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Integrated Liver Care

The Integrated Liver Care Unit at Aster Medcity offers highly-advanced services for comprehensive management of complex liver diseases and hepato pancreato biliary diseases in both adults and children. The outstanding team of Doctors comprising Hepato Pancreato Biliary & Abdominal Multi-Organ Transplant Surgeons, Hepatologists, Pancreato Biliary Endoscopy experts, Hepato Biliary Radiologists/Interventional Radiologists and Liver Transplant Anesthesiologists have a collective experience of more than 2600 liver transplants, 200 pancreas and 4000 complex liver, biliary and pancreatic surgeries.

Aster Medcity is the first hospital in the world to perform a simultaneous liver transplants in one-year old identical twins who suffered liver failure due to accidental poisoning - a first-of-its-kind case in the world.


Want to find out more about the treatment? The answer to your questions can be found below.

What are the types of liver cancer (Hepatocellular carcinoma)?

There are mainly five types of liver cancer based upon the type of cell in the liver. Hepatocellular carcinoma (HCC) Hepatocellular carcinoma (HCC) is a common type of primary liver cancer which affects the main liver cells called hepatocytes. People with cirrhosis and men are more prone to get Hepatocellular Carcinoma. Fibrolamellar carcinoma Fibrolamellar carcinoma is rare liver cancer, it comes as a subtype of Hepatocellular carcinoma and usually seen in healthy teens and adults under 40 years old. Interestingly, people diagnosed as Fibrolamellar carcinoma is not usually associated with liver cirrhosis or Hepatitis B or C infection. Cholangiocarcinoma (bile duct cancer) Cholangiocarcinoma is a rare liver cancer of the bile ducts, also categorized under primary liver cancer. The carcinoma begins in the section of ducts inside the liver is called intrahepatic cholangiocarcinoma. Angiosarcoma Angiosarcoma a type of rare liver cancer affects the blood vessels of the liver; it is commonly seen in the elderly population. Angiosarcoma is also known as soft tissue sarcoma or haemangiosarcoma. Hepatoblastoma: Hepatoblastoma is a kind of rare primary liver cancer that mainly affects children under 3 years old.

What causes liver cancer?

In some scenarios the cause of liver cancer is identified, for instance chronic hepatitis infection damages the DNA in the liver cells and cause liver cancer. Sometimes liver cancer occurs in patients with no underlying health conditions and it's not clear what causes it.

What are the prevention methods for liver cancer?

When it comes to prevention of liver cancer, it is really important to maintain a healthy lifestyle by doing regular exercise and following a balanced diet. Also, avoid hepatitis infection and exposure to cancer-causing substances such as aflatoxins, a toxin found on agricultural crops such as maize.

How liver cancer is treated?

Treatment of liver cancer depends upon various factors, it includes the extent of the liver cancer, patients age, health conditions and personal preferences. Surgery: In liver surgery, the liver cancer cells and small portion of healthy liver tissue is removed to promote liver health. Liver transplant surgery: In liver transplant surgery the diseased liver of patient is replaced by whole or partial healthy liver from another person. Heating cancer cells. This is a minimally invasive procedure; the cancerous cells are ablated by using heat generated from medium frequency electric current. Freezing cancer cells: liquid nitrogen is used to freeze the cancer cells with the help of a surgical instrument (cryoprobe) Alcohol injection: In this method alcohol is directly injected to the tumour to treat liver cancer. Injecting Chemotherapy drugs: Injecting chemotherapy drugs directly to the liver is known as chemoembolization, it can be done as stand-alone treatment or in combination with ablation or surgery.

How does a hepatologist decide on a treatment plan?

During the treatment planning process, hepatologists consider the patient's medical history, diagnostic test results, and the stage of the liver disease. They prioritize effective therapies such as medications, lifestyle modifications, or advanced procedures like liver transplant based on the patient's specific needs.

Will a hepatologist help manage side effects during treatment?

Hepatologists play a crucial role in managing side effects during treatment by closely monitoring medication responses, adjusting dosages as needed, and providing supportive care to minimize discomfort and enhance treatment effectiveness.

What documents should I carry on my first visit to a hepatologist?

For the first visit to a hepatologist at Aster Medcity Kochi, it's recommended to bring all relevant medical records, including past test results, imaging scans, medication lists, and insurance information for comprehensive evaluation.

How do hepatologists decide if surgery is necessary?

Hepatologists determine the need for surgery based on the underlying liver condition, disease severity, and response to medical treatment. They assess the patient's overall health status and consult with surgical specialists to make informed decisions about surgical intervention.

What are the symptoms of liver cancer?

Most of the time the Signs and symptoms of liver cancer do not show up until the later stages, but sometimes the signs and symptoms may show up in the beginning stage. Listed below are the common symptoms of liver cancer of hepatic cancer: You may notice unplanned Weight loss, lack of appetite, nausea or vomiting and a feeling of fullness after having a small meal. Enlarged liver & spleen, pain in the right shoulder blade, abdominal pain and swelling Itching and Yellowing of the skin and eyes (jaundice) People with hepatic cancer may experience fever, enlarged veins on the belly that can be seen through the skin, and abnormal bruising or bleeding. Some signs and symptoms of hepatic cancer include increased blood calcium levels (hypercalcemia), Low blood sugar levels (hypoglycaemia) and high cholesterol levels

What are the main risk factors affecting liver cancer Treatment?

There are many factors which affects the liver cancer treatment which includes Certain liver conditions: - Non-alcoholic fatty liver - Liver cirrhosis developed due to Chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection. Diabetes: Poorly managed type 2 diabetes can make fatty liver and could make the liver cancer worse.

How liver cancer is diagnosed?

Liver cancer is diagnosed by performing following tests and procedures; It is not possible to diagnose hepatic cancer by doing normal blood tests. A specific blood test is done to find levels of alfa-fetoprotein in serum (AFP). Increased levels of AFP indicate presence of liver cancer. Sometimes the doctor may suggest imaging studies such as a CT or MRI scan. Liver biopsy is another method used to identify malignant or benign tumour. It is done is by removing tissue from liver and examining under the microscope, liver biopsy can be done along with CT scan. Another method to identify liver cancer is by doing laparoscopy, in this procedure the surgeon assesses the signs of hepatocellular carcinoma by inserting a flexible tube with a camera and light at the tip (laparoscope) by making a small incision in the abdomen.

What does a hepatologist do?

A hepatologist at Aster Medcity Kochi specializes in diagnosing and treating liver diseases, including viral hepatitis, fatty liver disease, and liver cirrhosis. They evaluate patients using blood tests, imaging, and liver biopsies to determine the best treatment plan tailored to each individual's condition.

What question should you ask a hepatologist?

Key questions to ask a hepatologist at Aster Medcity Kochi include inquiries about the diagnosis, treatment options, potential side effects, and long-term management strategies for liver diseases.

What are the most common types of conditions that hepatologists treat?

Common liver conditions treated by hepatologists include hepatitis, cirrhosis, fatty liver disease, liver tumors, and autoimmune liver diseases like primary biliary cholangitis.

When should I consider seeing a hepatologist?

Consider seeing a hepatologist at Aster Medcity Kochi if you experience symptoms like jaundice, abdominal pain, unexplained weight loss, or abnormal liver function test results that warrant further evaluation and specialized care.

How should I prepare for my first visit to a hepatologist?

To prepare for your first visit to a hepatologist at Aster Medcity Kochi, gather your medical history, including previous diagnoses, medications, allergies, and a list of questions or concerns you wish to discuss regarding your liver health.


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