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A 42-year-old morbidly overweight affected person weighing over 150 kg received a brand new lease of life following a posh liver transplant in Mumbai.
Ateam headed by Dr Gaurav Chaubal, Director of Liver, Pancreas, Intestine Transplant Program, and Hepato-Pancreato-Biliary Surgery at Global Hospitals, Mumbai efficiently carried out the operation.
The affected person, Jitendra Belgaonkar, a businessman from Nashik was at all times on the heavier facet and was recognized with fatty liver illness.
The affected person was affected by fatty liver illness which progressed to liver cirrhosis and was listed for a cadaveric liver transplant for greater than a 12 months. His medical situation continued to deteriorate regardless of optimum medical administration and he was suggested to register himself for a deceased donor liver transplant.
His medical situation worsened additional and with no different possibility left in hand, the medical doctors at Global Hospital Mumbai meticulously deliberate the transplant surgical procedure and saved the lifetime of the affected person by doing a dwelling donor liver transplant.
During the pandemic, the affected person seen signs reminiscent of blisters (fluid-filled bubbles) on his physique, lip bleeding, and leg swelling, and was rushed to the hospital. His investigation revealed a excessive creatinine degree of 4 (mg/dL), and the fatty liver illness progressed to liver cirrhosis. Bloating, lack of ability to empty the bowels, ascites (build-up of fluid within the stomach) and different signs required recurrent hospital admissions to be handled.
As the fatty liver illness had progressed to Liver cirrhosis, Dr Sharad Deshmukh, Senior Gastroenterologist at Nashik, advised a liver transplant and registered the affected person on the cadaver donation listing in Pune. Despite optimum medical administration, his medical situation worsened and he was admitted ceaselessly to the hospital. After ready for a 12 months, his spouse, seeing his situation, got here ahead to donate part of her liver.
“The patient was referred to in a critical situation. His liver function was low due to end-stage liver disease. Due to excess weight, his case was unique as well as challenging. Living donor transplant is not recommended in obese patients (weighing over 100 kgs) as they require a bigger size of graft leading to an insufficient remnant for the donor. We prefer doing a dual lobe living donor surgery or a deceased donor liver transplant as the graft weight is acceptable. He was waiting on the deceased donor waiting list for almost a year and didn’t get an organ. Additionally apart from his wife, no one in his immediate family could donate a part of their liver due to medical conditions. Looking at his condition, a decision of performing a liver transplant was taken with the help of a modified technique,” mentioned Dr Chaubal.
““Though my husband was obese, he was active and played basketball on a regular basis. It was a shock to us when we came to know about Fatty Liver Disease and jaundice. He was in pain and suffered a lot but he would do the daily chores on his own. His health deteriorated and he would just sleep the entire day without doing anything,” mentioned Jayashree Belgaonkar, his spouse who donated a part of her liver.
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