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Dr. Hitesh Chavda

Director - GI Surgery & Liver Transplant

Sterling Hospitals, Gurukul, Ahmedabad
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A BriefIntroduction

Dr. Hitesh Chavda is a top surgical gastroenterologist and liver surgeon in Ahmedabad, Gujarat, and brings over 23 years of expertise in gastrointestinal, liver, and HPB surgery. After completing MBBS from the University of Gujarat in 1993, he earned his MS with honors from the same university in 1997. He further underwent extensive training at the Department of Surgery at Civil Hospital and BJ Medical College, Ahmedabad. Dr. Chavda further obtained his surgical fellowship (FRCS) from The Royal College of Surgeons of Edinburgh in 1999.

With a penchant for Liver and HPB surgery, he underwent advanced training in liver surgery in Paris, France, and in HPB surgery in Heidelberg, Germany in 2004. He also completed his one-year fellowship training in Liver Surgery & Transplantation at the Asian Center For Liver Disease and Transplantation, Gleneagles Hospital, Singapore under the directorship of Dr K C Tan in 2007. Dr. Chavda also earned his special training for Living Donor Liver Transplantation under the prestigious International Scholars Program from the Asan Medical Centre, Seoul, South Korea.

As a pioneer in liver surgery and cadaveric liver transplantation in Gujarat, he currently leads the Surgical Gastroenterology fellowship program at Sterling Hospital. Dr. Chavda is committed to surgical training and education and has been organizing the annual “Liver Update” Conference since 2009.

He is a pioneer in developing liver cancer surgery in Gujarat. His main areas of interest are liver cancer, complex gastrointestinal surgeries, and liver transplantation. His research and clinical interests include surgery for liver cancers, gastrointestinal cancer surgery, and advanced laparoscopic surgery. Dr. Chavda is a renowned speaker at national and international conferences and a member of various scientific societies.

Dr. Chavda's areas of expertise include but not limited to:

•	Open and Laparoscopic gastrointestinal surgeries
•	Laparoscopic surgery for gallbladder stones
•	Hernia surgeries for femoral, inguinal and ventral hernias
•	Laparoscopic appendectomy
•	Gastrointestinal cancer surgeries
•	Liver surgery for cancers and benign conditions
•	Colorectal cancer surgery
•	Robotic gastrointestinal surgeries
•	Living donor and cadaveric liver transplantation
•	Pancreatic surgery for cancers and pancreatitis
•	Surgery for portal hypertension
•	Surgery for ulcerative colitis and Crohn’s Disease / Stapled and Pouch Procedures
•	Retroperitoneal tumor excisions
•	Laparoscopic surgery for reflux and hiatal hernia
•	Emergency surgeries for abdominal trauma, bleeding, intestinal obstruction, and gastrointestinal perforations

Areas of Expertise

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Liver Resection

Liver Resection, also known as hepatectomy, is a surgical procedure that involves the removal of a portion of the liver affected by tumours, cysts, or other abnormalities. This procedure is performed to treat liver cancer, and benign liver tumours, or to remove metastatic tumours that have spread to the liver from other parts of the body.

When and why do people go for Liver Resection?

People undergo liver resection when they have tumours or lesions in the liver that cannot be effectively treated with other methods such as chemotherapy, radiation therapy, or ablation techniques. Liver resection may be recommended for individuals with primary liver cancer (hepatocellular carcinoma or cholangiocarcinoma), metastatic liver tumours from colorectal cancer or other primary cancers, or benign liver tumours such as haemangiomas or adenomas. The goal of liver resection is to remove the diseased portion of the liver while preserving enough healthy liver tissue to maintain proper liver function.

What makes Liver Resection different from other treatment options?

Liver resection offers a curative treatment option for certain liver conditions compared to other treatment options. While treatments such as chemotherapy, radiation therapy, or ablation techniques may help control symptoms or slow the progression of liver tumours, liver resection directly removes the diseased portion of the liver, offering the potential for long-term cure or remission. Additionally, liver resection may be preferred over liver transplantation in certain cases where the tumour burden is limited, or when transplantation is not feasible due to factors such as donor availability or patient eligibility.

How does life change after Liver Resection?

Life after liver resection can vary depending on the extent of the surgery, underlying liver condition, and individual response to treatment. Following the procedure, many patients experience relief from symptoms such as abdominal pain, jaundice, fatigue, or weight loss associated with liver tumours or dysfunction. With the diseased portion of the liver removed, individuals often find it easier to maintain normal liver function and may experience improvements in overall health and well-being. While recovery from liver resection may involve some temporary discomfort and adjustments to diet and activity levels, many patients ultimately enjoy a renewed sense of vitality and improved quality of life after liver resection. Regular follow-up care and monitoring are essential to detect any signs of recurrence and ensure long-term liver health.

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Whipple Procedure

The Whipple procedure, also known as pancreaticoduodenectomy, is a complex surgical procedure performed to treat tumours and conditions affecting the pancreas, bile duct, and duodenum (the first part of the small intestine). During the Whipple procedure, the surgeon removes the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder, and part of the bile duct.

When and why do people go for the Whipple Procedure?

People undergo the Whipple procedure when they have tumours or conditions affecting the pancreas, bile duct, or duodenum that cannot be treated effectively with other methods. The most common reason for the Whipple procedure is to treat pancreatic cancer, but it may also be performed for other conditions such as tumours of the bile duct, chronic pancreatitis, or benign tumours of the pancreas. The goal of the Whipple procedure is to remove the diseased tissue and improve outcomes for individuals with these conditions.

What makes the Whipple Procedure different from other treatment options?

The Whipple procedure offers a comprehensive treatment approach for tumours and conditions affecting the pancreas, bile duct, and duodenum compared to other treatment options. While treatments such as chemotherapy or radiation therapy may be used to shrink tumours or alleviate symptoms, the Whipple procedure provides a potentially curative option by removing the affected organs and tissues. This surgical intervention can offer the best chance for long-term survival and improved quality of life for individuals with pancreatic cancer or other conditions that cannot be effectively treated with other methods.

How does life change after the Whipple Procedure?

Life after the Whipple procedure can vary depending on the individual's overall health, the extent of the surgery, and the underlying condition being treated. Following the procedure, many patients experience relief from symptoms such as abdominal pain, jaundice, or digestive problems associated with pancreatic or bile duct tumours. With the diseased tissue removed, individuals may find it easier to eat, digest food, and maintain proper nutrition. While recovery from the Whipple procedure may involve some temporary discomfort and adjustments to diet and lifestyle, many patients ultimately enjoy a renewed sense of well-being and improved quality of life after surgery. Regular follow-up care and monitoring are essential to detect any signs of recurrence and ensure long-term health and well-being.

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Cholecystectomy

Cholecystectomy is a surgical procedure used to remove the gallbladder, a small organ located beneath the liver. The gallbladder stores bile, a digestive fluid produced by the liver, and releases it into the small intestine to aid in the digestion of fats. Cholecystectomy may be performed as an open surgery or laparoscopically, using small incisions and specialized instruments.

When and why do people go for Cholecystectomy?

People undergo cholecystectomy when they experience symptoms such as gallstones, inflammation of the gallbladder (cholecystitis), or other complications related to gallbladder disease. Common reasons for cholecystectomy include recurrent episodes of abdominal pain, nausea, vomiting, or complications such as gallstone pancreatitis or obstruction of the bile ducts. The surgery is typically recommended when conservative treatments such as medication or dietary changes fail to alleviate symptoms or when there's a risk of serious complications associated with gallbladder disease.

What makes Cholecystectomy different from other treatment options?

Cholecystectomy offers a definitive solution for treating gallbladder disease compared to other treatment options. While medications may help manage symptoms temporarily, they do not address the underlying cause of gallbladder disease or prevent the recurrence of gallstones. Cholecystectomy removes the gallbladder entirely, eliminating the source of symptoms and reducing the risk of complications such as gallstone-related pancreatitis or bile duct obstruction. Additionally, cholecystectomy is more effective in providing long-term relief from symptoms and improving quality of life compared to non-surgical treatments.

How does life change after Cholecystectomy?

Life after cholecystectomy can bring about significant improvements in digestive health and overall quality of life for individuals with gallbladder disease. Following the procedure, many patients experience relief from symptoms such as abdominal pain, nausea, and bloating associated with gallstones or gallbladder inflammation. With the gallbladder removed, individuals often find it easier to tolerate fatty foods and experience fewer episodes of digestive discomfort. While some patients may experience temporary changes in bowel habits or dietary preferences, many ultimately enjoy a renewed sense of well-being and improved digestive function after cholecystectomy.

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Hernia Surgery

Hernia Surgery is a medical procedure performed to repair a hernia, which occurs when an organ or fatty tissue pushes through a weak spot or opening in the surrounding muscle or connective tissue. The surgery involves pushing the protruding tissue back into place and strengthening the weakened area with sutures or a mesh patch to prevent recurrence.

When and why do people go for Hernia Surgery?

People undergo hernia surgery when they experience symptoms such as a visible bulge or lump, pain or discomfort, or complications such as strangulation or obstruction of the herniated tissue. The decision to undergo surgery is typically made when conservative measures such as wearing a supportive truss or lifestyle modifications fail to alleviate symptoms or when there's a risk of serious complications associated with the hernia.

What makes Hernia Surgery different from other treatment options?

Hernia surgery offers a definitive solution for repairing hernias compared to other treatment options. While conservative measures such as wearing a supportive truss or avoiding heavy lifting may provide temporary relief from symptoms, surgery addresses the underlying cause of the hernia by repairing the weakened muscle or tissue and preventing recurrence. Additionally, hernia surgery is more effective in relieving symptoms and reducing the risk of complications such as incarceration or strangulation, which can occur if the hernia becomes trapped or twisted.

How does life change after Hernia Surgery?

Life after hernia surgery can bring about significant improvements in symptoms, mobility, and overall quality of life. Following the procedure, many patients experience relief from symptoms such as pain, discomfort, and limitations in physical activity associated with the hernia. With the hernia repaired, individuals often find it easier to engage in daily activities, exercise, and lead an active lifestyle without the fear of the hernia worsening or causing complications. While recovery may involve some temporary discomfort and restrictions on activities, many patients experience a renewed sense of well-being and improved physical function after hernia surgery.

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Haemorrhoidectomy or Piles Surgery

Haemorrhoidectomy, also known as piles surgery, is a surgical procedure performed to remove swollen or inflamed haemorrhoidal tissue, which is commonly known as piles. Haemorrhoids are swollen veins in the rectum or anus that can cause pain, bleeding, itching, and discomfort. Haemorrhoidectomy is typically performed when conservative treatments such as dietary changes, topical medications, or minimally invasive procedures fail to provide relief from symptoms.

When and why do people go for Haemorrhoidectomy or Piles Surgery?

People undergo haemorrhoidectomy or piles surgery when they experience severe or persistent symptoms of haemorrhoids that significantly impair their quality of life or daily activities. Common reasons for surgery include chronic pain, bleeding, itching, or protruding haemorrhoids that do not respond to conservative treatments. Additionally, surgery may be recommended for individuals with large, external haemorrhoids or internal haemorrhoids that have prolapsed and cannot be pushed back into place.

What makes Haemorrhoidectomy or Piles Surgery different from other treatment options?

Haemorrhoidectomy or piles surgery offers a more definitive solution for treating severe or persistent haemorrhoids compared to other treatment options. While conservative measures such as dietary modifications, fibre supplements, or topical treatments may provide temporary relief from symptoms, surgery directly addresses the underlying cause of the problem by removing the swollen haemorrhoidal tissue. This surgical intervention can provide long-term relief from symptoms and reduce the risk of recurrence, especially for individuals with large or prolapsed haemorrhoids that do not respond to non-surgical treatments.

How does life change after Haemorrhoidectomy or Piles Surgery?

Life after haemorrhoidectomy or piles surgery can bring about significant improvements in symptoms, comfort, and overall quality of life for individuals suffering from haemorrhoids. Following the procedure, many patients experience relief from symptoms such as pain, bleeding, itching, and discomfort associated with haemorrhoids. With the swollen haemorrhoidal tissue removed, individuals often find it easier to engage in daily activities, sit comfortably, and resume normal bowel habits without the fear of recurrent flare-ups. While recovery may involve some temporary discomfort and dietary modifications, many patients ultimately enjoy a renewed sense of well-being and improved gastrointestinal health after haemorrhoidectomy or piles surgery.

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Appendectomy

Appendectomy is a surgical procedure performed to remove the appendix, a small pouch located in the lower right abdomen. The appendix is believed to be a vestigial organ with no known essential function in humans. Appendectomy is commonly performed to treat appendicitis, an inflammation of the appendix, which can lead to serious complications if left untreated.

When and why do people go for Appendectomy?

People undergo appendectomy when they experience symptoms of appendicitis, such as abdominal pain, nausea, vomiting, and fever. Appendicitis occurs when the appendix becomes blocked, often due to foecal matter, infections, or inflammation, leading to swelling, bacterial overgrowth, and potential perforation or rupture of the appendix. Appendectomy is typically recommended as an emergency procedure to remove the inflamed appendix and prevent complications such as peritonitis or abscess formation.

What makes Appendectomy different from other treatment options?

Appendectomy offers a definitive solution for treating appendicitis compared to other treatment options. While some cases of mild appendicitis may be managed with antibiotics alone, appendectomy remains the gold standard treatment for appendicitis, as it effectively removes the source of inflammation and prevents recurrent episodes. Unlike conservative management, which may carry a risk of recurrent or persistent symptoms, appendectomy provides immediate relief and reduces the risk of complications associated with appendicitis.

How does life change after Appendectomy?

Life after appendectomy can bring about significant improvements in symptoms, quality of life, and overall health for individuals with appendicitis. Following the procedure, many patients experience relief from symptoms such as abdominal pain, nausea, and fever associated with appendicitis. With the inflamed appendix removed, individuals often find it easier to resume their normal activities and dietary habits without the fear of recurrent episodes of appendicitis. While recovery may involve some temporary discomfort and restrictions on physical activity, many patients ultimately enjoy a renewed sense of well-being and improved digestive health after appendectomy.

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Orthotopic Liver Transplantation (OLT)

Orthotopic Liver Transplantation (OLT) is a surgical procedure in which a diseased or failed liver is replaced with a healthy liver from a deceased or living donor. During the procedure, the recipient's diseased liver is removed and replaced with the donor liver, which is carefully implanted in the same anatomical location as the original liver.

When and why do people go for Orthotopic Liver Transplantation (OLT)?

People undergo orthotopic liver transplantation when they have end-stage liver disease or acute liver failure that cannot be effectively treated with other methods. Common reasons for OLT include liver cirrhosis, liver cancer, hepatitis, autoimmune liver diseases, and metabolic liver disorders. The goal of OLT is to restore liver function, improve quality of life, and prolong survival for individuals with severe liver disease that is not responsive to medical or surgical treatments.

What makes Orthotopic Liver Transplantation (OLT) different from other treatment options?

Orthotopic liver transplantation offers a definitive treatment option for end-stage liver disease compared to other treatment options. While treatments such as medication, lifestyle changes, or surgical procedures may help manage symptoms or slow the progression of liver disease, OLT provides a potential cure by replacing the diseased liver with a healthy donor liver. This surgical intervention addresses the underlying cause of liver failure and offers the best chance for long-term survival and improved quality of life for individuals with advanced liver disease.

How does life change after Orthotopic Liver Transplantation (OLT)?

Life after orthotopic liver transplantation can bring about significant improvements in health, well-being, and overall quality of life for individuals with end-stage liver disease. Following the procedure, many patients experience relief from symptoms such as fatigue, jaundice, abdominal pain, and fluid retention associated with liver failure. With a healthy donor liver, individuals often find it easier to maintain normal liver function, digest food, and absorb nutrients. While recovery from OLT may involve some temporary discomfort and adjustments to medications and lifestyle, many patients ultimately enjoy a renewed sense of vitality and improved long-term outcomes after transplantation. Regular follow-up care and monitoring are essential to ensure the success of OLT and maintain the health of the transplanted liver.

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Living Donor Liver Transplantation (LDLT)

Living Donor Liver Transplantation (LDLT) is a surgical procedure in which a portion of a healthy liver from a living donor is transplanted into a recipient with end-stage liver disease or acute liver failure. The donated portion of the liver grows and regenerates in both the donor and recipient, allowing both individuals to have functional liver tissue.

When and why do people go for Living Donor Liver Transplantation (LDLT)?

People undergo living donor liver transplantation when they have end-stage liver disease or acute liver failure and do not have access to a deceased donor liver or cannot wait for a deceased donor organ due to the urgency of their condition. LDLT may be recommended for individuals with conditions such as liver cirrhosis, liver cancer, hepatitis, or metabolic liver disorders. The goal of LDLT is to provide a timely and life-saving treatment option for individuals with severe liver disease that is not responsive to medical or other surgical treatments.

What makes Living Donor Liver Transplantation (LDLT) different from other treatment options?

Living donor liver transplantation offers a unique treatment approach compared to other options for end-stage liver disease. While deceased donor liver transplantation remains the most common method of liver transplantation, LDLT provides an alternative for individuals with urgent medical needs or those who cannot wait for a deceased donor organ. LDLT allows for the transplantation of a healthy liver segment from a living donor, which may result in shorter wait times for transplantation and potentially better outcomes due to the reduced risk of organ rejection and improved compatibility between donor and recipient.

How does life change after Living Donor Liver Transplantation (LDLT)?

Life after living donor liver transplantation can bring about significant improvements in health, well-being, and overall quality of life for individuals with end-stage liver disease. Following the procedure, many recipients experience relief from symptoms such as fatigue, jaundice, abdominal pain, and fluid retention associated with liver failure. With a healthy donor liver segment, recipients often find it easier to maintain normal liver function, digest food, and absorb nutrients. While recovery from LDLT may involve some temporary discomfort and adjustments to medications and lifestyle, many recipients ultimately enjoy a renewed sense of vitality and improved long-term outcomes after transplantation. Regular follow-up care and monitoring are essential to ensure the success of LDLT and maintain the health of the transplanted liver.

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Colorectal Cancer Surgery

Colorectal cancer surgery is a surgical procedure performed to remove cancerous tumours or affected tissue from the colon or rectum. It is a primary treatment option for colorectal cancer and aims to remove cancer cells, prevent the spread of the disease, and improve long-term outcomes for patients.

When and why do people go for Colorectal Cancer Surgery?

People undergo colorectal cancer surgery when they are diagnosed with colorectal cancer, particularly in cases where the cancer is localized and has not spread extensively to other parts of the body. Surgery is often recommended as the initial treatment for early-stage colorectal cancer or as part of a multimodal treatment approach for more advanced stages. The goal of colorectal cancer surgery is to remove the tumour and any surrounding affected tissue, thereby reducing the risk of cancer spreading and improving survival rates for patients.

What makes Colorectal Cancer Surgery different from other treatment options?

Colorectal cancer surgery differs from other treatment options for colorectal cancer, such as chemotherapy, radiation therapy, and targeted therapy, in that it directly targets and removes cancerous tissue from the colon or rectum. While other treatments may be used before or after surgery to shrink tumours, destroy remaining cancer cells, or prevent recurrence, surgery remains a primary treatment modality for potentially curative intent. Colorectal cancer surgery may involve different techniques, including segmental resection (removal of a segment of the colon or rectum), colectomy (removal of a portion of the colon), or proctectomy (removal of the rectum), depending on the location, size, and stage of the cancer.

How does life change after Colorectal Cancer Surgery?

Life after colorectal cancer surgery can vary depending on the extent of surgery, the stage of the cancer, and the individual's overall health and well-being. While some patients may experience temporary discomfort, pain, or changes in bowel habits following surgery, many find relief from the removal of cancerous tissue and a reduced risk of cancer recurrence. With proper rehabilitation, support, and follow-up care, many patients are able to adapt to these changes and lead fulfilling lives after colorectal cancer surgery. Regular follow-up appointments, monitoring, and ongoing care are essential for managing potential complications, monitoring for recurrence, and supporting long-term recovery after colorectal cancer surgery.

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Liver Cancer Surgery

Liver cancer surgery, also known as hepatectomy or liver resection, is a surgical procedure performed to remove cancerous tumours or affected portions of the liver. It is a primary treatment option for liver cancer and aims to remove cancer cells, prevent the spread of the disease, and improve long-term outcomes for patients. 

When and why do people go for Liver Cancer Surgery?

People undergo liver cancer surgery when they are diagnosed with liver cancer, particularly in cases where the cancer is localized and has not spread extensively to other parts of the body. Surgery is often recommended as the initial treatment for early-stage liver cancer or as part of a multimodal treatment approach for more advanced stages. The goal of liver cancer surgery is to remove the tumour and any surrounding affected tissue, thereby reducing the risk of cancer spreading and improving survival rates for patients.

What makes Liver Cancer Surgery different from other treatment options?

Liver cancer surgery differs from other treatment options for liver cancer, such as chemotherapy, radiation therapy, and liver transplant, in that it directly targets and removes cancerous tissue from the liver. While other treatments may be used to shrink tumours, destroy remaining cancer cells, or slow the progression of the disease, surgery remains a primary treatment modality for potentially curative intent. Liver cancer surgery may involve different techniques, including partial hepatectomy (removal of a portion of the liver), segmentectomy (removal of a segment of the liver), or lobectomy (removal of an entire lobe of the liver), depending on the extent of the cancer and the surgeon's preference.

How does life change after Liver Cancer Surgery?

Life after liver cancer surgery can vary depending on the extent of surgery, the stage of the cancer, and the individual's overall health and well-being. Many find relief from the removal of cancerous tissue and a reduced risk of cancer recurrence. With proper rehabilitation, support, and follow-up care, many patients are able to lead fulfilling lives after liver cancer surgery. Regular follow-up appointments, monitoring, and ongoing care are essential for managing potential complications, monitoring for recurrence, and supporting long-term recovery after liver cancer surgery.

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