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Government-run Osmania General Hospital scripts another success story: Little Aditya gets new lease on life

Three-year-old Aditya was suffering from Congenital biliary atresia, AKA biliary atresia, a serious liver disease that affects newborns.

Sumit Jha

Published Jul 18, 2024 | 11:00 AM ⚊ Updated Jul 18, 2024 | 11:00 AM

Government-run Osmania General Hospital scripts another success story: Little Aditya gets new lease on life

Amla and her three-year-old son, Modugu Chohan Aditya. (Supplied)

Modugu Chohan Aditya was active like any three year old, and mighty irritated by the four walls of the hospital room that constrained his freedom.

Yet, in that small space, he did whatever he could do, despite his ever-watchful and worried mother Amla often asking him to tone down. Amla was on the hospital bed, recuperating from a surgery that would save her son’s life.

In between his seemingly unending chatter, she managed to feed him, telling him stories, and the need to eat to grow stronger.  The boy complied.

The young mother and son were building a new life. A few days ago, the mother had given him a part of her, so that he could have a full life.

Earlier, doctors had diagnosed Aditya of Konda Vanamala village in Konijerla Mandal of the Khammam district with congenital biliary atresia and liver failure. A liver transplant was necessary, and surgeons at the Osmania General Hospital in Hyderabad successfully conducted the surgery.

Also Read: This 4-year-old girl was diagnosed with liver failure after a viral fever 

Congenital biliary atresia

Congenital biliary atresia, also known as biliary atresia, is a serious liver disease that affects newborns.

It involves the bile ducts, responsible for carrying bile from the liver to the gallbladder and then to the small intestine. In biliary atresia patients, these ducts are either absent, blocked, or malformed, which prevents bile from leaving the liver.

This condition leads to a buildup of bile in the liver, causing liver damage and scarring (cirrhosis), if left untreated.

1. Symptoms:

  • Jaundice (yellowing of the skin and eyes) that persists beyond the first two weeks of life.
  • Dark urine and pale stools.
  • Enlarged liver and spleen.
  • Poor weight gain and growth.

2. Causes:

  • The exact cause of biliary atresia is unknown. It is not typically inherited and is believed to result from an abnormality in the development of the bile ducts.

3. Diagnosis:

  • Blood tests to check liver function.
  • Ultrasound or other imaging studies to examine the liver and bile ducts.
  • A liver biopsy to assess liver damage.
  • A specialized test called a hepatobiliary iminodiacetic acid (HIDA) scan may also be used.

4. Treatment:

  • Kasai Procedure: The most common initial treatment is a surgery called the Kasai procedure (hepatoportoenterostomy). This surgery connects the liver to the small intestine directly, bypassing the abnormal bile ducts.
  • Liver Transplant: If the Kasai procedure is not successful or if liver damage is too advanced, a liver transplant may be necessary.

5. Prognosis:

  • Early diagnosis and treatment are crucial for improving outcomes. The Kasai procedure is most effective when performed within the first two to three months of life.
  • Even with treatment, some children may eventually require a liver transplant.

Also Read: Meet Dr AS Soin, India’s top liver transplant surgeon

The surgery

A team led by Dr. Madhusudan of the Surgical Gastroenterology and Liver Transplantation of the Osmania General Hospital performed an advanced liver donor transplant procedure on 3 July. Aditya received a part of his mother Amla’s liver.

Both mother and child were now recovering well. They were discharged on 16 July, according to the health department.

Officials said Osmania General Hospital has successfully performed 30 liver transplants, including eight paediatric cases. Patients with conditions such as congenital biliary atresia, NISCH (Neonatal ichthyosis-sclerosing cholangitis) syndrome, and Wilson’s disease have benefited from these life-saving procedures.

The story of Amla and Aditya highlighted the commitment of government hospitals in Telangana to provide top-of-the-line health services, making advanced healthcare affordable and accessible to everyone.

Chief Minister A Revanth Reddy congratulated the staff of Osmania General Hospital, lauding the doctors and paramedical staff for their success in performing the liver transplant on young Aditya.

He also wished Amla, who donated her liver, and Aditya a long and healthy life. The chief minister commended the doctors and other staff for their excellent services in government hospitals.

(Edited by Majnu Babu)

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