Services
- General Hepatology inpatient and outpatient services
- Liver Transplant Evaluation and Post Liver Transplant follow up
- Diagnostic and Therapeutic (interventional) services
- Research
- Patient Education
- Screening and Prevention
Clinical areas provided by inpatient services
- Management of liver cirrhosis and its sequelae like hepatic encephalopathy, ascites, portal hypertensive bleeding, hepatorenal syndrome, spontaneous bacterial peritonitis
- Management of acute and chronic hepatitis of different etiologies with state-of-the-art medical therapies
- Treatment of Fulminant hepatic failure in a dedicated ICU area, in close co-operation with the Division of Liver Transplant Surgery
- Liver Transplantation-pretransplant workup and post transplant followup
- Multidisciplinary approach to the management of liver malignancies (primary or metastatic)
We coordinate and deliver the following diagnostic and therapeutic modalities in close co-operation with Radiology, the Centre for Laboratory Medicine, Liver Oathology and the Division of Liver Transplant Surgery:
- Endoscopic Facilities
- Ultrasonogram
- Lab facilities for clinical pathology, biochemical and virological work up
- Liver biopsy (percutaneous or transjugular) with complete histopathological staining including special stains
- Copper and iron quantification on liver biopsy specimen
- Hepatic vein pressure gradient(HVPG)
- Radiofrequency Ablation (RFA)
- Transarterial Chemoembolization (TACE)
- Percutaneous Aspiration/Drainage of liver abscess/hepatic cyst
- Transjugular Intrahepatic Portosystemic Shunt (TIPS)
- Paracentesis with or without pigtail insertion
- Liver transplantation
Outpatient activities
State-of-the-art facilities for the complete diagnosis and management of whole spectrum of acute and chronic liver diseases, including:
- Viral hepatitis
- Alcoholic hepatitis
- Lifestyle liver disorders-Fatty Liver, Non-alcoholic Steatohepatitis (NASH)
- Drug-induced hepatitis
- Autoimmune liver disease
- Cirrhosis of various etiologies
- Genetic abnormalities
- Metabolic disorders
- Hematochromatosis
- Wilson disease
- Primary sclerosing cholangitis
- Liver tumors, especially Hepatocellular carcinoma and Metastatic liver cancer
- Hepato-Biliary tuberculosis
- Liver abscess
Centre for Pancreatic Diseases
The Amrita Pancreas Clinic
The Pancreas Clinic offers comprehensive services by experienced pancreatologists with long track records for patients with acute and chronic pancreatitis, pancreatobiliary cancers and pancreatic cystic disease. The services comprise comprehensive care including detailed workups, diagnosis, medical or/and surgical treatment, when indicated, on an outpatient as well as inpatient basis. We provide a unique hotline for our registered patients to contact the clinic staff directly in case of an urgent problem. All the newest and world class diagnostic and therapeutic (interventional) services, and screening, including preventive strategies for cancer, are available here. The centre has for many years undertaken research into the causative factors of pancreatitis and published books and research papers. We offer the patient all the current options in treatment with the patient's perceptions in mind. Personal care, counseling, patient education, psychological support and empowerment makes this clinic unique in this category.
Supporting Services
The multidisciplinary Pancreas Clinic includes pancreatologists and a paediatric gastroenterologist, with quick back up by other experts such as diabetologists, surgeons, and the services of an ultra-modern Radiology Department and a Metabolic Lab. Dedicated services of a clinic coordinator, diet and nutrition experts and trained medical sociologists are available in the Pancreas Clinic. The clinic has been functioning for the past ten years now and it has one of the largest pancreatic registries in India; nearly 1400 patients.
Diagnostic and Therapeutic Facilities:
Facilities include Endoscopic retrograde cholangiopancreatography (ERCP), Multi-Slice CT scan, Magnetic resonance imaging (MRI), Magnetic resonance cholangiopancreatography (MRCP), pancreatic stenting, pseudocyst drainage, Endoscopic ultrasound (EUS), Endoscopic ultrasound-guided FNA (EUS-FNA), celiac plexus block, lithotripsy, etc. Comprehensive management of alcohol related pancreatitis, tropical pancreatitis, autoimmune, metabolic and drug induced pancreatitis etc is also available. Pancreatic function testing and evaluation of idiopathic or unknown causes of pancreatitis is undertaken here.
The highlight of our distinctive Pancreatitis Care Programme is the integration of clinical care of pancreatitis, care of pancreatic diabetes and its complications, advice on diet and life style during each visit, explaining the basis of the disease and the rationale for decision making and making the patient a full partner in the treatment of his/her disease. In this clinic the maximum emphasis is laid on the quality of life of the patient - it is totally patient oriented and not disease oriented.
Management of Pancreatobiliary Cancers:
Diagnostic facilities available include non-invasive tumor markers, endoscopic ultrasound (EUS) and EUS —FNA apart from all established imaging modalities. Non-surgical management including biliary drainage and stenting, etc. is available. Evaluation and management of pancreatic cysts and cystic cancers is also undertaken. Excellent support is extended to the Pancreas Clinic by the pancreatobiliary surgeons from GI Surgery. This group of surgeons have a vast experience in hepato- pancreato-biliary surgery and routinely undertake all types of surgeries ranging from the simplest to the most complicated, including liver transplantation.
Specialty Clinics
| Liver Clinic |
Monday and Friday |
| Pancreas Clinic |
Tuesday and Friday |
| IBD Clinic
| Tuesday and Friday |
Our Doctors
Dr. (Brig) V. A. Narayanan, MD, DM
Clinical Professor |
Dr. Prem Nair, MD, FACP, Dip. AB (Gastro)
Medical Director |
Dr. V. Balakrishnan, MD, DM, FACG
Clinical Professor |
Dr. Ismail Siyad, MD, DNB (Med), DM
Clinical Professor and Head |
Dr. M. Geetha, MD (Paed), DNB (Paed), DM
Clinical Professor and Paediatric Gastroenterologist
| Dr. Harikumar R. Nair, MD, DM (Gastro), MRCP (UK)
Consultant Gastoenterologist and Trasplant Hepatologist |
Dr. Rajesh G., MD, DNB (Gastro)
Clinical Assistant Professor |
Dr. Preetham H. S., MD (Med), DM (Gastro)
Clinical Assistant Professor |
Dr. Anoop K. Koshy, MD (Med), DM (Gastro)
Clinical Assistant Professor |
Dr. Kaveri D, MBBS
Senior Medical Officer |
Contact Us
Phone Number: 0484 - 2851225/4001225
Email: gastro@aims.amrita.edu
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