CURRENT POSITION

  • Consultant hepatologist and director-Ahmedabad Gastro and Liver Hospital, Ahmedabad
  • Honorary consultant transplant hepatologist @ Institute of kidney disease and research centre and international transplant centre (IKDRC-ITS)
  • Consultant hepatologist @ Sterling Hospital, Ahmedabad

SPECIAL EXPERIENCE IN HEPATOLOGY FIELD

  • TRANSPLANT HEPATOLOGY
  1. Pretransplant optimization of recipient;
  2. Recipient work-up
  3. Donor work-up
  4. Post transplant indoor/outdoor follow-up
  5. Management of post LT complications (e.g. ACR, CR, graft dysfunction, infection, biliary, hematological, vascular, renal, neurological, cardiac, pulmonary)
  • CLINICAL HEPATOLOGY
  1. NASH-cirrhosis (Special interest)
  2. Reversal of early cirrhosis (Special interest)
  3. Advanced critically ill cirrhotis (Special interest)
  4. Undignosed/ difficult to treat cases of jaundice/ transaminitis/ cirrhosis (Special interest)
  5. All fatty liver
  6. ACLF (acute on chronic liver failure)
  7. ALF (acute liver failure)
  8. PBC, PSC, Autoimmune hepatitis
  9. Optimization of patient pre-transplantation
  10. All other liver related issues
  • LIVER- ICU & CRITICAL CARE SKILLS
  1. Management of ALF, ACLF and critically ill cirrhotics
  2. Endotracheal intubation
  3. Central line insertion- jugular, femoral
  4. ONSD (Optic Nerve Sheath Diameter) measurement
  5. Flow-Track monitoring
  6. 2D echocardiography
  7. Liver/abdominal/pulmonary ultrasonography

INTERVENTIONAL HEPATOLOGY

  • Procedures expertised
  1. HVPG (Hepatic Venous Pressure Gradient)
  2. Transjugular Liver Biopsy (TJLB)
  3. Percutaneous liver biopsy
  4. Therapeutic UGI endosocopy
    – EVL/EBL (Endoscopic Variceal/Band Ligation)
    – Glue therapy for gastric varices
    – EST (Endosocopic Sclerotherapy)
    – APC(Argon Plasma Coagulation) for GAVE
  5. Colonoscopy (diagnostic, therapeutic- Mx of haemorrhoids, rectal varices, AVM)
  6. NJ tube placement (endoscopic/ fluoroscopic guided)

  • Procedures learned

    1. ERCP- EPT, biliasry/pancreatic stenting, ENBD placement
    2. Capsule endoscopy
    3. Balloon enteroscopy

  • Intelligent Exposure to

  1. TIPS, RFA, TACE, BRTO, PTBD, PCD insertion, PV embolization, Partial splenic artery embolization, etc.

Dr. Tanmay Vyas

WORK EXPERIENCE

  • Own private practice of Hepatology @ private clinic in Ahmedabad since Feb 2017; expanded in Jan 2019 (Vyas Liver Care Centre, an exclusive liver unit; first of its kind in western part of India)

  • Honorary Consultant Hepatologist @ IKDRC-ITS (International Kidney Disease & Research Institute, International Transplant Centre), Ahmedabad

  • Visiting Consultant Hepatologist in various corporate hospitals of Ahmedabad since Feb 2017

  • Post DM SR Hepatology (2016-2017) @ Institute of Liver and Biliary Sciences, New Delhi

  • DM SR Hepatology (2013-2016) @ Institute of Liver and Biliary Sciences, New Delhi

  • Kaizen Gastroenterology Superspeciality Hospital, Ahmedabad (2012-13): Full time Physician and ICU Incharge

  • Medisurge Multyspeciality Hospital, Ahmedabad (2011): Registrar in cardiac ICU.

  • Sidhdhi-Vinayak Hospital, Ahmedabad (2011): ICU registrar.

  • Satyamev Hospital, Ahmedabad (2011): ICU registrar.

  • U N Mehta Cardiology Institute, Ahmedabad (2010): Resident doctor in rotation.

  • IKDRC (International Kidney Disease & Research Institute), Ahmedabad (2010): Resident doctor in rotation.

  • GCRI (Gujarat Cancer Research Institute), Ahmedabad (2010): Resident doctor in rotation.

  • ART Centre Bhavnagar (2009-2011): Study of 100 cases of Tuberculosis-HIV co-infection.

  • Rajasthan Hospital, Ahmedabad (2008): Medical officer in ICU/CCU.

ACHIEVEMENTS

  1. Presidential award in oral presentation at 26th annual conference, APASL (Asia Pacific Association of Study of Liver) 2016, Japan

  2. Young Investigator award in for Oral presentation in 17th annual symposium of ISHEN (International Society for Hepatic Encephalopathy and Nitrogen Metabolism) 2017, New Delhi

  3. Best poster presentation award @ ISGCON 2016

  4. Minor: Institutional awards and prizes during MBBS and MD for presentations and quiz competitions.

EDUCATION

  • D.M. Hepatology: 2013-2016, Institute of Liver and Biliary Sciences, Deemed University, New Delhi, India

  • M.D. Internal medicine: 2008-2011, Govt. Medical College Bhavnagar, Bhavnagar University, Gujarat, India

  • M.B.,B.S: 2001-2006, Govt. Medical College Bhavnagar, Bhavnagar University, Gujarat, India

  • HSC (CN Vidhyalaya, Ahmedabad): 2001- First class Distinction (94%).

  • SSC (CN Vidhyalaya, Ahmedabad): 1999– First Class Distinction (90%).

PUBLICATIONS

  1.  “ACUTE-ON-CHRONIC LIVER FAILURE: CONSENSUS RECOMMENDATIONS OF THE ASIAN PACIFIC ASSOCIATION FOR THE STUDY OF THE LIVER (APASL), AN UPDATE” . Hepatol Int. 2019 Jul;13(4):353-390. doi: 10.1007/s12072-019-09946-3. Epub 2019 Jun 6. Hepatol Int. 2019 Nov;13(6):826-828. PMID: 31172417; PMCID: PMC6728300.

  2. “Effect of Metformin on Disease Progression in Patients with NASH-Cirrhosis with Diabetes or Insulin Resistance: A Prospective Randomized, Open Labeled, Clinical Trial (ClinicalTrials.gov identifier – NCT02234440)”. Hepatol Int (2016) 10(Suppl 1): 1. doi:10.1007/s12072-016-9707-8.

  3. “Effect of Goal Directed Ammonia Lowering Therapy in ACLF Patients with Hepatic Encephalopathy (ClinicalTrials.gov identifier – NCT02321371)”. Hepatology 63 (1 Supp), 704a-705a.

  4. “Effect of Long Term Aggressive Nutritional Therapy on Survival in Patients With Alcoholic Liver Cirrhosis-Interim Analysis of a Randomized Controlled Trial”. Hepatology 63 (1 Supp), 705a-706a.

  5. “Targeted Heart Rate Reduction Using Carvedilol+/-Ivabradine Improves Left Ventricular Diastolic Dysfunction, Clinical Progression and Survival in Cirrhosis”. Hepatology 63 (1 Supp), 1032a-1032a.

  6. “P1050: Association of Family History of Metabolic Traits with Age at Diagnosis and Severity of Non-Alcoholic Steatohepatitis (NASH) Related Cirrhosis”. Journal of Hepatology, Volume 62, S742

  7. “Cholangicarcinoma Presenting as a Sister Mary Joseph Nodule”. ACG Case Rep J 2016 Apr 15;3(3):209-11. Epub 2016 Apr 15

  8. “Cardiac Cirrhosis May Present Ten Years after Pericardiectomy for Chronic Constrictive Pericarditis”. J Gastrointest Dig Syst S13: S13-001; Rec date: Jul 14, 2015, Acc date: Sep 14, 2015, Pub date: Sep 20, 2015

  9. “An Unexpected Transformation: Polypoidal transformation of GAVE”. Medicine Science- International Medical Journal, Online First: 28 Oct, 2015. doi:10.5455/medscience.2015.04.8368

  10. “The model for critically ill cirrhotics(MCIC): a novel prognostic score for predicting mortality in critically Ill cirrhotics admitted to ICU”. Journal of Hepatology 62, S370-S371.

  11. “Gall bladder adenocarcinoma masquerading as dermatomyositis”. Oncology, Gastroenterology and Hepatology Reports: 2014, 3, 2s, s32-s35.

  12. “Severe myocardial depression in a patient with aluminium phosphide poisoning: A clinical, electrocardiographical and histopathological correlation”. Indian J Crit Care Med 2009; 13:41-3