AIIMS Delhi Liver Transplant

My father has to go Liver Transplant and for that he wants to get the operation done from AIIMS Delhi and for that I want to get the details of department in which this operation will take place and the charges so can you provide me that?

[Kiran Chandar]

I want to tell you that you have to contact to the Department of Gastrointestinal Surgery and Liver Transplantation. Department of Gastrointestinal Surgery and Liver Transplantation was established back in the month of May 1985. In September 1989 this was given full departmental status. The department is now established and has trained a large number of surgeons to set up GI surgical departments in India and abroad.

Activities of the department:
The currently ongoing projects include:
1. Role of thromboelastography in patients with surgical obstructive jaundice.
2. Randomised trial of adjuvant chemotherapy and radiotherapy after pancreacticoduodenecotomy for periampulary and carcinoma head of pancreas.
3. Role of feeding jejunostomy in a developing country
4. Incidence of p53 gene in Indian subpopulation of carcinoma gallbladder
5. Prognostic factors in patients with carcinoma oesophagus
6. Role of somatostatin in patients with lower gastrointestinal haemorrhage

Charges:
1. Outpatient Charges

New Registration Rs 10/-

(Valid for current calendar year)

2. Inpatient Hospitalization Charges
(a) General Wards

i) Admission charges (Non-refundable) Rs.25/- at the time of admission.

ii) Hospitalization charges Rs.35/- per day

Patients being admitted in General ward will pay an advance for 10 days charges at the time of admission, i.e. Rs 375/-

(Rs 35 per day for 10 days + Rs 25 admission charges).

These charges are inclusive of routine basic investigations and routine procedures.

MISCELLANEOUS:
Treatment in Intensive Care Areas (Pvt. Ward patients) 1000.00

which includes:- (per day over and above the daily room charge)

All ICUs

CCU

Neonatal Nursery

LABORATORY INVESTIGATIONS:
Blood Clinical Chemistry
Acid phosphatase 25.00

Alkaline phosphatase 25.00

Amylase 25.00

Augmented Histamine Test 50.00

B.E.I. (Bilirubin total and/or) 25.00

Barbiturates 25.00

Blood Sugar (micro method) 50.00

Calcium 25.00

Chlorides 0.00

Cholesterol total and/or free ester cholesterol 25.00

Creatinine 25.00

Creatinine - phosphokinase 25.00

Creatinine clearance test 50.00

Direct/indirect bilirubin 25.00

D-xylose Absorption 50.00

Glucose tolerance Test 250.00

Intravenous Glucose Tolerance Test 250.00

LDH Total 50.00

Lactose Tolerance Test 50.00

Lithium 25.00

Magnésium 25.00

Muscle enzyme test 25.00

Non-proteins Nitrogène 25.00

PCO2 and/or PH 50.00

Phosphorus 25.00

Plasma Bicarbonates 50.00

Plasma Cortisol 450.00

Plasma Testosterone 450.00

Protein Bound Iodine (PBI) 50.00

Proteins and Albumin Globulin 25.00

SGOT and/or SGPT 25.00

Serum CRP 25.00

Serum Catecholamines 250.00

Serum Digoxin 250.00

Serum Electrophoresis 50.00

Serum Iron 25.00

Sodium and/or Potassium 25.00

Sugar (Glucose) [Random] 0.00

T3 AND T4 200.00

TSH200.00

Triglycerides 50.00

Urea 0.00

Uric Acid 25.00

LFT 220.00

KFT/RFT 400.00

Contact Details:
All India Institute of Medical Sciences
Gautam Nagar
Ansari Nagar East
New Delhi,
Delhi 110029
India

Map Location:
[MAP]All India Institute of Medical Sciences[/MAP]

Can you tell me if Department of Gastrointestinal (GI) Surgery at AIIMS (All India Institute of Medical Sciences) offer Liver Transplantation under In-Patient Services?

[Neelu Bhasin]

The Department of Gastrointestinal (GI) Surgery at All India Institute of Medical Sciences was instrumental in getting the Transplantation of Human Organs Act passed in 1994. The first orthotopic liver transplantation was done in January 1996. Since then it has developed a clinical liver transplantation facility at the AIIMS.

Currently the focus is on performing deceased donor liver transplantation. Joint Multi-disciplinary Meetings (GI Surgery, Gastroenterology, Anaesthesiology, Paediatric surgery, Psychiatry) are held on a regular basis for listing prospective recipients (1st and 3rd Friday of every month).

Within the department it has designated Donor and Recipient teams. Departments of Gastroenterology and Anaesthesiology provide the hepatology and anaesthesiology support.

Transplantation journal clubs are held every week and clinical deceased-donor orthotopic liver transplants are carried out as and when deceased donors become available. Once transplantation is done the patient is managed in Special Isolation HDU in D6 ward with dedicated nursing and 24-hr Resident support.


Other In-Patient Services


1. Day-care
Patients admitted for certain investigations and invasive radiological interventions are provided day-care facilities
a.) Patients undergoing US/CT guided biopsy or FNAC from abdominal lesions
b.) Patients undergoing percutaneous transhepatic biliary drainage
c.) Patients undergoing 24 hour pH studies
d.) Patients undergoing endoscopic interventions: dilatation, biliary stenting, EUS FNAC, etc.


2. Routine in-patient admissions (General Ward: D6 / Private Wards)
a.) Evaluation and work up of GI and HPB patients for surgery
b.) Evaluation of prospective liver recipients before Transplant listing
c.) Patients participating in on-going research protocols for neoadjuvant chemoradiotherapy as part of their treatment for esophageal carcinoma/gall bladder carcinoma


3. Emergency admissions
Emergency referals from other hospitals with the following conditions:
a.) Gastrointestinal bleeding: variceal and non-variceal
b.) Acute pancreatitis
c.) Complicated abdominal trauma
d.) Complications of abdominal surgery done elsewhere: biliary injury, enterocutaneous GI fistulae, abdominal sepsis/gi bleeding, etc.
e.) For establishing enteral access for nutrition in patients with absolute dysphagia, etc
f.) Complications following previous GI surgery/radiological intervention


4. Intensive Care Unit
The department has 8-bedded ICU in D6 ward which is fully staffed with nursing, physiotherapy and paraclinical staff. It is equipped to provide invasive/non-invasive ventilator support, critical care and hemodynamic monitoring and care for the comatose patient.
Apart from the nursing staff the ICU is manned by 2 Senior Residents on 24- hour duty, supported by another Senior Resident on cover duty. Supervision of ICU functioning is done on a daily basis by the Faculty on call.
All patients undergoing elective/emergency surgery are managed postoperatively in the ICU for at least 48-72 hours before being moved to the general ward depending upon the clinical recovery and magnitude of the surgery.