City doctors first in the world to perform ‘dual surgeries’

Dr Vinay Kumaran and Dr Jaydeep Palep are the only doctors in the world to have performed liver transplant and obesity surgeries on a single patient at the same time

Dr Vinay Kumaran and Dr Jaydeep Palep have been recognised as the only doctors in the world to have performed liver transplant and obesity surgeries on a patient at the same time. The city doctors, who were in the news last year for performing the first-of-its-kind surgery in India, have received a global recognition after the case of ‘dual surgeries’ was published in the latest edition of Indian Journal of Gastroenterology.

City doctors first in the world to perform ‘dual surgeries’
Dr Vinay Kumaran

On November 8, 2016, My Medical Mantra had first reported on how the duo had given a new lease of life to 58-year-old Manju Moradia after they performed a liver transplant along with obesity surgery, at Kokilaben Dhirubhai Ambani Hospital (KDAH). The Vile Parle resident, who then weighed 99 kilos, had approached hospital last July with multiple health problems caused by obesity.

According to doctors at KDAH, Moradia initially sought treatment for back pain and uncontrolled diabetes, but diagnostic investigations revealed the function of her liver was deteriorating.

Recalling how the decision was made to perform both surgeries together, Dr Kumaran, liver transplant surgeon, said, “Moradia’s liver had failed and she needed a transplant at the earliest. But her being obese made us rethink about the surgery.” He added the fact Moradia was partly bedridden added to the complications. “It was then we decided to go for obesity surgery and live liver transplant,” he said.

Dr Kumaran explained just liver transplant was not advisable as Moradia’s obesity posed a threat to the newly-transplanted organ. “Just a liver transplant was not an option as the new liver too would have become fatty, and the purpose of the surgery would be lost. We didn’t want to conduct the obesity surgery first as her liver condition was poor. Also, doing obesity surgery post the transplant would have been difficult. So we decided to do both surgeries together,” he said.

Dr Kumaran further said medical literature shows weight-loss (bariatric) surgery may prevent recurrent obesity and as well as failure of newly-transplanted liver.

Moradia got her liver from her daughter after she donated a part of the organ. “We began with the liver transplant surgery and then did a type of weight-loss surgery (sleeve gastrectomy). She now weighs 62 kilos and is no longer on medication for diabetes. Before the surgery, she had uncontrolled blood sugar levels that had led to liver failure,” said Dr Jaydeep Palep, bariatric surgeon.

City doctors first in the world to perform ‘dual surgeries’
Dr Jaydeep Palep

An elated Moradia told My Medical Mantra that she is happy about being the first person in the world to have undergone the two surgeries at the same time. “The surgeries gave me a second lease of life. I am happy that others will also be benefitted by this. I never thought of losing weight for cosmetic reason but it led to diseases that put my life at risk. I am free of those ailments now,” she said.