BRTO — A Game-Changer in Hepatic Encephalopathy (HE) Treatment
Expert Insights by Dr. Chetan Kalal, First DM Hepatologist of Maharashtra
In the evolving field of liver care, managing Hepatic Encephalopathy (HE) — a debilitating brain dysfunction seen in advanced liver disease — remains a clinical challenge.
But today, a lesser-known yet highly effective procedure called Balloon-occluded Retrograde Transvenous Obliteration (BRTO) is changing the game for select patients.
What is BRTO?
BRTO is an interventional radiology procedure that blocks abnormal shunts (unnatural blood flow pathways) between the portal and systemic circulation. These shunts often bypass the liver's detoxification function, leading to a buildup of toxins like ammonia — the primary culprit behind Hepatic Encephalopathy.
By closing these shunts, BRTO redirects blood flow back through the liver, restoring its filtering function and reducing episodes of HE.
Why Dr. Chetan Kalal Recommends BRTO for HE?
Dr. Chetan Kalal — the First DM Hepatologist of Maharashtra and Head of Hepatology at Gleneagles Hospital, Mumbai — is a pioneer in personalized liver care.
He explains:
"BRTO is not just a procedure — it’s a targeted solution for patients struggling with refractory or recurrent Hepatic Encephalopathy where medical treatment has failed. For patients with large spontaneous portosystemic shunts (SPSS), BRTO offers a chance to break free from the cycle of repeated hospitalizations, poor quality of life, and risk of coma."
Benefits of BRTO for HE Patients:
Reduces or eliminates episodes of confusion and drowsiness
Decreases hospital admissions
Improves nutritional status and cognition
Enhances quality of life
Reduces caregiver burden
Who is an Ideal Candidate for BRTO?
Patients with:
Large portosystemic shunts on imaging
Recurrent or refractory HE
Preserved liver function (Child A or B Cirrhosis)
Poor response to conventional HE medications
Dr. Chetan Kalal’s Approach:
With his expertise in advanced Hepatology, transplant care, and non-transplant liver interventions, Dr. Chetan Kalal ensures that every BRTO procedure is individualized. His patient-centric approach blends cutting-edge science with compassionate care.
Final Word:
Hepatic Encephalopathy is not just a medical problem — it impacts families, caregivers, and the dignity of patients.
Under the guidance of Dr. Chetan Kalal, BRTO is emerging as a beacon of hope for liver patients across Maharashtra and India.
Looking for expert consultation on Hepatic Encephalopathy or BRTO?
Connect with Dr. Chetan Kalal — Maharashtra’s First DM Hepatologist
Restoring Liver Health. Restoring Life.
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