Global Hospital performs a successful liver transplant on lightest baby weighing 4.7 Kg from western India

4.7 kg baby suffering from rare liver disease Biliary Atresia (BA) underwent successful liver transplant

Global Hospital, Biliary Atresia, Ravi Mohanka, Anurag Shrimal, Parel, Mumbai, Liver transplant, Liver transplant  baby, Paediatric Liver Transplant Surgeon, Baby Ipsa, Paediatric Hepatologist, Shrimal

A specialised Paediatric Liver Transplant team led by Dr Ravi Mohanka and Dr Anurag Shrimal at Global Hospital, Parel, Mumbai, successfully performed a complex liver transplant surgery on 8.5-month-old baby girl. She weighed only 4.7 kgs at the time of her surgery making her the lightest baby in western India to have a successful liver transplantation.

Baby Ipsa Krunal Valvi, of Surat, developed jaundice immediately after birth. Further investigations revealed that she suffered from a rare liver disease known as Biliary Atresia (BA), where there are no bile ducts in the liver from birth. Bile becomes stagnant in the liver and causes permanent liver damage and cirrhosis. The family was in a rude shock as her health was continuously deteriorating. In such a condition, there is a surgical option available if the condition is diagnosed within 90 days. Since the diagnosis was done after 3 months of birth, the only option left was to do a liver transplant.

Dr Anurag Shrimal, Paediatric Liver Transplant Surgeon at Global Hospital, Parel, Mumbai, highlighted, “Baby Ipsa was suffering from Biliary Atresia, which is very rare and found only 1 in 20000 kids. But, in this case, she was diagnosed with it beyond the age of 90 days. So, it was difficult to perform a Kasai portoenterostomy procedure for BA which is an alternative for liver transplantation. Hence, the only treatment option left to save the baby was a timely liver transplant.”

Dr. Vibhor Borkar, Paediatric Hepatologist at Global Hospital, Parel, Mumbai, said, “As Ipsa was becoming older her liver disease was getting worse. She developed Jaundice, ascites (fluid in her belly) and most importantly stopped growing. Despite the best efforts her condition worsened, she started developing infections requiring multiple hospital admissions.”

Dr Shrimal added, “Baby Ipsa’s liver transplant surgery was performed successfully in June 2019. Liver transplant surgery in babies less than 5 kg is one of the most challenging operations. In small babies the blood vessels are very small and joining them to transplanted liver requires a special skill set. The complex surgery was almost blood-less and she required only 30 ml of blood during the entire surgery. The post-operative recovery of tiny infants is as challenging as the surgery. Strict asepsis and attention to every detail is an absolute must.”

She recovered well from the surgery, and was discharged within three weeks. After surgery, her jaundice gradually disappeared, she became more playfull, alert, and could catch up developmental milestones for her age.

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