Best Integrated Liver Care Hospital in Kerala, India | Aster Medcity

Integrated Liver Care

One of the most advanced facilities of its kind in India, the Aster Integrated Liver Care at Aster Medcity offers expert services for comprehensive management of complex liver and hepato biliary diseases in both adults and children.

The outstanding team of doctors comprising highly-experienced hepato pancreato biliary surgeons, liver/ abdominal multi-organ transplant surgeons, hepatologists, pancreatobiliary endoscopy experts, oncologists, hepatobiliary radiologists, liver/ transplant anesthesia & critical care experts, paediatric intensivists, infectious diseases physicians and liver pathologists has a collective expertise of over 2000 liver transplants and 4000 major liver & pancreatic surgeries.

Multidisciplinary in approach, they provide customised, evidence-based treatment to patients, with the help of an award-winning team of nurses, qualified technicians, dieticians, rehabilitation experts, social workers and counsellors.

Aster ILC also operates out of Aster CMI Hospital, Bengaluru. Both teams work together seamlessly to ensure the best possible outcome for patients, especially in cases like live donor liver transplant where two surgeries happen simultaneously.

One of the few centres in India to offer Robotic Liver Surgery (using da Vinci surgery robot), Aster ILC offers a comprehensive range of technology including South Asia’s first OR1 Fusion Digital Integrated Green OT certified surgical Suites; India’s first flat panel biplane hybrid vascular cathlab;South India’s first IntelliSpace Critical Care and Anaesthesia (ICCA) ICUs; Kerala’s first Philips fourth generation Time of Flight 16 Slide PET CT and True Beam Linear Accelerator for high-precision radiotherapy.


Dr. Mathew Jacob



A highly experienced Hepato Pancreato Biliary surgeon, Dr. Mathew Jacob is an expert in abdominal multi organ transplant surgery (liver, kidneys and pancreas). Trained extensively at some of the best institutes in the UK, he performs both living donor and cadaveric transplant of the liver. An expert in advanced Hepato Pancreato Biliary procedures including complex surgeries for cancers of the liver, gall bladder, liver, bile duct and pancreas; he is also a highly-skilled laparoscopic surgeon.


HESPERIS Fellowship by the European Society for Organ Transplantation | Fellow of Royal College of Surgeons of England (FRCS) | Member of Royal College of Surgeons of England (MRCS)|Certificate of Completion of Training (C.C.T) (General Medical Council, U.K) |MBBS (Armed Forces Medical College, Pune)


Medical adviser to the Zonal Coordination Committee of Karnataka (ZCCK-The Organization empowered to coordinate the cadaveric transplantation activities and also educate the public on organ donation)

Senior Consultant, Hepato Pancreato Biliary & Abdominal Multi Organ Transplant Surgery, Global Hospitals Bangalore

Research in liver transplantation, Department of Health and the UK National Health Blood and Transplant Services

Post CCT Royal College Transplant Fellow, St James Hospital,Leeds, UK

Research Fellow, Clinical Effectiveness Unit, Royal College of Surgeons, UK

Research Fellow, Ireland liver Transplant Audit

Trained in Yorkshire school of surgery & Freeman Hospital, Newcastle upon Tyne

Research interest: transplant epidemiology and prognostic modelling in liver transplantation

Published articles in peer reviewed journals

Proficient in English, Malayalam Hindi, Kannada


Dr. Charles Panackel



A highly experienced Gastroenterologist , Dr. Charles Panackel is an expert in Hepatology and Liver Transplantation. Trained in the United Kingdom,Singapore and India, his fields of special interest include management of Liver Cancer, Viral Hepatitis C and Nonalcoholic Steatohepatitis (Non Alcoholic Fatty Liver Disease).


Clinical Fellow in Hepatology (NUH Singapore) | Certificate in Gastroenterology (Royal College of Physicians, UK) | DM in Gastroenterology (Govt. Medical College, Thiruvananthapuram) | DNB in General Medicine | MD in General Medicine (Govt. Medical College, Thiruvananthapuram) | MBBS (Govt. Medical College, Kottayam)


Consultant Gastroenterologist & Hepatologist, Medical Trust, Kochi .

Set up the Cadaveric Liver Transplant Unit at Medical Trust Hospital along with Dr. Deepak Varma in 2012

Visitor observer in Liver Transplantation at Addenbrookes, Cambridge

Proficient in English & Malayalam


Dr. Kaiser Raja

Associate Consultant

Dr kaiser raja(aster cmi)

A Hepatologist with more than 13 years of experience to his credit, Dr. Kaiser Raja is an expert in the medical management of patients with complex liver disease, liver failure, liver cancer and patients requiring liver transplantation. Trained at some of finest institutes in the United States as well as India, his fields of special interest include chronic viral hepatitis, autoimmune hepatitis and metabolic liver disease.


American College of Graduate Medical Education (ACGME) accredited Clinical Fellowship in Advanced Liver Diseases and Transplant Hepatology (The Mount Sinai Medical Center, New York, USA) | DM in Gastroenterology (Post Graduate Institute of Medical Education and Research, Chandigarh) | MD in Internal Medicine (Post Graduate Institute of Medical Education and Research, Chandigarh) | MBBS (Gandhi Medical College, Bhopal)​


Chief Hepatologist, Aster Integrated Liver Care Team, Aster CMI Hospital, Bangalore

Chief Transplant Hepatologist, BGS Global Hospitals, Bangalore

Head of the Department and Consultant in Gastroenterology and Hepatology, NMC Specialty Hospital, Abu Dhabi

Clinical Fellow, Division of Liver diseases, Mount Sinai Medical Center, New York, USA

Specialist Gastroenterologist and Hepatologist, New Medical Centre, Abu Dhabi

Senior Resident in Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh

Published research articles & chapters in textbooks

Proficient in English & Hindi


Dr. Mallikarjun Sakpal

Associate Consultant

Dr mallikarjun sakpal(aster cmi)

A highly trained Gastroenterologist and Hepatologist, Dr. Mallikarjun Sakpal is specialises in management of diseases of the liver, pancreas, gall bladder and bile duct and pre/post-operative management of patients who have undergone liver transplantation. He is also an expert in diagnostic and therapeutic Upper GI Endoscopy, Colonoscopy, EUS and ERCP.


DM in Hepatology (Post Graduate Institute of Medical Education and Research, Chandigarh, India) | MD in Internal Medicine (Post Graduate Institute of Medical Education and Research, Chandigarh, India) | MBBS (Mahadevappa Rampure Medical College, Gulbarga, Karnataka)


Consultant Hepatologist, Aster Integrated Liver Care, Aster CMI, Bangalore

Assistant Professor, Internal medicine, ASRAM Medical College, Andhra Pradesh

Senior resident in Gian Sagar Medical College, Chandigarh

Senior Resident in Internal Medicine (Haematology and Emergency Medicine), PGIMER, Chandigarh

Member, Life of Lamp, an organ donation awareness initiative of PGIMER, Chandigarh (promoting organ donation)

Published research articles, textbook chapters

Proficient in English, Hindi, Kannada


Dr. Prakash Doraiswamy

Associate Consultant

Dr prakash doraiswamy(aster cmi)

An expert in Anaesthesia and Critical Care, Dr. Prakash Doraiswamy specialises in liver transplantation anaesthesia. Trained at some of the most renowned institutes in the United Kingdom and India, he has been an integral part of more than 100 liver transplant procedures, including dual organ transplantations. Also a trained cardiac Anaesthetist, his fields of special interest include risk assessment & management and enhanced recovery programmes.


FFICM (UK) | FRCA (Royal College Of Anaesthetists, UK) | MBBS (Bangalore Medical College)​


​Consultant- Anaesthesia/Critical Care, Aster CMI Hospital, Bangalore

​Consultant- Critical Care BGS Global Hospitals, Bangalore

​Consultant-Anaesthesia and Critical Care, Lister Hospital, Stevenage

Clinical Fellow- Cardiac Anaesthesia Harefield Hospital, London​

Clinical Fellow- Liver transplant and Hepatobiliary, RFH​

Specialist registrar- Hospitals attached to RF/UCHL Hospitals, London​

Senior House Officer- The Ipswich Hospital, UK​

​Published research articles

​Proficient in English, Kannada, Telugu, Hindi, Tamil


Dr. Rajiv Lochan J

Associate Consultant

Dr rajeev lochan(aster cmi)

A highly trained Hepato Pancreato Biliary and Multi-Organ Transplant Surgeon, Dr Rajiv Lochan is an expert in liver, kidney and pancreas transplant, complex liver, pancreatic and biliary (gall bladder and bile duct) surgeries and surgical resections of complex retroperitoneal sarcomas. Trained in the United Kingdom, Hong Kong and India, his fields of special interest include surgery for hilar tumours, HPB resection without the use of blood/blood products, improving the outcomes hepatocellular carcinoma treatment and making living donor hepatectomy safer.


​Fellowship in Living Donor Liver Transplantation (Queen Mary Hospital, Hong Kong) | European Diploma in Transplantation (Hesperis Diploma) | CCT in Hepato-pancreato-Biliary & Organ Transplantation (UK)| MD in Influence of genetic risk on development of sporadic pancreatic cancer (Newcastle University, UK) | MS in General Surgery (Bangalore Medical College) | MBBS (JSS Medical College, Mysore)


Senior Consultants, Department of Hepatobiliary Surgery and Multi-organ Transplantation, Aster CMI Hospital, Bangalore​

Research MD programme: Influence of genetic risk on development of sporadic pancreatic cancer at Newcastle University UK ​

Senior Fellowship at the Institute of Transplantation (liver transplantation), Newcastle upon Tyne UK​

Fellowship in Living Donor Liver Transplantation at the Queen Mary Hospital, Hong Kong​


European Pancreatic club, IHPBA, EHPBA, ELITA, British Transplantation Society & International Liver Transplantation Society​

Research link

Proficient Kannada, Tamil, Hindi, English ​


Dr. Sonal Asthana

Associate Consultant

Dr sonal asthana(aster cmi)

A Hepato Pancreato Biliary and Multi-organ Transplant Surgeon with almost two decades of experience to his credit, Dr. Sonal Asthana is an expert in liver, kidney and pancreas transplant, small bowel transplant, clinical islet cell transplant and surgical management of disorders/ diseases of the liver, gall bladder, biliary and pancreas, including cancers. Trained at some of the best institutes in the United Kingdom, Canada and India, his fields of special interest include management of Hepatitis C, Post-Transplant Immunosuppression, Transplant Epidemiology, Ischemia Reperfusion And Hepatocellular Carcinoma.


Msc (University of Alberta, Canada) | American Society of Transplant Surgeons (ASTS) accredited Fellowship in Multi-organ transplantation (Edmonton, Canada) | MRCS (The Royal College of Surgeons of Edinburgh, United Kingdom) | MS (JIPMER, Pondicherry) | MBBS (JIPMER, Pondicherry)​


Senior Consultants, Department of Hepatobiliary Surgery and Multi-organ Transplantation, Aster CMI Hospital, Bangalore​

​Postgraduate Research Degree from the University of Alberta

American Society of Transplant Surgeons (ASTS) accredited fellowship in Multi-organ transplantation in Edmonton, Canada​

Training in Hepatobiliary Surgery and Multi-organ transplantation Liver at the St James’s University Hospital in Leeds, UK​

​Selected for the European Health Leadership program at INSEAD, France

Subspecialty training in Surgical Oncology - All India Institute of Medical Sciences (AIIMS), New Delhi​


​British Transplant Society, The American Society of Transplantation, The Canadian Transplant Society, Alberta Heritage fellowship (AHFMR) & American Association of the Society of Liver disease (AASLD) HPB surgery and Liver Transplantation awards

Has published more than 40 research articles in international journals​

Proficient in English, Hindi, Kannada & Tamil​


Dr. Arun V

Associate Consultant

Dr arun v(aster cmi)

An Anaesthetist and chronic pain management expert with two decades of experience to his credit, Dr. Arun V specialises in transplant anaesthesia. Trained in some of the finest institutes in United Kingdom and India, he is an expert in managing anaesthesia for high-risk surgical procedures and difficult airways.

Dr. Arun also has experience in management of chronic pain, especially interventional pain management of headaches, spinal, musculoskeletal and cancer pain. His areas of special interest include solid organ transplant, hepatobiliary surgery, onco surgery, chronic pain in failed back surgeries, chronic deadache and facial pain.


​CCT (London, UK) | FFMRCA (Royal College of Anaesthetists, UK) | FRCA (Royal College of Anaesthetists, UK) | MD in Anaesthesiology (JIPMER, Pondicherry) | MBBS (JIPMER, Pondicherry)


Senior Consultant, Anaesthesia and Chronic Pain, Aster Integrated Liver Care, Aster CMI, Bangalore​

​Senior Consultant, Anaesthesia and Chronic Pain, BGS Global Hospitals

Worked as Consultant in Anaesthesia & chronic pain management in NHS, UK ​

Specialist training in Anaesthesia including transplantation from Addenbrooke’s Hospitals, Cambridge, UK​

​Setup pain clinics in Delhi and Bangalore

Proficient in English, Tamil, Hindi​


Adult Hepatology

Outpatient services

  • Consultation
  • Liver ultrasound
  • Fibroscan
  • Liver biopsy/FNAC
  • Ascitic tap
  • Endoscopy
  • Liver transplant assessment

Speciality clinics

  • iViral Hepatitis
  • Auto immune liver disease
  • Jaundice
  • Liver transplant
  • Liver transplant assessment
  • Post liver transplant
  • Complex liver disease
  • Chronic liver disease
  • Fatty liver/NASH
  • Alcoholic liver disease
  • Alcoholic de-addiction

Inpatient Services

  • 24/7 care
  • Endoscopy - band ligation, glue injection, sclerotherapy, ERCP
  • Liver ICU manned by liver intensivists, trained nurses
  • Liver biopsy/FNAC
  • Trans jugular liver biopsy
  • TIPS (Trans jugular Intrahepatic Shunt)
  • BRTO (for bleeding)
  • TACE
  • TARE (Rhenium/Y90)
  • Radio frequency ablation (RFA)
  • EBRT (radiotherapy)

Specialised Services

  • Multidisciplinary care for alcoholic liver disease
  • Advanced therapeutic interventions for liver tumours
  • Liver intensive care for Acute liver failure
  • Dedicated liver ward for Decompensated liver disease
  • Pre and post liver transplant care

Transplant Hepatology

  • Pre liver transplant assessment
  • Transplant counselling
  • Nutrition optimisation
  • Infection screening
  • Preventive vaccinations - Hepatitis B/A
  • Annual post transplant evaluation
  • Live and deceased donor liver transplantation

Paediatric Hepatology

  • Assessment of neonatal jaundice
  • Management of congenital liver diseases
  • Biliary atresia management
  • Paediatric liver transplant
  • Live and deceased donor
  • Paediatric hepato oncology

Hepato Biliary Endoscopy

  • Upper GI endoscopy
  • Variceal ligation (banding)
  • Glue injection
  • Sclerotherapy
  • Esophageal stents for beleding
  • ERCP
  • For stones, strictures
  • Metallic stent palcements
  • Spy galss cholangioscopy
  • Endoscopic Ultrasound (EUS)
  • Diagnostic
  • Staging
  • Therapeutic
  • Upper GI endoscopy
  • Variceal ligation (banding)
  • Glue injection
  • Sclerotherapy
  • Esophageal stents for beleding
  • ERCP
  • For stones, strictures
  • Metallic stent palcements
  • Spy galss cholangioscopy
  • Endoscopic Ultrasound (EUS)
  • Diagnostic
  • Staging
  • Therapeutic

Hepato Pancreato Biliary and Multi Organ Transplant Surgery

Outpatient services

    • Consultation and management of Hepato Pancreat biliary diseases
    • Day care surgery/procedures for
    • Liver abscess drainage
    • Pain relief from cancer
    • Pain relief for chronic pancreatitis
    • Gall bladder surgery

Speciality clinics

    • Liver tumour
    • Neuroendocrine
    • Sarcoma
    • Biliary cancer
    • Liver transplant
    • Pancreas transplant

Inpatient services

    • 24/7 emergency surgery services
    • Multidisciplinary Liver trauma care
    • Advanced critical care
    • Dedicated Solid organ transplant ICU
    • Advanced liver, biliary and pancreatic surgery

Hepato Pancreato Biliary Surgery

Liver resection for

    • Primary liver cancers (HCC)
    • Hilar cholangiocarcinomas
    • Secondary liver tumours
    • Bile duct cancers
    • Gall baldder cancers
    • Benign liver tumours – Adenoma

Biliary Surgery

    • Bile duct injury - biliary reconstruction
    • Choledochal cyst
    • Biliary strictures
    • Palliative bypass
    • Bile duct stones

Pancreatic Surgery

    • Whipples pancreaticoduodenectomy
    • Distal pancreatectomy
    • Freys procedure
    • Biopsy

Laparoscopic HpB surgery

    • Major hepatectomy (liver resection)
    • Minor hepatectomy
    • Bile duct exploration for stones
    • Laparoscopy assisted tumour ablation/biopsy
    • Pancreatetctomy
    • Surgery for chronic pancreatitis
    • Minimally invasive necrosectomy

Robotic Hepato Pancreato Biliary surgery

    • Hemi hepatectomy for liver cancers
    • Bile duct explorations
    • Bile duct reconstructions
    • Cholangiocarcinomas
    • Pancreatic resections
    • Splenectomy

Liver trauma

    24/7 on-call services for management of injuries of the liver, including advanced intensive care management, interventional radiological and surgical treatment.

Hepato Biliary Oncology

    Management of complex hilar carcinomas, metastatic liver tumours, primary liver cancers with multidisciplinary inputs for surgical and non-surgical management

Liver & Abdominal Multi-Organ Transplant

Liver Transplantation

    • Live donor liver transplantation
    • Deceased donor liver transplantation
    • Split liver transplantation
    • Combined dual organ transplantation
    • Multi visceral transplantation

Paediatric HPB/Liver Transplant

    • Liver transplant for Hepatoblastoma
    • Liver resection for primary liver tumour
    • Multi disciplinary treatment for Hepatoblastoma
    • Biliary Atresia
    • Biliary diversion for PFIC

Support Services

Hepato Biliary Radiology and Interventional Radiology

    • iAdvanced 3D imaging
    • Liver MRI
    • Percutaneous transhepatic biliary drainage and stenting for biliary strictures
    • Portal vein embolisation
    • Radiofrequency ablation of liver cancers
    • Intra operative Doppler studies
    • Trans jugular liver biopsy
    • Hepatic venous pressure gradient measurements to assess portal hypertension
    • Transjugular intrahepatic portosystemic shunt (TIPS) for variceal bleeding

Nuclear Medicine

    • HIDA Scan (Hepatobiliary Scintigraphy)
    • Liver Spleen Scintigraphy
    • Techtenium RBC Labeled Blood Pool Scintigraphy Yttrium 90 SIR Sphere Therapy for metastatic liver tumour patients who are no longer responding to chemotherapy/ those with primary liver care cancer that cannot be surgically managed
    • PET scan for cancer staging
    • TARE - Transarterial Radioembolisation (Rhenium/Y90-SIRT)
    • DOTA PET scan for neuro endocrine tumours

HPB & Transplant Pathology

    • Immunohistochemistry
    • Liver transplant pathology
    • Molecular diagnosis and genetic mutation analysis

Nutritional Rehabilitation

    Aster Integrated Liver Care at Aster Medcity has dedicated to provide expert dietary advice to liver patients. A very crucial aspect of liver care that is often ignored, a balanced diet makes a lot of difference to the health of the patient.

Transplant Rehabilitation

    • Physical therapy
    • Occupational therapy
    • De-addiction and rehabilitation for patients with substance abuse
    • Psychotherapy and behavioural therapy
    • Counselling services
    • Quality of life assessment pre and post transplant

Transplant Coordinators (For Liver & Pancreas Transplant)

    • Pre-transplant clinic visits
    • Registration for transplants
    • Single point of contact
    • Post transplant clinic visits