Expert Hepatology & Liver Transplant Care in Mumbai
Dr. Chetan Kalal — DM Hepatologist & Liver Transplant Physician
Associate Director – Hepatology & Liver Transplant, Gleneagles Hospital, Mumbai
Dr. Chetan Kalal is a DM-qualified Hepatologist and Liver Transplant Physician specialising in complex liver disease, advanced cirrhosis, liver failure, liver cancer evaluation and transplant medicine.
He is recognised by Gleneagles Hospitals as the first DM Hepatologist from Maharashtra, with dedicated training in Hepatology and Transplant Medicine at the Institute of Liver and Biliary Sciences (ILBS), New Delhi.
The focus is not simply on diagnosing liver disease. It is on answering the difficult clinical question:
What should happen next?
Whether you need a first specialist assessment, an expert second opinion, hospital-based management, transplant evaluation or structured post-transplant follow-up, the objective is clear clinical direction based on the patient's disease severity, investigations and treatment history.
Hepatology Services
Complex Liver Disease & Cirrhosis
Assessment and management of:
Compensated and decompensated cirrhosis
Ascites and fluid retention
Portal hypertension
Variceal bleeding
Hepatic encephalopathy
Jaundice and cholestatic liver disease
Liver-related kidney dysfunction
Acute-on-chronic liver failure
Fatty Liver & Metabolic Liver Disease
MASLD / MASH
Metabolic risk assessment
Advanced fibrosis evaluation
Obesity-associated liver disease
Long-term fibrosis and cirrhosis surveillance
Viral Hepatitis
Hepatitis B
Hepatitis C
Hepatitis A and E-related liver disease
Treatment assessment
Long-term monitoring and prevention of complications
Autoimmune & Cholestatic Liver Disease
Autoimmune hepatitis
Primary biliary cholangitis
Primary sclerosing cholangitis
Drug-induced liver injury
Unexplained abnormal liver tests
Liver Cancer & HCC
Evaluation and multidisciplinary management of hepatocellular carcinoma, including assessment for:
Liver-directed treatment
Surgical options
Locoregional therapy
Systemic treatment
Liver transplantation where appropriate
Acute & Critical Liver Disease
Specialist assessment for rapidly deteriorating liver disease, including acute liver failure and acute-on-chronic liver failure.
Patients with sudden jaundice accompanied by confusion, gastrointestinal bleeding, severe drowsiness or markedly reduced urine output require urgent hospital assessment rather than waiting for a routine outpatient appointment.
Liver Transplant Medicine
Before, During and After Liver Transplantation
Liver transplantation is not only an operation. It is a medical pathway involving patient selection, optimisation, transplant timing, donor assessment, perioperative coordination and long-term post-transplant care.
Dr. Kalal provides specialist medical management across the transplant pathway, including:
Liver transplant evaluation
Living-donor liver transplantation (LDLT) assessment
Deceased-donor liver transplantation (DDLT) assessment
MELD-based risk assessment
High-risk and high-MELD patients
Acute liver failure and ACLF assessment
Hepatocellular carcinoma and transplant assessment
Pre-transplant optimisation
Post-transplant immunosuppression management
Rejection and infection evaluation
Long-term graft and metabolic health monitoring
The transplant surgeon performs the operation. The transplant hepatologist manages the medical side of the patient's journey before and after transplantation and works with the multidisciplinary transplant team.
Specialist Hepatology Second Opinions
When the diagnosis is not the difficult part — the next decision is.
A second opinion can be valuable when:
The diagnosis is uncertain
Liver tests remain unexplained
Cirrhosis has recently decompensated
A transplant has been suggested
You have been told that transplantation is not possible
Different doctors have recommended different treatment plans
Liver cancer treatment options are unclear
A complex case has not responded as expected
You want an independent specialist review before making a major treatment decision
A specialist second opinion involves reviewing the clinical history, laboratory investigations, imaging, endoscopy, pathology and previous treatment wherever relevant.
The goal is not simply another opinion.
The goal is a clearer clinical pathway.
Advanced IPD & Complex Case Management
For patients requiring hospital-based care, hepatology management may involve coordinated inpatient assessment with critical care, transplant surgery, radiology, oncology, nephrology, infectious diseases, nutrition and other relevant specialties.
This is particularly important in patients with:
Acute liver failure
Acute-on-chronic liver failure
Severe decompensated cirrhosis
Hepatorenal dysfunction
Severe infections in cirrhosis
Gastrointestinal bleeding
Hepatic encephalopathy
Complex post-transplant complications
For complex patients, the quality of coordination can matter as much as the individual treatment decision.
Virtual Hepatology Consultations
Specialist liver care beyond Mumbai
Virtual consultations are available for selected patients who require specialist hepatology or transplant review without immediately travelling to Mumbai.
International patients and families can share relevant medical records, laboratory reports and imaging before consultation so that the clinical discussion can be focused and structured.
Virtual consultation pathways may be useful for patients and families in:
USA · UK · London · UAE · Dubai · Singapore · Australia · New Zealand · Canada · Europe · Middle East · Asia
International consultations can include:
Specialist second opinions
Review of complex liver disease
Transplant candidacy discussion
Review of transplant recommendations
Pre-travel clinical planning
Post-transplant follow-up
Coordination of further evaluation in Mumbai when required
Virtual consultation does not replace emergency care or an in-person examination when these are clinically necessary.
Post-Liver Transplant Aftercare
Long-term transplant success does not end at discharge.
Structured specialist follow-up can address:
Immunosuppressive medication monitoring
Rejection assessment
Infection risk
Graft function
Kidney function
Diabetes and hypertension
Weight and metabolic health
Bone health
Vaccination and preventive care
Medication interactions
Long-term cancer surveillance
For patients living outside Mumbai or India, virtual follow-up can help maintain continuity of specialist hepatology care, with in-person assessment arranged when required.
Specialist Liver Care in Mumbai
The primary clinical base is:
Gleneagles Hospital, Parel, Mumbai
Patients travel for specialist hepatology care from across the Mumbai Metropolitan Region, including:
South Mumbai:
Worli · Lower Parel · Parel · Dadar · Prabhadevi
Western Mumbai:
Bandra · Khar · Pali Hill · Juhu · Andheri · Goregaon · Kandivali · Borivali · Vasai · Virar
Mumbai Metropolitan Region:
Navi Mumbai · Thane · Vashi · Kharghar · Panvel and surrounding areas
The practice also receives referrals from across Maharashtra, India and internationally.
Why Patients Seek a Specialist Hepatology Opinion
Some liver problems are straightforward.
Others are not.
When liver disease becomes complicated by cirrhosis, liver failure, cancer, transplant decisions, multiple comorbidities or conflicting treatment recommendations, patients often need a physician whose practice is focused specifically on hepatology and transplant medicine.
That is where a specialist second opinion can change the clinical conversation—from “What is happening?” to “What should we do next?”
Clinical power with controlled precision.
Dr. Chetan Kalal
DM (Hepatology) · MD (Medicine)
Associate Director – Hepatology & Liver Transplant
Gleneagles Hospital, Mumbai
Appointments & Specialist Second Opinions
drchetankalal.com
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