Dr. Lakshman Khiria

Dr. Lakshman Khiria

Weight Loss Specialist - Gastrointestinal Surgeon,Liver Transplant Surgeon,Bariatric Surgeon

  Akshay Apollo Hospitals, Ahmedabad, India

  14 Years of experience

BIOGRAPHY

Dr. Lakshman Khiria is one of the finest Weight Loss Specialist in India. He is an experienced Gastrointestinal Surgeon in the India. The Medical practitioner has been associated with various reputed hospitals in the India. The physician is currently working as a Surgical Gastroenterologist, Akshay Apollo Hospitals, India. The doctor is a well-reputed and sought after medical expert and is

  • MBBS - Rajasthan University, 1996
  • MS - General Surgery - Rajasthan University, 2001
  • MCh - Surgical Gastroenterology/G.I. Surgery - All India Institute of Medical Sciences, New Delhi, 2007
  • Fellowship Hepato-Pancreatico-Biliary (HPB) and Liver Transplantation Surgery from Asan Medical Center, Seoul, South Korea.

qualified. Dr. Lakshman Khiria has been associated with many hospitals over the course of his illustrious and experienced career.

The hospitals include:

  • Senior Resident - GB Pant Hospital
  • Consultant Gastrointestinal and Bariatric Surgeon - Asian Institute of Gastroenterology Surgery

Dr. Lakshman Khiria has more than 14 Years of clinic experience. The Clinician specializes in and performs the following surgeries:

  • Abdominoperineal Resection
  • Colorectal Cancer ( Colon Cancer ) Treatment
  • Gastric Bypass
  • Hemicolectomy
  • Lap Gastric Banding
  • Liver transplant
  • Bariatric Surgery
  • Oncology
  • Transplants
MEMBERSHIPS (2)
  • Fellowship HBP and Liver Transplantation
  • Gujrat Medical Council
Procedures
Abdominoperineal Resection

Abdominoperineal resection (APR) is a type of a surgery in which the anus, rectum, and sigmoid colon are removed through small cuts in the belly. It is a surgical procedure done primarily to remove the cancer of the rectum. Typically, abdominoperineal resection (AP) is conducted as an elective procedure. This procedure is most often used to treat rectum cancer if it is located very low in the rectum or in the anus, close to the sphincter muscles.

Nowadays, advanced surgical techniques and other treatment modalities have brought an increase in the rate of sphincter-sparing operations. However, APR surgery is still necessary in selected cases, especially if the patient has distal tumors or poor sphincter function.  AP resection is a major operation. During perineal resection, the rectum, distal colon, and anal sphincter complex are completely removed using both anterior abdominal and perineal incisions. Once the anus and rectum are removed, a permanent colostomy is needed to complete the procedure.

Colostomy brings the colon to an opening at the surface of the skin, which allows the waste to pass out of the body. This new opening is called stoma and usually measures from one to one-and-a-half inches in diameter. A pouch, or a stoma appliance, is needed to be worn at all times. The stoma has no sphincter muscles, so there is no conscious control over the elimination of waste products from the body after the procedure.

Colorectal Cancer ( Colon Cancer ) Treatment
  • Overconsumption of animal protein, saturated fats, and calories
  • Low dietary fibre intake
  • Overconsumption of alcohol
  • Excessive smoking
  • Family history of colorectal cancer
  • Obesity
  • Physical inactivity

Colorectal cancer is the second most common cancer in the world. It can metastasize and spread to other body parts. Colorectal cancer is dangerous and can be life-threatening. But death rate from colorectal cancer has dropped in the recent years, thanks to advance screening techniques and better colorectal treatment options.

What is colon cancer?

Colorectal cancer is also known as bowel cancer, colon cancer, or rectal cancer. Colorectal cancer begins as an abnormal growth of cells in the inner lining of the colon or rectum. This abnormal growth is called a polyp.

Some types of polyps can change into cancer over the course of several years. But it does not mean that all polyps have the tendency to become cancerous. The chance of changing a polyp into colorectal cancer depends on the type of polyp that grows. 

Colorectal cancer can affect men and women equally. However, studies have proven that men might develop it at a younger age.

What causes colon cancer?

There is no definite cause of colorectal cancer, but old age and certain lifestyle factors can increase colorectal cancer risk. Some of these colorectal cancer risk factors include the following:

Types of Colorectal Cancer

A majority of colorectal cancers are adenocarcinoma. If you have been diagnosed with colorectal cancer, there are 95 percent chances that it is an adenocarcinoma. But there are some other types of colorectal cancer such as carcinoid, gastrointestinal stromal, lymphomas, and sarcomas.

Colorectal Cancer Symptoms

There are no early signs of colorectal cancer, but once it grows, the patients may experience the following colon cancer symptoms:

  • Fatigue, weakness, and shortness of breath
  • Change in bowel habits, including diarrhoea or constipation
  • Blood in stool
  • Abdominal discomforts such as cramps, bolting or pain
  • Dramatic weight loss
Gastric Bypass

Nowadays, weight management is the biggest problem for people from all age groups. Weight loss surgery options are preferred when alternative means of weight loss such as exercise, diet management, and so on fail to work.

Gastric bypass, also known as Roux-en-Y Gastric Bypass, is one of the most popular weight loss surgery options during which the size of the stomach is decreased. The reduced size of the stomach allows for reduced consumption of food by the patient, which in turn, results in gradual weight loss.

Other popular weight loss surgery options include:

  • Sleeve gastrectomy
  • Adjustable gastric band
  • Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

Of all the bariatric procedures, gastric bypass is the most preferred options for weight loss because of the greater possibility of positive outcomes. Moreover, there are no major side effects of gastric bypass.

 What are the criteria for gastric bypass surgery?

 Not everyone is an ideal candidate for gastric bypass surgery. People with a body mass index (BMI) of 40 or more and with a history of heart disease, obesity, and obstructive sleep apnea are mostly recommended gastric bypass surgery.

Hemicolectomy

The last part of the gastrointestinal system is referred as the colon and it is 5-6 cm long. It is ‘U’ shaped and it starts from the distal part of the small intestine and is connected to the rectum and anus. It absorbs the fluids, processes the metabolic waste products, and eliminates through the rectum and anus. The removal of the colon is called colectomy.

There are different types of colectomies such as complete colectomy,  right hemicolectomy, left hemicolectomy, sigmoid colectomy, and proctocolectomy. The surgical removal of the left side of the colon (descending colon) is called left hemicolectomy surgery. The surgical removal of the cecum, ascending colon, and the hepatic flexure (right side of the colon) is called as the right hemicolectomy surgery.

Some of the conditions that require complete colectomy or hemicolectomy surgery include the following:

  • Colon cancer
  • Crohn’s disease
  • Blockage of the colon
  • Precancerous polyps
  • Hereditary polyps
  • Benign tumours
  • Irritable bowel syndrome (IBS)
  • Gastrointestinal bleeding
  • Bowel twisting and obstruction
  • Ulcerative colitis
  • Appendicitis with inflammation of the cecum
  • Right-side colonic diverticular disease (diverticulosis)

A hemicolectomy procedure can be performed as a laparoscopic or open surgery. The type of the surgery to be performed is decided by the surgeon during the evaluation and the decision depends on the age and the condition of the patient.

Sometimes the laparoscopic procedure can also be turned into open surgery, depending on the feasibility of the procedure with respect to safety and accuracy. Overall, the following parameters decide whether a laparoscopic or an open surgical procedure will be performed:

  • Age
  • Diagnosis
  • Medical history
  • Personal preference
Lap Gastric Banding

Obesity has become a growing concern for individuals in the present generation. Surgical intervention is one of the options for weight loss that obese individuals can opt for.

People prefer to choose surgical options for weight loss mostly when they fail to achieve satisfactory results through other methods such as exercise and diet control. There are different types of surgeries for weight loss, demand for which has steadily risen since last few years. One such type of surgery is the gastric banding procedure.

Gastric banding procedure is a minimally invasive surgery conducted with the help of a laparoscope. This surgery involves the placement of a weight loss band that restricts the passage of the food from the stomach to the intestine. It is commonly called as a lap-band or laparoscopic adjustable gastric band (LAGB).

The weight loss band used during the gastric banding procedure is actually an inflatable silicone device with a tendency to expand and contract. Your doctor can adjust the weight loss band from the outside such that only small amounts of food can pass through the stomach.

  • The adjustable gastric band makes you feel full earlier and thereby, aids in gradual weight loss. The gastric band may not result in quick weight loss and you must modify your lifestyle, follow a proper diet and exercise regularly.
  • Gastric banding procedure is an alternative to vertical sleeve gastrectomy, in which a large portion of the stomach in removed to aid in weight loss. Gastric band removal is possible, but you are not advised to opt for it upon reaching the targeted body weight.
Liver transplant

A liver transplant surgery is conducted to remove the diseased liver and replace it with a healthy liver donated by either a living or a deceased donor. There are a huge number of people who are listed on the waiting list for a liver transplant because the availability of donated liver is limited. This is the reason why a liver transplant is an expensive procedure and is conducted only in rare cases.

Qualifications for Liver Transplant Recipient

A healthy liver plays an important role in the human body. It plays a key role in the absorption and storage of key nutrients and medications and also helps eliminate bacteria and toxins from the blood.

However, a healthy liver may get diseased over a period of time due to many reasons. Patients with the following liver-related conditions are considered for the liver transplant procedure:

    • Acute liver failure triggered by drug-induced liver injury among other reasons
    • Chronic liver failure or end-stage liver disease due to liver cirrhosis
    • Hepatic tumour or cancer
    • Nonalcoholic fatty liver disease (NAFLD)
    • Alcoholic liver disease
    • Chronic viral hepatitis
    • Diseases causing liver failure
      Some of the leading reasons that contribute to liver cirrhosis include the following:
    • Diseased bile ducts that carry the bile juice from the liver and small intestine to the gall bladder
    • Hemochromatosis, which is a genetic problem where the liver tends to build up iron undesirably
    • Wilson’s disease wherein the liver accumulates copper by itself
    • Biliary atresia in children, a condition wherein an infant is born without the bile ducts or has the ducts blocked or damaged
    • Liver cancers such as cholangiocarcinoma, hepatoblastoma, or hepatocellular carcinoma

 Liver Disease Symptoms

The patients with liver disease may experience the following symptoms:

  • Fatigue and weakness
  • Nausea and loss of appetite
  • Muscle and weight loss
  • Black stools and vomiting
  • Jaundice
  • Problems with blood clotting
  • Confusion and forgetfulness
  • Build up of fluids in the abdomen
Frequently Asked Questions
What area of specialization does Dr. Lakshman Khiria have?
Dr. Lakshman Khiria is specialized in India and of the most sought after doctors in Weight Loss Specialist.
Does Dr. Lakshman Khiria offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Lakshman Khiria have?
Dr. Lakshman Khiria is one of the most sought after specialists in India and has over 14 Years years of experience.
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