Dr Vikrant Sood
Business Overview
Other Details
Contact Person Name | Dr Vikrant Sood |
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No of Employee | Not Answered |
Professional Associations | , Laser Surgery For Fistula In Ano (Bhagander), Laser In Fissure In Ano, |
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Business Hours
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Business Location
Business Details
Institute of Liver and Biliary Sciences (ILBS) was the first centre to officially establish a department of ‘Pediatric Hepatology'. Although pediatric liver units were working in the various centres of the world but “pediatric hepatology” as a specialty was not recognized in India. Department of Pediatric Hepatology at ILBS is a full fledged department with well trained faculty and senior residents. We have established a fully functional Pediatric Hepatology ward which is well equipped for prompt management of infectious, metabolic and hereditary liver diseases in neonates, children and adolescents.
There are a lot of structural, infective, inborn errors of metabolism and autoimmune diseases of the liver amongst children. These disorders are very distinct from the liver disease seen among adults. The OPD attendance in the department of Pediatric Hepatology has also shown remarkable exponential growth. Majority of the patients are referred cases of neonatal and childhood liver diseases from all parts of the country. We have referrals from various hospitals of Delhi where junior doctors accompany patient to learn the work and understand the management of the patients and then discuss the monitoring of the patient with us from time to time. The Department has about 60 admissions each month in the ward and PICU. There was pressing need of the increase in beds in PICU as well NICU. The second phase building has already given us the much required increase in beds in ward, NICU & PICU this year. Diagnostic and therapeutic Pediatric GI endoscopies and procedures like hepatic vein pressure gradient and hepatic vein angioplasty as well as stenting are being performed. Fully functioning Pediatric liver transplant unit at ILBS has done 60 Pediatric liver transplants in the last 6 years. Various research projects are initiated to tackle unanswered queries in the field of metabolic and infectious childhood liver disease. We have about 12 research projects involving the faculty and residents of the department. The academic activity of the department includes holding of regular lectures, case presentations, seminars and symposia, journal club, group discussions, clinical meetings and clinical grand rounds.
Our Mission
The dual mission of the Department of Pediatric Hepatology has been well sketched out. On one side we are dedicated to the state of art patient care. And at the same time we as a department have been making a continued effort in causing more awareness among the pediatricians regarding identification and management of common childhood liver diseases. From time to time we participate in mass awareness programs also, to help in the prevention and identification of the common hepatic diseases among children. Besides we have participated in the prevention of infective hepatitis on televisions and school health programs.
Service Highlights
- Outdoor facilities for evaluation of neonatal and childhood liver disease.
- Pediatric Hepatology Ward for prompt management of infectious, metabolic and hereditary liver diseases in neonates, children and adolescent.
- Age and clinical profile appropriate protocol based approach to various metabolic liver disease in neonates, children and adults.
- Diagnostic and therapeutic Pediatric GI endoscopies.
- Procedures like hepatic vein pressure gradient and hepatic vein angioplasty as well as stenting are being performed
- Plasmapharesis in the Acute liver failure and acute on chrnic liver failure patients to bridge the gap to liver transplant.
- Pre-transplant evaluation and post-transplant monitoring done by the department along with the HPB surgery and various specialities.
- Pediatric hepatobiliary surgeries like Kasai’s portoenterostomy, Hepaticojejunostomy and Partial Hepatectomy are being done routinely and we provide pre and postoperative care for these patients.
- Splenic artery embolization and radiofrequency ablation are the radiological interventions are performed routinely at ILBS for pediatric cases.
- Counseling is done to parents through ILBS website and are in the process of developing a “Query Corner” on ILBS website to help the general pediatricians with the diagnosis and management of different childhood liver diseases.
Services rendered by the Department for Common Pediatric Liver Disorders
Acute Liver Failure in Children
Acute liver failure (ALF) in children is an acute devastating condition with high risk of complications and even death if proper management is not done. In the department, with standardized protocol based management, we have achieved high survival rates and thus could avoid liver transplantation in majority of the children. This has been further strengthened by use of state of the art techniques of High Volume Plasmapheresis, Continuous renal replacement therapy etc in ILBS, as being done in the best centres in the world.
Outcome of Pediatric ALF: Department of Pediatric Hepatology has emphasis on saving the children with their own liver. For those, who fail to improve on medical therapy, we offer liver transplant. Our results are comparable with the best in the world with 46.6 % survival with own liver, without the need for liver transplant. Similarly, we have excellent results with 66.7 % survival with own liver in children with acute-on-chronic liver failure (ACLF).