When a child is diagnosed with severe liver disease or liver failure, choosing the right transplant specialist is one of the most important decisions for the family. Paediatric liver transplantation requires specialised surgical expertise, advanced intensive care, careful donor evaluation, and long-term follow-up, as children have different anatomical, nutritional and developmental needs compared with adults.
For families looking for a best doctor for child liver transplant in Delhi NCR, Dr. Giriraj Bora at Artemis Hospitals, Gurugram, is an experienced liver transplant surgeon specialising in liver transplantation and complex hepatobiliary surgery. He currently serves as Chairperson – Liver Transplant & Senior Consultant – GI & HPB Surgery at Artemis Hospitals.
Why Choose Dr. Giriraj Bora for Child Liver Transplant?
Dr. Giriraj Bora has extensive experience in liver transplantation, including paediatric cases. Artemis Hospitals states that its liver transplant unit has expertise in transplantation for small babies and children, along with complex graft procedures and advanced donor surgery.
His areas of expertise include:
- Liver transplantation
- Paediatric liver transplantation
- Living-donor liver transplantation
- Complex liver surgery
- Hepato-pancreato-biliary (HPB) surgery
- Laparoscopic donor surgery
- Robotic liver surgery
- Management of complex liver and biliary diseases
According to Artemis Hospitals, the liver transplant programme has performed more than 2,500 liver transplants, including living-donor and deceased-donor procedures.
When Does a Child Need a Liver Transplant?
A liver transplant may be considered when a child’s liver is severely damaged or is no longer able to perform its essential functions. Some conditions that may eventually require transplant evaluation include:
- Biliary atresia
- Acute liver failure
- Chronic liver failure
- Metabolic liver diseases
- Genetic or congenital liver disorders
- Certain liver tumours
- Advanced complications of chronic liver disease
However, having one of these conditions does not automatically mean that a child needs a transplant. A specialised paediatric hepatology and transplant team must evaluate the child’s condition, liver function, growth, nutrition and overall health before recommending transplantation.
Paediatric Liver Transplant at Artemis Hospitals, Gurugram
Artemis Hospitals provides a multidisciplinary approach to paediatric liver transplantation. Children undergoing transplant evaluation may require coordinated care from:
- Paediatric hepatologists
- Liver transplant surgeons
- Paediatric intensivists
- Anaesthesiologists
- Nutrition specialists
- Radiologists
- Infectious disease specialists
- Rehabilitation and support teams
This coordinated approach is important because successful paediatric transplantation involves much more than the surgery itself. Pre-transplant preparation, intensive care, nutrition, medicines and long-term monitoring all contribute to the child’s recovery.
Types of Liver Transplant for Children
Depending on the child’s medical condition and donor availability, different transplant approaches may be considered.
Living-Donor Liver Transplant
In a living-donor liver transplant, a suitable portion of the liver from a healthy adult donor is transplanted into the child. The liver has the ability to regenerate, allowing the remaining donor liver and transplanted portion to grow over time.
Deceased-Donor Liver Transplant
A suitable liver or liver segment from a deceased donor may be allocated to a child according to established transplant criteria and the child’s medical requirements.
Split-Liver Transplant
In selected circumstances, a donor liver can be divided into portions, allowing one portion to be transplanted into a child and another portion to another recipient.
The appropriate transplant method is determined by the transplant team after detailed evaluation.
What Happens During Child Liver Transplant Evaluation?
Before recommending transplantation, doctors conduct a comprehensive assessment of the child. This may include:
- Liver function tests
- Blood investigations
- Imaging studies
- Assessment of blood vessels
- Kidney and other organ evaluation
- Nutritional assessment
- Growth and developmental assessment
- Infection screening
- Cardiac and respiratory evaluation when required
- Donor evaluation
- Review of the child’s medical history
The team also assesses whether the child is medically ready for transplantation and whether any correctable problems should be treated before surgery.
Why Experience Matters in Paediatric Liver Transplantation
Children undergoing liver transplantation can present unique surgical and medical challenges because of their smaller size, developing organs, nutritional requirements and long-term growth considerations.
Therefore, families should consider factors such as:
1. Liver transplant experience
Look for a surgeon and transplant centre with substantial experience in liver transplantation.
2. Paediatric expertise
Children require specialised assessment, surgery, intensive care and follow-up.
3. Multidisciplinary support
Paediatric hepatology, transplant surgery, critical care, nutrition and other specialists may need to work together.
4. Donor surgery expertise
For living-donor transplantation, appropriate donor evaluation and surgical expertise are essential.
5. Long-term follow-up
Children require continued monitoring of liver function, medicines, growth, nutrition and development after transplantation.
Dr. Giriraj Bora – Liver Transplant Specialist in Delhi NCR
Dr. Giriraj Bora is a liver transplant and HPB surgeon practising at Artemis Hospitals, Gurugram, serving patients from Delhi NCR and other parts of India. He completed his MCh in HPB & Gastrointestinal Surgery from G.B. Pant Hospital, Maulana Azad Medical College, New Delhi, after surgical training that included SGPGIMS, Lucknow.
Artemis Hospitals reports that Dr. Bora and the liver transplant team have experience with adult and paediatric liver transplantation, including transplantation in small babies and complex liver graft procedures.
For parents seeking a best child liver transplant doctor in Delhi NCR, an initial consultation can help determine whether liver transplantation is appropriate and what treatment options may be available for the child.
Frequently Asked Questions
Who is the best doctor for child liver transplant in Delhi NCR?
Families should evaluate a transplant surgeon based on paediatric transplant experience, surgical expertise, transplant infrastructure, multidisciplinary support and long-term follow-up. Dr. Giriraj Bora is a liver transplant surgeon at Artemis Hospitals, Gurugram, with experience in adult and paediatric liver transplantation.
Where is paediatric liver transplant available near Delhi?
Artemis Hospitals in Gurugram provides paediatric liver transplant evaluation and treatment as part of its liver transplant programme.
Which diseases can require liver transplantation in children?
Conditions can include biliary atresia, acute or chronic liver failure, selected metabolic and genetic disorders, and certain liver tumours. The need for transplantation is determined after a detailed medical evaluation.
Can a child receive a liver from a living donor?
Yes. In appropriate cases, a healthy adult may donate a suitable portion of their liver to a child. Donor suitability and safety are carefully evaluated before transplantation.
How long does recovery take after a child’s liver transplant?
Recovery varies from child to child. Hospitalisation, intensive monitoring, medicines, nutritional support and regular follow-up are generally required. Full recovery and return to normal activities can take several weeks to months depending on the child’s condition.
What should parents ask before choosing a liver transplant surgeon?
Parents should ask about the surgeon’s transplant experience, paediatric cases, transplant centre infrastructure, intensive care facilities, donor evaluation, expected treatment pathway, potential risks and long-term follow-up.
Conclusion
Choosing a best doctor for child liver transplant in Delhi NCR requires careful consideration because paediatric liver transplantation is a highly specialised treatment. The experience of the transplant surgeon, paediatric support team, critical care facilities, donor programme and long-term follow-up should all be considered.
With extensive experience in liver transplantation and complex HPB surgery, Dr. Giriraj Bora at Artemis Hospitals, Gurugram, provides specialised liver transplant care for children as part of a multidisciplinary transplant programme.
If your child has been diagnosed with advanced liver disease, liver failure or a condition that may require transplantation, an early consultation with a specialised paediatric liver and transplant team can help you understand the available treatment options.
