Patient Information Leaflet

ANSH LIVER CLINIC


INTRODUCTION:

Ansh Liver Clinic “Prevention to Cure” is committed to expanding the service of hepatology to help with prevention and treatment of patients with complex liver disease. The aim is to provide all out-patient services related to hepato-biliary disease under one roof.

Being diagnosed with a serious liver illness can be very traumatic and stressful for the patient. Such a diagnosis creates enormous uncertainty and raises several questions such as "Are my symptoms going to get worse?" "What will the treatment be like?" "How will my life change?" "Am I going to die?" "Can I get better?"

The Liver Clinic aims to answer all these questions and assist all patients with liver disease with a multidisciplinary team approach including :


SERVICES OF THE LIVER CLINIC:

1) Liver Wellness Package
a) Why should I take the Liver Wellness Package?

The reasons for proposing the liver wellness package in apparently healthy individuals with no symptoms are cited below:

There is a huge burden of silent liver disease in India.

  • Out of 1.2 billion people in India, at least one in 5 Indians is living with some kind of liver problem
  • 42 million people suffer from Hepatits B (5% of population)
  • 12 million people suffer from Hepatitis C
  • Burden of Hepatitis C is twice of HIV population (more common than HIV) Both Hepatitis B and C, spread in the same way as HIV
  • 8 million Indians are reported to have Alcohol related liver disease .
  • 144 million people suffer from fatty liver disease (12 % of population)
  • 1.5 million suffer from cirrhosis of liver
  • Hepatocellular carcinoma of liver is the 4th most common cause of cancer in the world

SILENT LIVER DISEASE : A KILLER

  • Most of these diseases including viral hepatitis B, C, fatty liver disease due to alcohol or non alcohol fatty liver disease are silent and do not produce any symptoms.
  • It is advisable to diagnose them early because if left untreated this can result in permanent scarring (cirrhosis) of liver.
  • Liver cirrhosis can cause life threatening complications like jaundice, bleeding, water accumulation in legs and abdomen and liver cancer.
b) Who should avail of Liver Wellness Package?

All individuals with history of the following:

  • Obesity, High Waist Hip ratio
  • High Cholesterol, Triglyceride
  • Diabetes
  • Fatty Liver
  • Alcohol intake
  • Previous history of Jaundice
  • Family history of Liver problems.
c) What does the Liver Wellness Package include?

  • Blood tests
  • USG abdomen
  • Fibroscan
  • Dietician consult
  • Hepatology Consult.
d) How much will the Liver Wellness Package cost?

Rs. 13,000/-

2) Fibroscan:
  • To assess the degree of damage done to the liver( scarring of liver).
  • Advantages :
    • No preparation needed,
    • Painless
    • Non invasive
    • Results available in few minutes.
3) Speciality Clinic

Alcohol and Liver

  • Patient with alcohol related liver disease will require help from Hepatologist to optimise the liver disease,
  • Guidance from Psychiatrist to help with abstinence from alcohol.
  • Supportive information in the form of Alcohol Helpline, information on deaddiction centres and Alcohol Anonymous (AA) Clinic will be provided by the Liver Clinic.

Non Alcohol Fatty Liver Disease (NAFLD):

  • Common causes of NAFLD are: Obesity, diabetes, hypercholesterolemia, hypothyroidism and hypertension.
  • The Liver clinic aims to provide a holistic approach to this condition by providing consultation from Hepatologist, Dietician and Diabetologist for these patients .

Viral Hepatitis:

  • Viral hepatitis A, B, C, D and E, all present clinically in a ver y s i m i lar fashion, especially in the acute phase of illness.
  • Although, acute viral hepatitis A and E are self limiting, 1% patients can develop fulminant liver failure.
  • Hepatitis B and C can cause chronic hepatitis, which can progress to cirrhosis and liver cancer.
  • Deciding which patients infected with hepatitis B and C to treat is challenging and requires detailed assessment which will be provided at the Liver Clinic with the help of the Hepatologist.
  • The Liver Clinic recommends routine checking for hepatitis B and C for the following individuals:
    • Previous needle stick injury, Tattoo
    • Blood transfusion
    • On dialysis
    • Previous operations
    • Family member with this condition

Miscellaneous Liver Conditions :

Liver Clinic will provide management strategies for the following complex liver conditions

  • Evaluation of abnormal liver function test (LFT) and Jaundice. Ansh Liver Clinic Prevention to Cure
  • Decompensated Cirrhosis complicated with portal hypertension, ascites, spontaneous bacterial peritonitis. etc.
  • Decision for Transjugular Intra-hepatic portosystemic shunt (TIPS) in decompensated liver disease.
  • Autoimmune hepatitis
  • Metabolic Liver diseases
  • Primary Sclerosing Cholangitis (PSC)
  • Primary Biliary Cirrhosis (PBC)

Hepato-Biliary Services :Surgical Aspects

Patients needing a liver resection for primary / secondary liver cancer, Gall Bladder cancer, Bile duct strictures and cancers , will be offered the appropriate surgery at a suitable hospital.

Liver Transplant:

  • Patients with decompensated cirrhosis and liver cancer may need to be referred for liver transplant.
  • Careful assessment and evaluation for need of liver transplant with appropriate counselling will be offered in the Liver Clinic.
  • Guidance on both cadaveric and living donor liver transplant.
4) Patient education and Awareness on Liver Disease :

The Liver Clinic aims to promote awareness on silent liver diseases through :

  • Patient information leaflets.
  • Healthy Liver Questionnare.
  • Liver Clinic website: www.theliverclinic.in
  • Audiovisual presentation in the clinic.
  • Screening camps for Liver disease.