Gastroenterology Surgery

The division of Gastroenterology Surgery provides state of the art care in diseases of the liver, gall bladder, pancreas and bowel surgery and has close interaction with the department of medical Gastroenterology.

• Liver resection surgeries for benign and malignant tumours
• Ablative therapy for liver tumours: alcohol injection, chemoembolisation, radiofrequency ablation
• Surgery for gallbladder and bile duct cancer, biliary strictures, gallstone disease
• Surgery for pancreatic cancer, chronic pancreatitis
• Management of acute pancreatitis
• Portal hypertension surgery: Shunt surgery and devascularisation procedures
• Surgery for benign and malignant bowel pathologies
• Laparoscopic surgery including diagnostic and staging laparoscopies, laparoscopic cholecystectomy and advanced procedures such as biliary calculus surgery, laparoscopic liver resection, laparoscopy assisted bowel resection etc
• Liver Transplant Program - The Hinduja Hospital has all facilities required to carry out this major life saving procedure successfully. This includes a fully equipped theatre suite, advanced laboratory support and state of the art intensive care unit. Patients are being listed after a 3-stage assessment. Liver transplant is indicated for irreversible liver pathology, where the life span is expected to be less than 1-2 years. The commonest causes of end stage liver disease in India are cirrhosis due to Hepatitis B, C and excessive alcohol intake. Rarer causes include auto-immune cirrhosis, cryptogenic cirrhosis, primary sclerosing cholangiitis, and the Budd-Chiari syndrome.
• Special equipment: CUSA, Harmonic scalpel, Argon beam coagulator, Advanced laparoscopic surgical equipment, availability of RITA for radiofrequency ablation.

P. D. Hinduja Hospital’s Liver Transplant program includes a fully equipped theatre suite, advanced laboratory support and state of the art intensive care unit. Liver transplant is indicated for irreversible liver pathology, where the life span is expected to be less than 1-2 years. The commonest causes of end stage liver disease in India are cirrhosis due to Hepatitis B, C and excessive alcohol intake. Rarer causes include auto-immune cirrhosis, cryptogenic cirrhosis, primary sclerosing cholangiitis, and the Budd-Chiari syndrome.

In children, biliary atresia forms the commonest indication. Inherited metabolic diseases such as Wilsons disease, Criggler Najjar syndrome, alfa-1-antitrypsin deficiency, protein C deficiency, hyperoxalosis can be cured by transplant.

Liver transplant is the only hope for patients with fulminant hepatic failure fulfilling the Kings College criteria. Common causes include Hepatitis B & E, non A non B hepatitis, paracetamol overdose and Wilsons disease. Primary hepatocellular cancer, metastasis from carcinoid tumours form rarer indications for transplantation.

The new liver is usually obtained from a brain dead heart-beating cadaver, often as part of a multi-organ retrieval procedure. Patients are being listed after a 3-stage assessment. Preservation with UW solution ensures that the liver can stay outside the body for upto 18 hours.