New Delhi: Eleven (11) month old Cambodian girl Angel Sroy is one of the 10 children who have been successfully liver transplanted in the last 3 months at Indraprasth Apollo hospital.
Paediatric liver transplant may be a very challenging surgery but given the state of art technology coupled with a highly skilled transplant team, liver transplant in this hospital seems to have become a child’s play. Over 280 paediatric liver transplants till date speaks a volume.The number of liver transplant across ages in Apollo crosses staggering 3000 figure and counting.
The happiness of Angel’s family in fact is sourced to Apollo. Angel is second in line in the family to have gotten a new lease of life in this hospital. Kim, Angel Sroy’s brother, had the same medical condition called bile duct paucity and underwent liver transplant 5 years ago plus kidney transplant later. In fact, experience with Kim helped Apollo to save her life.
Last year, Kim’s mother gave birth to Angel and kept a vigil on her eyes ever after her birth. And just as she saw her daughter’s eyes become yellow, the family brought her to Apollo Delhi without any delay for an assessment.
Talking to Medicare News, Prof Anupam Sibal, Group Medical Director and Senior Pediatric Gastroenterologist and Hepatologist, Apollo Hospitals Group, said, ‘ Given our understanding of Kim’s case, we immediately investigated Angel. She too was diagnosed to have paucity of bile ducts. Her liver disease continued to progress rapidly, resulting in end-stage liver disease within few months. We first tried to treat her medically but soon realized transplant was the only option. The family took the baby to France for a second opinion where experts concurred with our plan. She underwent a liver transplant at the age of 11 months last month.”
Dr Sibal added, ‘Two children and three transplant! – The family must be attributed with a lot of courage and sense of sacrifice. Angel’s auntie came forward for donating her liver for transplant. The awareness about liver transplantation has increased considerably and the Apollo Program has now transplanted more than 280 children from 20 countries.’
“Angel was really small and deeply jaundiced. Such small babies are a challenge as the donor liver has to be specifically reduced as per the size of the small abdominal cavity, kind of custom built to fit in. Big size grafts can create a lot of post-operative problems but fortunately for her, the reduced liver worked really fine. Also joining the tiny blood vessels can be quite challenging in small babies”, said Dr Neerav Goyal, Senior Consultant, Liver Transplant and Hepatobiliary, Pancreatic surgery, Indraprastha Apollo Hospitals.
“In the last 3 months alone, 10 children including babies as small as weighing 3.5 kg have been successfully transplanted”, added Dr Goyal. The surgical team comprised of Dr Puneet Dargan, Dr Arun Venuthurimilli and Dr Kumar Vaibhav and medical team comprised of Dr Nameet Jerath, Dr Vidyut Bhatia, Dr Akshay Kapoor and Dr Smita Malhotra.
Her brother Kim Sroy, now aged seven, underwent a successfuk liver transplantation at 18 months of age. But within two years, he developed swelling all over his body and was brought back to Apollo. Kim had developed chronic renal disease due to transplant related thrombotic microangiopathy, a rare condition where the small blood vessel gets occluded due to the damage to their inner lining. This is a very rare, but devastating complication of transplantation with mortality ranging from 60 – 90 percent.
Upon diagnosis, doctors realized that Kim urgently needed renal transplant and was put on hemodialysis. He underwent a kidney transplant. Now it’s been more than five years and Kim is hale and hearty with both his liver and kidneys doing well.
Indraprastha Apollo has achieved the distinction of being the first hospital in the country to successfully transplant liver in 2 year old boy Sanjay Kandaswamy in 1998. At the completion 10 year of this hallmark, Indian government released a postal stamp as a tribute to hospital’s excellence in liver transplant. The number of liver transplant across ages in Apollo crosses staggering 3000 figure and counting.