Hepatology & Liver Transplant Services Update

Dr. Chetan Kalal, DM (Hepatology)

Mumbai | India | International Consultations

Authority & Training

Dr. Chetan Kalal is among the earliest formally trained DM Hepatologists in Maharashtra, with exclusive specialization in advanced liver disease and liver transplantation.

His practice integrates:

• Advanced hepatology

• Liver transplant medicine

• Complex cirrhosis management

• Fatty liver & metabolic liver disease

• Autoimmune liver disorders

• Portal hypertension & GI bleed management

• Pre- and post-transplant optimization

This is not general gastroenterology.
This is dedicated hepatology.

Core Clinical Domains

1. Advanced Cirrhosis & Decompensation

• Recurrent ascites

• Variceal bleeding

• Hepatic encephalopathy

• Acute-on-chronic liver failure (ACLF)

Evidence-based care aligned with:

• American Association for the Study of Liver Diseases

• European Association for the Study of the Liver

2. Liver Transplant Medicine

• Pre-transplant evaluation

• Living donor optimization

• Complex donor-recipient matching

• Post-transplant immunosuppression strategy

• Rejection management

• Long-term graft survival planning

Clinical approach focuses on:
Decisive timing.
Not delayed referrals.
Not “wait and watch.”

3. Fatty Liver & Metabolic Liver Disease

• MASLD / MASH risk stratification

• Fibrosis prediction models

• Non-invasive assessment pathways

• Integration with obesity and metabolic clinics

Evidence-informed therapy aligned with emerging data from agents like:

• Resmetirom

• Semaglutide

• Tirzepatide

(Not trend-following. Data-driven adoption.)

4. Autoimmune & Rare Liver Disorders

• Autoimmune hepatitis

• PBC

• PSC

• Wilson disease

• Overlap syndromes

Structured protocol-driven evaluation including biopsy, immunology panels, and genetics where indicated.

IPD (Inpatient) Clinical Dominance

For admitted patients:

• Complex liver failure stabilization

• ICU coordination

• Multi-disciplinary transplant board decisions

• Bleed protocols

• Sepsis in cirrhosis management

• Renal-liver interplay (HRS)

This is hospital-level decision-making — not outpatient symptomatic care.

Structured Second Opinion Model

Not reassurance.

Not vague agreement.

Every second opinion includes:

• Data re-analysis

• Reinterpretation of imaging

• Lab pattern scrutiny

• Fibrosis stage re-evaluation

• Transplant timing assessment

The outcome:
A clear clinical direction.
Continue. Intensify. Transplant. Or reverse.

Decisive medicine.

Global Virtual Consultations

Structured tele-hepatology support available for patients in:

United States
United Kingdom
UAE (Dubai)
Singapore
Australia
New Zealand
Canada
Middle East
Europe

International second opinions for:

• Transplant eligibility disputes

• Conflicting fibrosis staging

• Recurrent graft dysfunction

• Fatty liver progression assessment

Mumbai & Maharashtra Coverage

Consult access across:

South Mumbai
Worli
Dadar
Lower Parel
Bandra
Khar
Juhu
Andheri
Kandivali
Borivali
Virar
Vasai
Navi Mumbai
Thane

Regional referrals from Nashik, Nagpur, and Indore.

Positioning Statement

Dr Chetan Kalal — Advanced Hepatology & Liver Transplant Medicine

Expert IPD care.
Structured second opinions.
Evidence-based transplant timing.
Global virtual hepatology access.

Not noise.
Not delay.
Not guesswork.

Clear clinical direction.

Appointment & Contact

Website: drchetankalal.com
International & Domestic Appointments Available