Liver Clinic in Sri Ramachandra Medical Centre was established in the year 2015. We offer a broad range of treatments because of our active participation and leadership in liver disease research and clinical trials.

Our team specializes in detecting liver diseases and provides modern treatment approaches with innovative techniques, even for the conditions once which were thought untreatable. The team of surgeons is highly skilled and performs the surgeries with a lot of dedication deliveriong exceptional outcomes.

Treatment ranges from common liver related diseases like Hepatitis B, Hepatitis C, Alcohol related liver diseases, Hepatocellular carcinoma, Non-Alcoholic Fatty Liver Disease and metabolic liver disease

Contact Us

044-45928626, 044-45928500, Ext.no349

Liver Clinic

TRANSPLANT SURGEON

Dr. Venkatesh. B.S MBBS , M.S , MCH (Transplant Surgeon)

For Appointments: 8939577744,  044 45928626,  044 45928626.

Our Care Team

Dr. Shanthi Vijayarhagavan
MBBS, MD , DM , DNB, DCH
Professor and HOD

Senior Counsultant

Dr. Kani Shaik Mohammed
MBBS , MD , DM (GE)

Associate Professor

Dr. Suresh Kumar
MBBS , M.S , MCH

Clinical Focus

Services to offer: 

Liver Clinic:

1. Specialized clinic to specifically cater to the needs of patients with liver and bilio-pancreatic diseases.
2. Virtual clinics (Tele-conferencing)
3. Specialty clinics

Jaundice clinic – Monday

Fatty Liver clinic – Tuesday

Viral hepatitis clinic – Wednesday

Alcohol liver clinic – Thursday

Liver Tumors clinic – Friday

Liver Transplant clinic – Saturday

4. Fibroscan/ARFI

Intensive care Liver unit:

1. The multi-disciplinary approach to intensive care in liver disease is different from other diseases and it is a rapidly growing field with new opportunities.
2. New treatment algorithms can be developed for treatment of patients with acute liver failure, acute-on-chronic liver failure, hepatic encephalopathy and GI bleed.

Hepatic Hemodynamic Laboratory:

1. Trans jugular liver biopsy: Needed in patients with diagnostic dilemma but cannot undergo percutaneous liver biopsy due to ascites or coagulopathy or need simultaneous HVPG measurement
2. Hepatic venous pressure gradient:

To risk stratify patients with liver cirrhosis

To measure hemodynamic response to beta-blockers

Part of pre-op evaluation of patients with cirrhosis going for surgery.
Part of pre-op evaluation of patients going for liver transplantation

Best surrogate marker of clinical events in hepatology

Gold standard for measurement of portal hypertension.

Interventional Radiology (under fluoroscopy and USG):

1. Percutaneous liver biopsy
2. Percutaneous trans-hepatic biliary drainage (PTBD)
3. Percutaneous cystic drainage (PCD)
4. Radio-frequency ablation (RFA)
5. Trans-arterial chemo-embolization (TACE)
6. Trans jugular intrahepatic Porto-systemic shunt (TIPS)

Endoscopy services:

1. Advanced diagnostic upper GI endoscopy, colonoscopy, enteroscopy.
2. Therapeutic endoscopy (EST, EVL, APC, Heater probe, glue injection, dilatation)
3. Emergency GI Bleed services (round the clock strictly maintaining door to needle time < 10 mins and door to scope time < 6 hours)
4. Endoscopic retrograde pancreato-cholangiography (Diagnostic and therapeutic)
5. Endoscopic ultrasound (Diagnostic)
6. Cholangioscopy (Diagnostic and therapeutic)

Day Care:

1. Post-intervention monitoring of patients as per protocol
2. Large volume paracentesis
3. Periodic albumin infusions

Liver nutrition services:

1. Body composition analysis
2. Protein content and salt content
3. Lifestyle modifications

Psycho-social services:

1. Alcohol de-addiction clinics
2. Manage families of liver transplant patients on psycho-social issues to maintain compliance to drugs and follow up post-surgery

Advanced liver support systems:

1. Therapeutic plasmapheresis

New research in Liver regeneration:

1. Recruitment of hepatic progenitor cells and bone marrow stem cells
2. Stem cell transplantation in liver diseases

Mobile Liver clinics as part of rural outreach programs (To start):

1. OPD
2. Viral hepatitis screening, USG abdomen
3. Mobile endoscopy

Liver transplantation:

1. The transplant team comprising of

Transplant surgeons

Hepatologists (Adult and Pediatric)

Intensivists

Nutritionist
Transplant coordinators

2. Supportive services

General Medicine

GI Surgery

Infectious Diseases (Transplant service)

Pulmonology
Cardiology
Psychiatry
Nephrology
Neurology
Radiology (Diagnostic and interventional)

"Every hour counts in the successful management of these complex and critically ill patients.  Continuous monitoring and aggressive completion of necessary tests is essential to get these challenging patients to transplantation"

Liver Helpline:

24 - hour telephone services to cater to needs of patients with liver disease in emergency

Liver Clinic

Conditions Treated and Services:

Alcoholic Hepatitis

Alcoholic hepatitis is a progressive inflammatory disease of the liver associated with long-term excessive consumption of alcohol.

• Patient with alcohol related liver disease will require help from Hepatologist to optimise the liver disease.
• Guidance from Psychiatrist to help with abstinence from alcohol.
• Supportive information in the form of Alcohol Helpline, information on deaddiction centres and Alcohol Anonymous (AA) Clinic will be provided by the Liver Clinic.

Non Alcohol Fatty Liver Disease (NAFLD)

• Common causes of NAFLD are: Obesity, diabetes, hypercholesterolemia, hypothyroidism and hypertension, Insulin resistance, Hyperlipidemia and Drugs.
• The Liver clinic aims to provide a holistic approach to this condition by providing consultation from Hepatologist, Dietician and Diabetologist for these patients.

Viral Hepatitis

• Viral hepatitis A, B, C, D and E, all present clinically in a very similar fashion especially in the acute phase of illness.
• Although, acute viral hepatitis A and E are self limiting, 1% patients can develop fulminant liver failure.
• Hepatitis B and C can cause chronic hepatitis, which can progress to cirrhosis and liver cancer.
• Deciding which patients infected with hepatitis B and C to treat is challenging and requires detailed assessment which will be provided

The Liver Clinic recommends routine checking for hepatitis B and C for the following individuals:

• Previous needle stick injury, Tattoo
• Blood transfusion
• On dialysis
• Previous operations
• Family member with this condition at the Liver Clinic with the help of the Hepatologist.

To know more about Viral Hepatitis

Miscellaneous Liver Conditions

Liver Clinic will provide management strategies for the following complex liver conditions

• Evaluation of abnormal liver function test (LFT) and Jaundice.
• Decompensated Cirrhosis complicated with portal hypertension, ascites, spontaneous bacterial peritonitis. etc.
• Autoimmune hepatitis
• Metabolic Liver diseases
• Primary Sclerosing Cholangitis (PSC)
• Primary Biliary Cirrhosis (PBC)

Fibro scan

Latest technology to assess the degree of damage inside the liver without the need for painful biopsy.

Advantages of Fibro Scan:

• No preparation needed
• Painless
• Non invasive
• Results available in few minutes

Fibro scan be used for below Liver Conditions:

• Hepatitis C
• Hepatitis B
• HCV-HIV co-infection
• Hepatitis C recurrence after liver transplantation
• Non Alcohol Fatty Liver Disease
• Alcohol
• Chronic cholestatic diseases

The Liver Clinic in Medical Centre has an active Liver Transplant programme for patient with end stage liver diseases with all state of art technologies.