ഡോ. അമിത് സിംഗ് ബർഫ

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Dr Amit Singh Barpha – Hepatologist in Indore

ഡോ. അമിത് സിംഗ് ബർഫ is working as a liver transplant specialist and hepatologist at Apollo Hospital, Indore, with more than six years of experience. He holds MBBS, MD (Medicine), and DM (Hepatology) from CMC Vellore and MRCP (Gastro) from London. His areas of clinical interest include liver disease, cirrhosis, portal hypertension, acute and chronic liver failure, fatty liver disease, viral hepatitis and liver transplantation.

Dr Barpha's profile also lists expertise in pre-transplant evaluation, transplant listing, ICU optimisation, post-liver transplant care, immunosuppression and long-term follow-up. He speaks English and Hindi. The listed consultation hours are 11:00 AM to 5:00 PM, Monday to Saturday.

ദ്രുത വസ്തുതകൾ

About Dr Amit Singh Barpha

Dr Amit Singh Barpha is listed under Gastroenterology and Hepatology at Apollo Hospitals and is known as a Hepatology and Liver Transplant expert. Dr Barpha has worked as a consultant hepatologist and liver transplant specialist and has several years of experience with hospitals in Indore and Hyderabad. His clinical interests cover both common and complex liver conditions.

Areas of Hepatology Expertise

1. Chronic Liver Disease

Chronic liver disease can have several causes, including viral hepatitis, metabolic liver disease, alcohol-related liver disease, and autoimmune conditions. Specialist assessment may involve identifying the underlying cause, reviewing liver function, and assessing fibrosis, cirrhosis, or other complications.

Dr Barpha's profile includes management of chronic liver failure, alcohol-related liver disease, viral hepatitis, autoimmune liver diseases and metabolic liver disorders.

2. Liver Cirrhosis and Portal Hypertension

Cirrhosis involves significant scarring of the liver and may affect normal liver function. Advanced cirrhosis can be associated with complications such as portal hypertension, ascites, varices, variceal bleeding and hepatic encephalopathy.

Dr Barpha's areas of expertise encompass cirrhosis and portal hypertension, including management of ascites, variceal bleeding and encephalopathy.

3. Acute and Chronic Liver Failure

Liver failure may develop suddenly or occur as a consequence of advanced chronic liver disease. Depending on the clinical situation, patients may require urgent assessment, intensive care and specialist management. In selected patients with advanced liver disease, liver transplant evaluation may also form part of the care pathway.

Dr Barpha's profile specifically lists acute and chronic liver failure management and ICU hepatology for critically ill liver patients.

Liver Transplantation and Transplant Care

Liver transplantation may be considered for selected patients with advanced or end-stage liver disease and certain other serious liver conditions. 

Dr Barpha's listed transplant interests include pre-transplant evaluation, transplant listing, ICU optimisation, post-transplant ICU management, immunosuppression and long-term follow-up.

• ട്രാൻസ്പ്ലാൻറിനു മുമ്പുള്ള വിലയിരുത്തൽ

A transplant evaluation assesses liver condition, overall health, and other factors relevant to transplantation.

• Post-Liver Transplant Care

After transplantation, ongoing medical follow-up may include monitoring liver function, medications, immunosuppression, and possible complications.

Fatty Liver Disease, NAFLD and NASH

Fatty liver disease involves excess fat accumulation in the liver. NAFLD and NASH are associated with metabolic risk factors and may be accompanied by inflammation or liver fibrosis.

Dr Barpha's current profile specifically lists NAFLD and NASH management among his clinical interests.

വൈറൽ ഹെപ്പറ്റൈറ്റിസ്

Hepatitis B and hepatitis C are viral infections that can affect the liver and, when persistent, may be associated with chronic liver disease and cirrhosis. Evaluation may involve laboratory testing, assessment of liver health, and appropriate treatment planning.

Dr Barpha's listed interests include hepatitis B, hepatitis C, and other viral liver diseases.

Autoimmune and Metabolic Liver Diseases

Some liver conditions are related to immune-system activity or inherited and metabolic disorders. Dr Barpha's profile lists autoimmune hepatitis, primary biliary cholangitis, primary sclerosing cholangitis, Wilson's disease, haemochromatosis and alpha-1 antitrypsin deficiency among his areas of interest.

Liver Tumours and Biliary Disorders

Liver tumours may require multidisciplinary team assessment. Dr Barpha's listed interests include hepatocellular carcinoma, cholangiocarcinoma and metastatic liver disease.

His profile also includes biliary disorders such as biliary strictures, cholangitis and post-transplant biliary issues, along with endoscopic management of selected gastrointestinal and liver complications, including variceal banding and biliary interventions.

എപ്പോഴാണ് നിങ്ങൾ ഒരു ഹെപ്പറ്റോളജിസ്റ്റിനെ സമീപിക്കേണ്ടത്?

Hepatologist consultation is indicated in these conditions:

• വിട്ടുമാറാത്ത ഹെപ്പറ്റൈറ്റിസ് ബി അല്ലെങ്കിൽ സി
• Fatty liver with abnormal liver function tests
• Suspected autoimmune or metabolic liver disease
• അസാധാരണമായ കരൾ പ്രവർത്തന പരിശോധനകൾ
• Suspected liver cirrhosis
• മഞ്ഞപ്പിത്തം
• പോർട്ടൽ രക്താതിമർദ്ദം
• വയറുവേദന അല്ലെങ്കിൽ അസൈറ്റുകൾ
• Complications of advanced liver disease
• കരൾ പരാജയം
• Liver transplantation assessment or follow-up

If the following symptoms occur, medical advice should be sought, especially if you have liver disease: 

• ചർമ്മത്തിന്റെയും കണ്ണുകളുടെയും മഞ്ഞനിറം
• അടിവയറ്റിലെ വീക്കം
• ക്ഷീണം
• ഇരുണ്ട മൂത്രം
• ശ്വാസോച്ഛ്വാസം

Liver Disease Diagnostic Evaluation

Investigations depend on the clinical findings, patient’s medical history, and symptoms. Tests include viral hepatitis tests, bilirubin and liver enzymes, liver function tests, autoimmune tests, and MRI or CT scan. Fibrosis evaluation, endoscopic evaluation, and liver biopsy may also be applied in selected cases. The hepatologist reviews the available findings, makes the diagnosis, determines the stage of disease, and sets the treatment plan.

Liver Disease Care Journey

A common patient journey could consist of: 

Initial consultation → Liver assessment → Diagnosis → Evaluation of disease severity → Establishment of treatment plan → Clinical observation → Advanced care or transplant assessment if necessary.

Not every patient needs every investigation or step of the journey. The care pathway depends on the patient’s condition.