It is indeed heartening to see the increase in awareness for organ donation. There is still a huge gap between the number of patients waiting for organs and donors, which needs to be filled. This is one such successful attempt towards it, ” said a sahyadri hospital statement.
Source: Hindustan Times
Nashik: The liver of a 58-year-old brain-dead male accident victim was retrieved and airlifted from Kolhapur to Nashik on Wednesday.
The recipient of the organ was also of the same age and is city-based Sahyadri Superspeciality Hospital. The entire process of retrieving the organ from the donor took place at Apple Saraswati Multispeciality Hospital and was transported to Nashik in a private airplane in just 2045 hours. The organ reached the Nashik hospital at 7.10pm.
Soon after the organ’s arrival, a team of doctors at Sahyadri hospital led by transplant and hepatobiliary surgeon Bipin Vibhute performed the surgery. A spokeperson of Sahyadri hospital said the organ receiver was suffering from grave liver-related aliment and had been undergoing treatment at the hospital.
“The donor recently met with a road accident and the doctors at Kolhapur hospital declared him brain dead today (on Wednesday). The family of the victim was convinced about the usefulness of donating his liver and they agreed following which the victims liver was retrieved,” the hospital spokesperson said.
The zonal transplant coordination committee along with authorities of the two hospitals coordinated with Kolhapur and Nashik police and Ozar airport officials to ensure smooth transportation of the organ.
According to Nashik Police, a green corridor was created from Ozar hospital to Sahyadri Hospital in Dwarka area. “We had deployed Police personnel at several points along the route and it took just 20 minutes for the organ to reach the hospital. We had coordinated with Ozar police that comes under the Nashik rural police to create the green corridor,” assistant police commissioner (traffic) of the Nashik city police Ajay Deore said.
Source: Times of India
Pune: Sahyadri Hospital recently conducted its 100th liver transplant on a 48-year-old male from Atpadi, Sangli, who was suffering from end-stage liver cirrhosis.
Dr Bipin Vibhute, Dr Dinesh Zirpe, Dr Dinesh Babu, Transplant Anaesthetist Dr Chetan Pandey, liver transplant surgeon, Dr Shailesh Sable and Dr Sunil Rao from the hospital said that this is an extremely proud moment as the hospital celebrates 100 lives with liver transplants in span of just 2.5 years.
“We are happy that we not only achieved this milestone, but we have been able to transform the lives.
Availability of well-trained medical team under the leadership of Dr Vibhute, excellent clinical outcomes and affordable price points and availability of service helped us. We have made liver transplant service available not only in Pune but also in Nashik and Aurangabad, and have extended Liver OPDs at tier 2 and 3 cities like Satara, Karad, Kolhapur, Sangli, Baramati, Ahmednagar and Indapur,” Rao said.
Dr Bipin Vibhute, Hepatobiliary and Liver Transplant Surgeon, Sahyadri Hospitals, said that so many patients received the service with 89 per cent success rates in such a small period.
“During this journey, apart from challenging liver transplants, we have also been able to do some rare surgeries like kidney-pancreas transplants, maximum number of paediatric liver, kidney and pancreas transplant and donor liver retrieval, which was the the first case reported in the state,” said Vibhute.
Dr Manish Pathak, Transplant Anaesthetist, said that this has been possible because of the state-of-the-art infrastructure.
“In addition, a dedicated liver ICU consists of a five-bedded ICU with expert team exclusively for liver transplants, a dedicated rehab team to ensure quicker and better post-surgery recovery for the patient, which will help us cutting down the extra expense post-surgery,” said Pathak.
Source: Sakal Times
Treatment of Colon Cancer, by Level
The remedy for colon cancer is based totally largely on the level (quantity) of cancer, but other elements can also be critical. We provide colon cancer treatment in Pune, India.
Dr. Bipin Vibhute and his team work together to create a treatment plan according to a level of cancer. It includes a surgeon, medical oncologist, radiation oncologist, and a gastroenterologist. He is having the best team for colon cancer treatment in Pune, India. He also provides cancer treatment in other cities like Kolhapur, Nagpur, Nashik, and Solapur.
People with colon cancers that have no longer unfold to remote sites generally have surgery as the principal or first treatment. Chemotherapy will also be used after surgical treatment (called adjuvant treatment). Maximum adjuvant treatment is given for about 6 months.
Stage Zero Colon Cancer Treatment
Due to the fact, stage zero colon cancers have no longer grown past the internal lining of the colon, a surgical procedure to take out the most cancers is regularly the only remedy wanted. In maximum instances, this could be finished via casting off the polyp or disposing of the location with most cancers thru a colonoscopy (neighborhood excision). Getting rid of part of the colon (partial colectomy) may be wasted if a tumor is just too massive to be eliminated by way of neighborhood excision.
Stage I Colon Cancer Treatment
Stage I colon cancers have grown deeper into the layers of the colon wall, but they have got not spread outdoor the colon wall itself or into the close by lymph nodes.
stage I consists of cancers that were a part of a polyp. If the polyp is removed absolutely during colonoscopy, with no cancer cells at the edges (margins) of the removed piece, no other remedy may be wanted.
If cancer inside the polyp is excessive grade (see Colorectal cancer ranges for more on this), or there are cancer cells at the edges of the polyp, more surgery might be recommended. you would possibly also be advised to have extra surgical treatment if the polyp couldn’t be eliminated absolutely or if it had to be eliminated in lots of pieces, making it tough to see if most cancers cells were at the edges.
For cancers no longer in a polyp, partial colectomy ─ surgery to do away with the section of colon that has cancer and nearby lymph nodes ─ is the same old remedy. You normally may not want any more treatment.
What Is Alcoholic Liver Cirrhosis?
The liver is a vital organ of body. The main functions of the liver are – filtering the blood of toxins, breaking down proteins, and creating bile to help the body to absorb fats. When a person drinks alcohol in excessive quantity for a long term, then the liver’s healthy tissue start’s to replace with scar tissue. This is known as alcoholic liver cirrhosis. If most of the liver tissues are replaced with scar tissue then the liver cannot function properly.
It has been observed by the American Liver Foundation that between 10 – 20 % of heavy drinkers will develop this cirrhosis. It is the most advanced form of liver disease that is related to alcohol consumption. It can start with fatty liver disease, then progresses to alcoholic hepatitis, and then to alcoholic cirrhosis. It is also possible that a person can develop alcoholic liver cirrhosis without having alcoholic hepatitis.
What are symptoms of Alcoholic Liver Cirrhosis?
Symptoms of alcoholic liver cirrhosis are observed in personages between 30 – 40. In the early stages, your body will be able to compensate for your liver’s limited function. As the disease growths, symptoms will become more visible.
The symptoms are similar to other alcohol-related liver disorders.
skin itching (pruritus)
What Causes Alcoholic Liver Cirrhosis?
Repeated damage of cells and excessive alcohol consumption leads to alcoholic liver cirrhosis. When the liver tissue starts to scar, the liver cannot function properly. Because of which the body can’t produce sufficient proteins or filter toxins from the blood.
There are various causes of cirrhosis, but alcoholic liver cirrhosis is directly related to alcohol abuse.
How Would a Doctor Diagnose You with Alcoholic Liver Cirrhosis?
While a diagnosis of alcoholic liver cirrhosis, doctors first take a look at medical history and a person’s history of drinking. A doctor may conduct several tests to confirm cirrhosis. The results of these tests may show:
- high blood ammonia level
- high blood sugar levels
- unhealthy liver tissue may be observed when a sample is removed from a biopsy and studied in a laboratory
- The increased level of aspartate aminotransferase (AST) is two times that of alanine aminotransferase (ALT)
- lower blood magnesium levels
- lower blood potassium levels
- lower blood sodium levels
- portal hypertension
What is a treatment for alcoholic liver cirrhosis?
Liver specialists can cure some forms of liver disease with treatment, but alcoholic liver cirrhosis usually can’t be cured. But it is possible to slow down disease’s progress and reduce its symptoms.
- The first step in treatment is to stop drinking. A doctor can recommend a hospital for a person start the journey toward sobriety.
- Medications: Doctor may prescribe corticosteroids, calcium channel blockers, insulin, antioxidant supplements, and S-adenosyl-L-methionine (SAMe).
- Nutrition Counselling: Drinking alcohol can lead to malnutrition.
- Extra protein: Patients often require extra protein in certain forms to reduce the risk of developing brain disease (encephalopathy).
- Liver Transplant: Person should not drink alcohol at least six months before a liver transplant.
What Is Liver Cirrhosis?
Liver cirrhosis is a deteriorating process that occurs when healthy cells get damaged and are replaced by scar tissues. Generally it occurs due to alcohol excessive consumption of alcohol or chronic hepatitis. As a result of which liver cannot function properly. It may lead to liver failure and death.
Thick scarring slows down the normal flow of blood through the liver, which causes blood to find alternate path i.e. veins lying along the stomach and esophagus to return to the heart. This extra pressure in these blood vessels, called varices, may cause them to enlarge or rupture of veins. This problem is especially found in the esophagus.
Liver can tolerant of disease and injury. It is observed that even after 70% of its mass has been ruined or removed, still it can function. Even though it is not possible to restore functions of parts of liver that are affected by scar tissue, but the person can live healthy life with the help of remaining part of liver. Therefore it is important to identify the problems as soon as possible and start the steps to eliminate them.
Causes of Liver Cirrhosis?
Cirrhosis causes due to long-term injury to the liver including viruses, genetic deficiencies, prolonged obstruction of bile flow, and long term exposure to drugs and other toxic substances. In most of cases, however, the culprit is excessive consumption of alcohol.
Another cause of liver cirrhosis is viral hepatitis which means inflammation of the liver due to viral infection. Only hepatitis B and hepatitis C can cause chronic infection which may lead to scarring and cirrhosis. Initially the symptoms are mild. Therefore it is necessary to do regular checkups for people having hepatitis.
Diagnosis of liver cirrhosis?
In early stages, liver cirrhosis don’t have symptoms. Cirrhosis can be first detected through a routine blood test or checkup. To confirm a diagnosis, laboratory and imaging tests are done.
Treatment for liver cirrhosis depends on the cause and extent of liver damage. The aim of treatment is to slow the growth of scar tissue in the liver and to prevent complications of cirrhosis. A person has to visit a liver specialist to prevent severe liver damage.
Liver transplant surgery
When liver stops functioning then liver transplant is the only option. In liver transplant surgery, the deceased liver is replaced with healthy liver. It is of mainly two types: Deceased Donor Liver Transplant (DDLT), and Live Donor Liver Transplant (LDLT).
What is Liver Cancer?
Cancer starts when cells grow abnormally in any part of body. Cancer can spread in other areas of body. Cancer that starts in liver is called as primary liver cancer. The cells of liver changes in appearance and behavior. These cancer cells can destroy adjacent normal tissues also and spread into other areas of liver and organs outside of the liver.
The cancer cells that develop in normal cells of the liver is called hepatocellular carcinoma and cancer which starts in ducts of liver is called cholangiocarcinoma.
Factors responsible for liver cancer are:
Chronic viral hepatitis (Hep-B or Hep-C) –
Non-alcoholic fatty liver disease
Primary biliary cirrhosis
Inherited metabolic diseases
Heavy alcohol use
Type 2 diabetes
Exposure to Vinyl chloride and thorium dioxide (Thorotrast)
Symptoms of liver cancer:
Usually, symptoms of liver cancer are not noticed in first stage. But if any of the symptoms are noticed you should visit liver specialist immediately. Doctor can help you in selecting best treatment option. It is helpful to treat liver cancer. The most common symptoms of liver cancer are:
Nausea or vomiting
Increased size of liver
Swelling in abdomen
Loss of appetite
How to reduce risk of liver cancer
Get vaccinated for hepatitis B infection
Check for hepatitis C infection
Avoid consumption of alcohol in excess
Treatment for Liver Cancer:
Treatment of liver cancer depends on what percent of liver is affected by cancer, weather it is spread in surrounding areas and patients preferences. When cancer is detected in early stage and patients liver works normally then treatment is given to eliminate cancer. Whereas when liver cancer is detected in later stages and liver does not work normally then the treatment is given to reduce the growth of cancer and symptoms to improve quality of life. Therefore it is very important to take advice of a liver specialist.
If you are looking for a best liver specialist in Pune, you can contact Dr Bipin Vibhute. He has huge experience in this field.