Rare liver transplant performed on six & half month’s baby

Rare liver transplant performed on six & half month’s baby
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Highlights

In what can be termed as a rarest of rare cases, doctors in the city pulled off a complex liver transplant on Nitish, a six and a half month baby from Bhimavaram. 

In what can be termed as a rarest of rare cases, doctors in the city pulled off a complex liver transplant on Nitish, a six and a half month baby from Bhimavaram.

The transplant was carried out by taking a slice of his father's liver on October 13. The infant was suffering from congenital liver disease –Biliary atresia. The disease occurs in one in 10,000 to one in 15,000 children.

Biliary atresia is a congenital liver condition where the bile cannot drain from the liver through the bile ducts to the intestines. Bile helps to digest fats and also carries waste products from the liver to the intestines for excretion.

This impairment usually happens due to the bile ducts in the liver being absent or blocked or abnormally narrow. This results in the bile being trapped in the liver eventually leading to liver failure. Initially these children develop jaundice for about two weeks after birth.

If they are not treated they become malnourished and are easy prey for infections and complications of cirrhosis and a majority of them do not survive beyond two years.

In the case of Nitish also, the infant developed jaundice a few weeks after his birth. When jaundice did not subside, he was brought to Hyderabad. The family members were advised liver transplant as the only cure for his medical condition.

By the time he was brought to Hyderabad, Nitesh was found to be suffering from very high jaundice and had already developed liver cirrhosis and weighing just about 5.5 kgs.

Today, he is recovering and the doctor who performed the surgery, Dr Manish C Varma, chief transplant surgeon, Apollo Hospitals said that Nagaraju, the father was discharged on 6th day after surgery and the baby was discharged after two weeks of transplant.

Nitesh will need immunosuppressant all his life, but his overall growth will be normal. There will not be any long term limitations to his growth, learning and life expectancy.

The cost of the liver transplant surgery was well beyond the means of Nitesh's father, a daily wage labourer. The family received Rs 10 lakhs from CM Relief Fund, Rs 3 lakhs from PM Relief fund and actor Allu Arjun contributed another Rs 8 lakhs, towards the cost of the transplant.

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