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Our Departments

Hepatobillary

Overview

Hepatobiliary refers to the medical specialty that deals with diseases and disorders of the liver (hepato-), gallbladder, bile ducts, and biliary tree. It is a subspecialty within gastroenterology and surgical gastroenterology that focuses on the diagnosis, treatment, and management of benign and malignant conditions affecting these organs.


Key Organs Involved

  • Liver – vital organ involved in detoxification, metabolism, and bile production

  • Gallbladder – stores bile produced by the liver

  • Bile Ducts – carry bile from the liver and gallbladder to the small intestine


Common Hepatobiliary Conditions

  • Liver diseases – Hepatitis (A, B, C, etc.), cirrhosis, liver abscess, fatty liver, liver failure

  • Liver tumors – Hepatocellular carcinoma, metastatic liver disease

  • Gallbladder disorders – Gallstones, cholecystitis, gallbladder cancer

  • Bile duct disorders – Choledocholithiasis (stones in bile duct), cholangitis, bile duct strictures, bile duct cancers (cholangiocarcinoma)

  • Congenital anomalies – Biliary atresia

Hepatobillary Department-Holy Spirit Hospital

Services

Diagnostic & Non-Invasive Services

  • Liver function tests (LFTs), coagulation profile

  • Hepatitis panel & autoimmune liver disease tests

  • Abdominal ultrasound, Doppler studies

  • CT scan, MRI, and MRCP (Magnetic Resonance Cholangiopancreatography)

  • FibroScan for liver fibrosis assessment

  • Image-guided liver biopsy

Medical Management

  • Treatment of acute and chronic liver diseases
    (e.g., Hepatitis B/C, cirrhosis, fatty liver, alcoholic liver disease)

  • Management of gallstones, cholecystitis, and biliary infections

  • Supportive care for liver failure and decompensated cirrhosis

  • Portal hypertension management

Endoscopic & Interventional Procedures

  • ERCP (Endoscopic Retrograde Cholangiopancreatography)

    • Stone removal, biliary stenting, stricture dilatation

  • EUS (Endoscopic Ultrasound)

    • For diagnosis and drainage of liver lesions or cysts

  • Interventional Radiology

    • Biliary drainage, stent placement, TACE (Transarterial Chemoembolization)

    • RFA/MWA for liver tumors

Surgical Services

  • Laparoscopic Cholecystectomy – for gallstones

  • Hepatectomy/Liver Resection – for benign and malignant liver tumors

  • Bile Duct Surgery – bile duct injury repair, stricture correction

  • Oncosurgery – for cholangiocarcinoma, gallbladder cancer

  • Cyst Removal – hydatid cyst, liver abscess drainage

  • Coordination with Liver Transplant team (if applicable)

Infrastructure and Technology

Imaging & Diagnostics

  • High-resolution Ultrasound with Doppler

  • Access to CT Scan & MRI/MRCP

  • FibroScan machine for liver stiffness

  • Fully equipped Pathology Lab for LFTs and biopsy analysis

Endoscopy & Interventional Setup

  • Endoscopy Suite with:

    • ERCP-capable video endoscope

    • Duodenoscope and accessories

  • Access to Interventional Radiology Lab with:

    • USG/CT-guided intervention

    • TACE/RFA equipment

    • Biliary drainage kits

Operation Theatre Setup

  • Modular OT with laparoscopy tower

  • Advanced electrocautery and harmonic scalpel

  • Basic hepatobiliary surgical instruments

  • Intraoperative ultrasound (optional)

Support Facilities

  • ICU beds with monitoring for post-op care and liver failure cases

  • Day care unit for minor procedures and ERCP recovery

  • Blood bank support with component therapy

  • Infection control protocols in place

Multidisciplinary Team

  • Hepatobiliary & GI Surgeons

  • Gastroenterologists & Hepatologists

  • Interventional Radiologists

  • Anesthesiologists & Critical Care Specialists

  • Dietitians and Clinical Pharmacists

  • Specialized Nursing Staff

Professionals

Dr. Aditya Nanavati-HPB Surgeon, Liver & Multi Organ Transplant-Holy Spirit Hospital

Dr. Aditya Nanavati

HPB Surgeon, Liver & Multi Organ Transplant

MBBS, Master of Surgery

Available Timings:

    Book Appointment

    Critical Care Medicine / Intensive Care Unit