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Dr. Subhash Gupta – Liver Transplant Surgeon

Dr. Subhash Gupta is the chairman of the Max Center of Liver and Biliary Sciences at Max Healthcare, Saket. He is regarded as the best liver transplantation surgeons in the world & also as one of the top 10 gastroenterologists in India, with experience of more than 3000 transplants. He has 35 years of experience in surgical gastroenterology, liver transplantation, and hepato-pancreato-biliary oncology and joined Max Healthcare in January 2017.

In 1998, Dr. Gupta joined Sir Ganga Ram Hospital and together with Dr. Shantanu Nundy established liver transplantation there. The first liver transplant performed by the department was a transplant from a deceased donor in 2001. After that, he started doing living donor liver transplants, which are the most common type of liver transplant, along with Dr. S. Nundy. After a sluggish beginning, the liver transplantation program exploded in 2006 with 66 transplants.

He helped India become the first country to perform liver transplants using a living donor. In the past, patients were forced to pay exorbitant travel expenses for this treatment. Patients from India, Africa, the Middle East, and the Far East can now have liver transplants because of his surgical techniques, which have reduced expenses to a tiny fraction of those charged elsewhere.

Dr. Subhash Gupta has more than 30 papers in indexed journals on various aspects of living donor liver transplantation. The Delhi Medical Association has also awarded him a Gold Medal in 2005.

Trust the best in the medical field, Dr. Subhash Gupta, the accomplished and well-known liver transplant surgeon, with a high success rate in all of his operations.

Education and Training

  • Subhash Gupta earned his undergraduate degree in general surgery as well as his master’s degree in general surgery from AIIMS in New Delhi.
  • In 1989, he chose to specialize in surgical gastroenterology.
  • He relocated to England in 1993 to work at the Liver unit at Queen Elizabeth hospital in Birmingham and received training from Dr. Paul McMaster.
  • He relocated to the Department of Organ Transplantation at Leeds’ St James’s University Hospital in February 1995, where he later served as a temporary consultant.
  • Gupta later completed his fellowship in the Royal College of Surgeons of Edinburgh and Glasgow during his time in the UK.

Experience

1980 – 1992: Consultant at All India Institute of Medical Sciences

1992 – 1994: Consultant at Queen’s Elizabeth Medical Centre

1994 – 1997: Senior consultant at St. James’s University Hospital

1997 – 2005: Senior consultant at Sir Ganga Ram Hospital

2005 – 2015: Senior consultant at Indraprastha Apollo Hospitals

2015 – Present: Chairman – Liver and Biliary Sciences at Max Hospital

Awards and Recognitions

  • Subhash gupta received a Gold Medal from the Delhi Medical Association in 2005.
  • In 2012, the Rotary Association of India recognized him for clinical medical excellence.
  • Awarded Vishist Chikitsh Rattan (Distinguished Clinician) in 2012 on Doctor’s Day by the Delhi Medical Association.
  • He and his colleagues were finalists for the BMJ India Awards’ “Surgical team of the year” category in 2014.
  • He has been appointed an honorary professor of surgery by the Apollo Health Foundation.
  • The prestigious “YASH BHARTI” award was given to him by the Uttar Pradesh government in 2016.
  • The Medical Council of India presented him with the renowned “Dr. B. C. Roy” award in 2016.
  • He has also received recognition by being appointed Professor of Liver Transplantation at the Institute of Postgraduate Education and Medical Research in Kolkata.

Memberships

  • Delhi Medical Association
  • Medical Council of India

Registrations

27710 Delhi Medical Council, 2005

Liver Transplant cost Dr. Subhash Gupta (Max Healthcare Hospital)

Liver Transplant cost Dr. Subhash Gupta (Max Healthcare Hospital)

Average Cost in USD

Average cost in INR

Living Donor Liver Transplantation $28,560 ₹ 2,284,800
Cadaver Liver Transplantation $27,540 ₹ 2,203,200
Domino Liver Transplantation $29,580 ₹ 2,366,400
Split Liver Transplantation $30,600 ₹ 2,448,000
Auxiliary Liver Transplantation $28,050 ₹ 2,244,000
Paediatric Liver Transplantation $31,620 ₹ 2,529,600

Facts about Dr. Subhash Gupta – Liver Transplant Surgeon

  • March 2019 – In King George’s Medical University’s 100-year history, he performed the institution’s first liver transplant.
  • February 2021 – In 25 hours, he completed a surgical marathon that involved 7 operating rooms, 2 donors, and 4 patients.
  • October 2021 – In India, he successfully successfully reused a donated liver.
  • In India, he is considered a pioneer in developing living donor liver transplantation (LDLT).

Treatments by Dr. Subhash Gupta

  • Liver Transplant
  • Cholangitis
  • Cholecystitis
  • Liver cirrhosis
  • Gallbladder cancer
  • Bile duct cancer
  • Liver cancer
  • Metabolic diseases
  • Vascular disorders
  • Cystic diseases
  • End-stage liver disease
  • Inflammatory conditions
  • Infectious diseases of the liver
  • Viral hepatitis
  • Pancreatic cancer

Liver Transplant at MAX Healthcare Hospital

In a liver transplant procedure, the patient’s old liver is entirely removed, and a new liver from a liver donor is then joined to the patient’s blood arteries and bile duct and implanted in the same place. The donor liver can be from a deceased individual, in which case the entire liver is typically transplanted, or, more frequently, it comes from a family member who donates a part of his or her liver. Only those whose liver disease has advanced to the point where their overall health is serious are eligible for liver transplant.

One of the busiest and most well-known centers for liver transplantation in India is Max Centre for Liver Transplant and Biliary Sciences. Since the results have been extraordinarily successful, many patients from other countries have chosen to receive their medical care here. This has been made possible by the Center’s skilled medical staff, who began performing liver transplants in India in 2001.

Max Centre for Liver and Biliary Sciences at Max Super Specialty Hospital, Saket & Vaishali is home to a 200-person team with 20 years of experience that has performed over 2600 transplants. Currently, a liver transplant has a success rate of over 95% and a ten-year survival rate of over 80%.

Technological Advancements at MAX Healthcare Hospital

  • CUSA machine – Cavitronic ultrasonic surgical aspirator is known as CUSA. It is mostly used for organs like the noncirrhotic liver and pancreas that have high water content and low fiber content.
  • CT scan – The liver and biliary tract CT scans are used to guide liver or gallbladder biopsies.

Liver Transplant and Biliary Sciences: Conditions and Treatments

Acute Liver Failure (ALF)

When your liver suddenly loses its capacity to function, you experience acute liver failure. The majority of the time, liver failure progresses gradually over several years. However, in acute liver failure, liver failure appears within a few days.

The primary treatment objective for liver failure brought on by long-term degeneration can be to preserve the portion of the liver that is still working. A liver transplant is necessary if this is not possible. Thankfully, liver transplantation is a routine treatment with a high success rate at Max Hospital.

Alcoholic Liver Disease

Alcohol is the substance that is most commonly abused globally, and excessive consumption of alcohol is the main factor in liver damage. The liver, neurological system, cardiovascular system, gastrointestinal system, muscles, and reproductive system are all impacted by alcohol consumption.

Long-term alcohol usage is also linked to an increased risk of liver, mouth, pharynx, food pipe, and other cancers. Total abstinence from alcohol and healthy nutrition are typically advised in cases of acute alcoholic hepatitis, allowing the condition to slowly improve. However, sometimes it worsens even after you quit drinking alcohol, leading to cirrhosis. Cirrhosis cannot be treated. Only a liver transplant is an option.

Hepatitis A

A viral liver condition known as hepatitis A can have minor to serious health effects. Direct contact with an infected individual or consumption of contaminated food or water are the two main ways that the hepatitis A virus is transmitted. It is related to liver inflammation (inflammation, irritation, and edema).

The best treatments for the illness are improved cleanliness and the hepatitis A vaccine. Hepatitis A doesn’t have a specific treatment. After an infection, symptoms may take weeks or months to completely go. Therapy aims to keep patients comfortable and maintain a healthy nutritional balance, including replacing lost fluids from vomiting and diarrhea. The best approaches to fight hepatitis A are through improved sanitation, food safety, and vaccine. Almost everyone produces protective levels of antiviral antibodies within a month of receiving just one dose of the vaccination.

A single dose of the vaccine given within two weeks of virus interaction provides protective effects even after exposure to the virus.

Hepatitis B

The hepatitis B virus is what causes hepatitis B, the most prevalent liver illness in the world. After entering the body, the hepatitis B virus moves through the blood to the liver. It clings to the liver cells there and grows there. Although the patient may not be experiencing any issues at this time, the body’s immune system reacts to the virus multiplying. If not identified and treated early, hepatitis B infection can result in cirrhosis (liver scarring), liver failure, or even liver cancer. Treatment is not required in those who are immune and have normal LFTs.

People who have a chronic infection but no liver damage do not need therapy, but they do need to be closely watched. The person should think about receiving hepatitis B therapy, though, if they have liver damage. It is important to contact a gastroenterologist or hepatologist before making the difficult decision of when to begin treatment.

Hepatitis C

Direct blood-to-blood contact is how hepatitis C is transmitted. Sharing needles and other items used to inject medications, hormones, steroids, vitamins, or any other substance into the body is the most prevalent way for people to contract hepatitis C. Washing your hands is crucial to lowering your chances of contracting hepatitis C as well as other infections.

It’s crucial to keep in mind that hepatitis C often takes a long time to damage the liver and that many people never experience symptoms. The good news is that 70% (7 out of 10) of those with genotype 1 of hepatitis C can be cured of the virus with the use of medications. About 70–90% of those with genotype 2 or 3 respond to treatment (7 to 9 people out of 10).  Interferon, ribavirin, and a protease inhibitor are three medications (together referred to as combination therapy) used to treat hepatitis C.

Liver Cirrhosis (CLD)

Liver cirrhosis is a condition that steadily destroys good liver tissue and replaces it with scar tissue, ultimately impairing the liver’s ability to function. Scar tissue slows down the liver’s ability to handle medications, hormones, nutrients, and naturally occurring poisons. It also inhibits blood flow through the liver. Additionally, it slows down the liver’s ability to make proteins and other compounds.  There are specific lifestyle modifications that can help all patients with liver cirrhosis, such as:

  • Quit consuming alcohol.
  • Eat a diet low in salt.
  • Consume a healthy diet.
  • Obtain vaccinations against pneumococcal pneumonia, hepatitis A, hepatitis B, and influenza (if recommended by your doctor).

Liver Cancer

Hepatocellular cancer, or liver cancer, is a cancer that develops within the liver. It is referred to as liver metastases if the cancer first develops in another section of the body before spreading to the liver. Liver cancer may also develop from tumors that start in the colon, lungs, breast, pancreas, stomach, and other organs and move to the liver via the bloodstream. India’s Delhi is home to Max Hospitals, which offers the best liver cancer care. An entire liver is surgically removed and replaced with a healthy one during a liver transplant.

It is a lengthy process that is split into two categories:

  • Deceased Donor Liver Transplantation (DDLT)

Here, the patient’s damaged liver is replaced out for a healthy liver from a deceased donor, replacing the patient’s damaged liver. A patient must undergo a variety of tests before becoming eligible for DDLT so that the medical professionals can assess whether the patient is transplant-eligible. Once the tests are finished, patients are added to the liver transplant waiting list.

  • Living Donor Liver Transplantation (LDLT)

In this situation, a family member or friend donates a portion of their liver to the patient with liver disease. The diseased liver is removed from the patient and replaced with a healthy liver, which subsequently enlarges to its usual size. It is the preferable option when a DDLT is not practical and the patient requires an urgent transplant.

FAQs

1. How many years of experience does Dr. Subhash Gupta have?

Dr. Subhash Gupta is a Liver Transplant Surgeon with 35 years of experience.

2. Where does Dr. Subhash Gupta practice?

Dr. Subhash Gupta practices at Max Super Speciality Hospital in Saket, New Delhi.

3. What does Dr. Subhash Gupta specialize in?

Dr. Subhash Gupta has specialization in general surgery, gastro-intestinal surgery, and liver transplantation.

4. How to book a consultation with Dr. Subhash Gupta?

You can book a consultation with Dr. Subhash Gupta online here.

5. What is Dr. Subhash Gupta’s educational qualification?

Dr. Subhash Gupta is qualified as follows: MBBS, MS in general surgery, FRCSEd in liver transplantation, and FRCS in general surgery.

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