Dr. Subash Gupta MBBS, MS, FRCS (Glas), FRCSEd
 | MBBS | All India Institute of Medical Sciences(AIIMS), New Delhi, 1986 | | MS(Gen. Surgery) | AIIMS, 1990 | | FRCS | Glasgow, 1994 | | FRCSE | Edinburgh, 1994 | Present appointment Senior Consultant, Surgical Gastroenterologist & Liver Transplant surgeon at Indraprastha Apollo Hospitals, New Delhi. Dr. Subash Gupta has done more than 120 liver transplants. Profile Started liver transplantation in Sir Ganga Ram Hospital, New Delhi. Developed retrieval of extended right lobe grafts and developed right lobe transplant techniques such as transplantation without venovenous bypass, bloodless transplant techniques and fasttracking of patients post transplant with extubation within a few hours of surgery, elimination of parenteral nutrition, and decreasing use of antibiotics. Introduced similar techniques in Apollo Hospitals with excellent liver transplant results.
PREVIOUS EMPLOYMENT INTERNSHIP AT ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, INDIA A rotating internship in the departments of surgery, medicine, paediatrics and obstetrics and Gynaecology in the year 1986 after qualifying from AIIMS
Community Medicine from 1 January 1986 to 31 March 1986 Obstetrics and Gynaecology from 1 April 1986 to 31 May 1986 Paediatrics from 1 June 1986 to 31 July 1986 Accident and Emergency from 1 July 1986 to 31 August 1986 Surgery from 1 September 1986 to 31 October 1986 Medicine from 1 November 1986 to 31 December 1986 POST-GRADUATE TRAINING SCHEME IN SURGERY A three year rotation of Senior House Officer and Registrar positions within the departments of surgical specialties at the All India Institute of Medical Sciences, with an exit examination and thesis resulting in MS degree. January 1987 to June 1987 General surgery (breast and endocrine)
July 1987 to September 1987 Cardiothoracic surgery
October 1987 to December 1987 Neurosurgery
January 1988 to March 1988 Urology
April 1988 to June 1988 Accident and emergency
July 1988 to December 1988 General surgery (Gastroenterology)
January 1989 to December 1989 General surgery (hepatobiliary) POST MS SURGICAL TRAINING
A three-year period of training as a senior resident to Professor Samiran Nundy in the Department of Gastrointestinal Surgery and Liver Transplantation at the All India Institute of Medical Sciences, with progression from registrar to senior registrar grade.
January 1990 to December 1990 Registrar in gastrointestinal and hepatobiliary surgery
January 1991 to February 1993 Senior Registrar in gastrointestinal and hepatobiliary surgery
FURTHER CLINICAL EXPERIENCE FOLLOWING COMPLETION OF SURGICAL TRAINING IN INDIA Following completion of general and specialist training at the All India Institute of Medical Sciences, it is usual for young surgeons to take on a junior consultant position. This is known as a Pool Officer and supports the work of the established consultant team. This period, whilst strictly not a training post, acts as the equivalent of a post-graduate fellowship and is limited to a maximum of three years. March 1993 to September 1993 Pool Officer at the All India Institute of Medical Sciences SURGICAL TRAINING IN THE UNITED KINGDOM
November 1993 to April 1994 Senior House Officer in general and hepatobiliary surgery in the Queen Elizabeth Hospital at Birmingham
May 1994 to January 1995 Senior House Officer in the Liver and Transplant Unit in the Queen Elizabeth Hospital at Birmingham
February 1995 to September 1997 Registrar (Senior Clinical fellow) in the Department of Organ Transplantation at St. James’s University Hospital, Leeds
October 1997 to September 1998 Specialist Registrar (locum appointment for training) in the department of Surgery at Harrogate District Hospital
October 1998 to September 2006
Senior Consultant, Liver transplant and Gastrosurgery, Sir Ganga Ram Hospital, New Delhi 110 060
List of publications Fibrolamellar Hepatocellular carcinoma – Not a rare tumour in India and a possible new tumour marker D.Singhal, S Gupta, A Soin, N Vasdev, N C Nayak, S Nundy Presented at the joint conference of the Indian Association for the study of the Liver (IASL) and European Association for Study of Liver , New Delhi 2002. Abstract published in J Gastroenterol & Hepatol 2002 Suppl (17).
100 consecutive pancreaticoduodenectomies at a private Delhi hospital D.Singhal, S.Gupta, A. Soin, S. Nundy Presented at the 11th annual conference of Indian Association of Surgical Gastroenterology , September 2002, Hyderabad.
125 consecutive Whipple’s procedure using an isolated Roux loop D. Singhal, S Gupta, A.S Soin, S. Nundy Presented at the 7th Biennial Asian HBP conference held at Chennai in August 2003. To be sent for publication Periampullay carcinoid tumors – clues to early diagnosis D. Singhal, S. Gupta, A. Soin, S. Nundy Presented at 7th Biennial Asian HBP conference held at Chennai in August 2003
The Management of Obscure Lower GI Hemorrhage: The case for Early Laparotomy and Blind Right Hemicolectomy D.Singhal, Neerav Goyal, S. Gupta, S. Nundy Presented at the 12 th annual conference of Indian Association of Surgical Gastroenterology, September 2003. Colour of bile: a useful bedside indicator of outcome after surgical relief of obstructive jaundice D.Singhal, U.Somashekar, S.Gupta, A.Soin, S. Nundy Presented at the 12 th annual conference of Indian Association of Surgical Gastroenterology (IASG),September 2003. Bhopal. 100 consecutive operations for pancreatic pseudocysts N. Goyal, D.Singhal, A.Soin, S.Gupta, S.Nundy Presented at the 12 th annual conference of Indian Association of Surgical Gastroenterology (IASG),September 2003. Bhopal
Management of middle hepatic vein outflow in right lobe liver transplantation A.S. Soin, S. Gupta, P. Jain, A.Kumar, D.Singhal, S. Nundy et al Presented at the 7th Congress of the Asian Society of Transplantation, (CAST,2002, Delhi) Role of CT angiography in defining the plane of transection in right lobe liver transplantation S. Gupta, A.S. Soin, P.Jain, A. Singh, D.Singhal, S. Nundy et al Presented at the 7th Congress of the Asian Society of Transplantation,2002, Delhi
Kanagasundram N, Fletcher S, Gupta S, Davison AM. Acute small bowel obstruction following mesenteric perforation by CAPD catheter, Nephrol Dial Transplant, 1997, 12: 599-600
Fletcher S, Gupta S, Carmichael P, Allsop L, Lodge JPA, Newstead CG, Oliguria in a renal graft: the role of ureteric catheterisation. Nephrol Dial Transplant, 1996 11:2083-2084
Prasad AS, Gupta S, Kohli VK, Pande GK, Sahni P, Nundy S. Proximal splenorenal shunts for extrahepatic portal venous obstruction in children, Annals of Surgery, 1994, 219, 193-6
Bhalla VP, Gupta S, Nundy S. Public funding of organ transplantation, In Kapoor VK, Ghosh PK, Bhandari M, Agarwal SS(eds) Perspectives in organ transplantation, New Delhi, B. I. Churchill Livingstone, 1993
Gupta S, Attitudes to liver transplantation Natl Med J Ind, 1993:6
Gupta S, Kohli VK, Nundy S. Surgical management of portal hypertension in the tropics. Recent advances in gastroenterology,(eds) Goonaratne and D’silva, Ceylon Medical Journal, 1992
Gupta S, Soin AS, Gupta S, Sharma LK,. Sepsis after Ivalon sponge rectopexy: an unusual case, Aust N Z J Surg; 1991, 61: 469-71
Chattopadhyay TK, Gupta S, Padhy AK, Kapoor VK. Is pyloroplasty necessary following intrathoracic transposition of stomach? Results of a prospective clinical study. Aust N Z J Surg. 1991, 61:366-9. Sharma L, Gupta S, Soin AS, Sikora S, Kapoor V. Generalized peritonitis in India--the tropical spectrum. Jpn J Surg. 1991,21:272-7.
Gupta S, Sikora S, Singh M, Sharma L. Pilonidal disease of the umbilicus--a report of two cases. Jpn J Surg. 1990,20:590-2. Kumar A, Gupta S, Chopra P, Sharma LK. Bilateral angiosarcoma of the breast: an overview. Aust N Z J Surg. 1990,60:341-5. Gupta S, Sikora SS, Gupta R, Singh MK, Chattopadhyay TK. Presacral neurilemoma (schwannoma)--report of a rare case. Jpn J Surg. 1989,19:229-31.
Chattopadhyay TK, Kapoor VK, Gupta S. The management of extensive corrosive esophageal strictures: do not dilate and procrastinate. Jpn J Surg. 1989,19:171-6.
Gupta S, Chatterjee TK, Sharma LK. Evaluation of adjuvant perioperative chemotherapy in cancer breast and its comparison with standard CMF regimen: thesis accepted for the award of M. S. degree from the university. 1989
Gupta S, Bhalla VP, Nundy S. Liver transplantation, an Indian perspective, Ind J Int Med, 1992, 2:227-31
Contributions to books Arora A, Gupta S, Soin AS, Saigal S, First National Consensus report on liver transplant and cadaveric organ donation. 2003 Pande GK, Patnaik PK, Gupta S, Sahni P. Brain stem death and organ transplantation in India, New Delhi, the Natl Med J India, 1990
Gupta S, Nundy S. Ethics in liver transplantation, In Kaul HK, Arora MK, Jayalakshmi TS(eds) Recent advances in intensive care, New Delhi: Research society of Anaesthesiology and Allied Sciences, 1991; 102-5
Lectures and conference presentation in 2003
Panelist: Role of endoscopy in gastrointestinal malignancy, Gastroenterology update, 2nd February, 2003, Scope Centre Panelist: Advances in Gastrointestinal malignancy, Oncology update, 30th March 2003 Chairperson: Pancreatitis in children, Indian Habitat Centre, 19th April 2003 Examiner: DNB entrance exam, Academic Room, Sir Ganga Ram Hospital, 25th May 2003. Lecture: Acute abdomen, DMA annual meeting, Ashoka Hotel, 15th June 2003
Invited for Lecture, management of infected pancreatic necrosis, Ajmer, 22nd Novemeber 2003 Invited for video session on segmental liver resection, IASG, Bhopal meeting Talk, Tackling Post-Operative Complications of Liver Resection, 23rd November 2003, Chennai Lecture: Ileopouchanal anastomosis, Annual meeting of colorectal society, Ranchi 7th November 2003 Participated in workshop on infection control, organized by Indian Academy for infection management, educational summit meeting Lecture: Advances in GI malignancy, Oncology update, Dharamshila Hospital, 13th September 2003 Lecture, “Status of Liver Transplantation in India”, 18th October 2003, ????? Chairman, Role of MRI in fistula in ano, 1st November 2003, Annual ASI meeting, Hyatt Regency. Lecture “Current Status of Liver Surgery”, 25th Jan 2004, IMA, Patiala. February 2004, SGE Week Hepatic Cerrhosis HCC What to Do? “What the surgeon wants from the USE in PHT – IFUBH meeting Annual Conference, 14th Feb., 2004 Lecture “Acute Liver Failure”, 8th Feb. 2004, Annual Seminar of IMA AMS & CGP U.P. State, Agra. Lecture “Bailling out Surgery”, 28th Mar 2004, in CME on Trauma and Critical Care, Safdarjung Hospital, New Delhi. “Pre and Post Op Care of Liver Transplant” SGRH, Critical Care, 14th April, 2004 ASICON For Handsewn Anastamosis, 30th May, 2004 Lecture “Clinical Aspects of Obstructive Jaundice”, 25th July 2004 in IFUBM’s Delhi Chapter at IHC, New Delhi. Examinar, DNB Exam 2004, Seminar Room, Sir Ganga Ram Hospital, New Delhi. Lecture, Pancreatic Surgery, 1st Aug. 2004, Auditorium, Sir Ganga Ram Hospital, New Delhi Visiting Faculty – Kyoto University in August 2004 Lecture “Surgical Management of HCC”, 29th August 2004, G.B.Pant Hospital, New Delhi. Lecture “Current status of Liver Transplantation in India” North East Gastro meet, Guwahati, 12th September 2004 Chairperson, Surgical update, SGRH, 15th October 2004, Acute appendicitis, operate or conserve. Conducted workshop on Hepatobiliary surgery, Downtown hospital, Guwahati, attended by the surgical fraternity of North East, 26th to 28th November Lecture, Current status of liver surgery, First hepatobiliary workshop in North east, 26th November Lecture, Biliary fistula to operate or to wait, 27th November, North east hepatobiliary workshop Meet the expert session, “ Difficulties in hepatobiliary surgery, North East hepatobiliary workshop, 28th November Lecture, “Management of biliary fistula” International surgical meeting with Jharkhand state chapter of ASI, 4th November 2004 Lecture, “ What’s hot and what’s not in hepatobiliary surgery” Annual conference, Delhi chapter of ASI Poster presentation, A slinging technique for left hepatectomy, APSL conference in New Delhi, 12th Novemeber 2004 Poster presentation, Indian experience with left lobe adult-to-adult liver transplantation, 12th Novemeber 2004. Memorial lecture, “ Annual meeting of UP chapter of IMA, 19th December 2004, Management of blunt abdominal trauma.
Abstracts and recent presentations
Presented a paper entitled “ Is a patch necessary in hepatic arterial anastomosis in Orthotopic Liver Transplantation” at the Dublin meeting of British Transplant Society, April 1998
Presentation entitled “ Prevention of biliary complications during orthotopic liver transplantation by a simple suture technique” at Professor Giles Memorial Day in Leeds
Presentation entitled “ Role of local excision in small rectal cancers” at the North Yorkshire chapter of colorectal surgeons at Sneth
Presented an unusual case of urinary tract obstruction at the Leeds, Liverpool, Manchester renal meeting in September 1997
Presented the experience and results of the unit at the liver association meeting at Cambridge: the results of transplantation in hepatomas, alcoholic liver disease and viral hepatitis
Abstract on research done on Neoral pharmacokinetics carried out on liver transplant recipients.
Presentation: Blind right hemicolectomy in obscure cause of lower gastrointestinal bleeding in the tropics, Indian Society of Gastroenterology at Trivandrum, 1992
Presentation: Minilaparotomy, its role in diagnosis and treatment, Indian Society of Gastroenterology at Trivandrum, 1991
Presentation: Proximal splenorenal shunt in extrahepatic obstruction in children, Indian Society of Gastroenterology at Trivandrum, 1991
Presentation: Proximal splenorenal shunt in extrahepatic obstruction in children Joint meeting of the Royal College of Surgeons of England and Association of Surgeons of India, 1991
Clinical Grand Round: Management of faecal fistulae in the tropics. All India Institute of Medical Sciences, New Delhi, 1989
Clinical Grand Round: Complications of 1000 consecutive radical mastectomy, All India Institute of Medical Sciences, New Delhi, 1989
Society memberships Member of the British Transplant Society Indian Society of Organ Transplantation
Some recent courses attended 1.Advanced Trauma and Life Support course held at St. James’s University Hospital, Leeds, April 1998 2. British Society of Transplantation annual meeting in Dublin, April 1998 3. International Conference on small bowel transplantation at Cambridge 4.Vascular Access and Peritoneal Dialysis meeting in Maastricht, September 1997 5.International Congress of the Transplantation Society meeting in Barcelona 1996 6.Laparoscopic cholecystectomy course held in London in August 1996 7. European Society of Transplantation meeting in Vienna in 1995 8.The Master class on liver surgery and resection in Liverpool in April 1997 9.Attended a workshop on hepatic resection conducted by Prof. L Blumgart. Referees
Prof. S Nundy Head, Department of Surgical Gastroenterology Sir Ganga Ram Hospital New Delhi 110 060
Mr S G Pollard Consultant Hepatobiliary Surgeon St. James’s University Hospital Beckett Street Leeds, LS9 7TF
Mr D J Leinhardt Consultant Surgeon Harrogate District Hospital 50 Lancaster Park Road Harrogate
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