Dr Rajiv Lochan J - Liver Transplant Doctor in Hebbal, Bangalore

Dr. Rajiv Lochan J

MBBS, MS, MD, FRCS (Ed), FRCS (HPB), CCT (UK), European Transplant Diploma

Sr. Consultant - HPB & Liver Transplant Surgery

Overview

A highly trained Hepato Pancreato Biliary (HPB) and Multi-Organ Transplant Surgeon, Dr. Rajiv Lochan is an expert in liver, kidney and pancreas transplant, complex liver, pancreatic and biliary (gall bladder and bile duct) surgeries and surgical resections of complex retroperitoneal sarcomas. Trained in the United Kingdom, Hong Kong and India, his fields of special interest include surgery for hilar tumours, HPB resection without the use of blood/blood products, improving the outcomes hepatocellular carcinoma treatment and making living donor hepatectomy safer.

His clinical interests are in the areas of liver transplantation – both adult and paediatric, management of pancreatic cancer, multi-disciplinary therapy of hepato-cellular cancer, and surgery of retroperitoneal sarcomas, acute and chronic pancreatitis. His specific areas of research interest are pancreas cancer (risk factors, early diagnosis and management), multi- modality treatment of HCC, and modulation of liver reperfusion injury following its transplantation and increasing donor safety in Living Donor Living Transplant.

He has been working as a Consultant HPB and Abdominal Transplant Surgeon in India since 2013. Along with his colleagues, he has founded a multi-disciplinary Integrated Liver Care Group. He also runs a not-for profit organisation – ILC Foundation which focusses on increasing awareness of Liver diseases, works towards preventing them, carries out related educational activities and is trying to make Liver related care more affordable. He is closely associated with many start-ups which are seeking to leverage the current digital technologies to maximise the societal reach of developments in Healthcare.

His vision for the future of HPB Surgery and especially of Liver Transplantation is to ensure that the benefits of the advances in the Specialty benefit all. Towards this end, he has developed an Affordable Liver transplant model for children and developing and growing this further is of key value for him and his team.

Dr. Lochan is UK Board certified Hepato-Pancreato-Biliary surgeon with a special interest in complex Liver surgery and all forms of liver transplantation surgery. This was achieved after formal training as a National Training numbered trainee in UK after a research MD. He is also a European Society of Transplantation certified transplant surgeon and the recipient of the Pancreas Diploma from the UEGW (Europe) and the European Society of Organ Transplantation diploma.

He has been Senior Fellow - Institute of Transplantation, Newcastle upon Tyne, UK August 2011 to January 2013, HPB Surgery and Multi-visceral Transplantation with focus on Liver Transplantation; He has also been Senior Fellow - Queen Mary Hospital, Hong Kong University February 2013 to August 2013, Liver Transplantation with focus on Living Donor Liver Transplantation.

An FRCS (Intercollegiate, Subspecialty HPB & Transplantation Surgery), from RCS Edinburgh, Dr. Lochan has wide educational experience. He has CCT Intercollegiate Surgical Board, UK Sep 2011, European Diploma in Transplantation (Hesperis Diploma) 2010, MD (Research Newcastle University) – Research Thesis submitted to Newcastle University “Gene-environment interaction in Pancreatic cancer”, MS (General Surgery)

Bangalore Medical College, University of Bangalore, India, April 1999, FRCS (Ed) The Royal College of Surgeons of Edinburgh, Edinburgh, January 1999 and MBBS, JSS Medical College, University of Mysore, India, July 1994.

Area of expertise

Liver, kidney and pancreas transplant, complex liver, pancreatic and biliary (gall bladder and bile duct) surgeries and surgical resections of complex retroperitoneal sarcomas His clinical interests are in the areas of liver transplantation – both adult and paediatric, management of pancreatic cancer, multi-disciplinary therapy of hepato-cellular cancer, and surgery of retroperitoneal sarcomas, acute and chronic pancreatitis. His specific areas of research interest are pancreas cancer (risk factors, early diagnosis and management), multi- modality treatment of HCC, and modulation of liver reperfusion injury following its transplantation and increasing donor safety in Living Donor Living Transplant.

Awards and Recognitions

    Undergraduate
  • Endowment Scholarship during MBBS.
  • Third Rank in the batch of 1987 - 88 (MBBS), University of Mysore.
  • Postgraduate
  • Best Outgoing student in the batch of 1995 - 96 (MS), Bangalore University.
  • First Rank and Association of Surgeons of India Gold Medal 1999 - MS (General Surgery)
  • 2016 Adarsha Seva Sangha, Mysore: “Adarsha Pratibha Puraskara”
  • 2018: Distinguished Alumnus award: JSS Medical College and University

Membership

  • 2018 to date Founding member Liver Transplant Society of India
  • 2013 to date: Indian Association of Surgical Oncology
  • 2011 to date: International Liver Transplant Society
  • 2004 to date: International Hepato-Pancreato-Biliary Association
  • 2009 to date: European Society of Organ Transplantation
  • 2002 to date: Pancreatic Society of Great Britain and Ireland
  • 1997 to date: Association of Surgeons of India

Papers published

  • Has authored numerous indexed publications, text books, research papers
  • Regularly reviews papers and articles for medical journals.

Textbooks

  • Liver Tumors - Epidemiology, Diagnosis, Prevention and Treatment,
  • Editors: Helen Reeves, Derek M Manas and Rajiv Lochan
  • ISBN 978-953-51-1070-5
  • April 2013
  • Surgical management of HCC
  • Helen Reeves, Derek M Manas and Rajiv Lochan
  • In, Practical Management of Chronic Viral Hepatitis, Editor: Gaetano Serviddio
  • ISBN 967-945-50-1480-2

Indexed papers

1) Medappil N, Jacob M, Lochan R, Asthana S, Reddy J, Saif R, Sandhyav R, Panackel C, Raja K, Sakpal M, Ganjoo N. Kasai portoenterostomy for biliary atresia - Surgical precautions for better outcomes. J Pediatr Surg. 2019 Apr;54(4):868-869. doi:10.1016/j.jpedsurg.2018.09.028. Epub 2018 Nov 27. PubMed PMID: 30580834. Size matching in full adult liver grafts - intuition proven! Jacob M, Saif R, Reddy J, M N, Asthana S, Lochan R. Liver Transpl. 2017 Dec 21. doi: 10.1002/lt.24998. [Epub ahead of print] PMID: 29266684

2) Jacob M, Saif R, Reddy J, Medappil N, Asthana S, Lochan R. Extreme large-for-size syndrome after adult liver transplantation: A model for predicting a potentially lethal complication. Liver Transpl. 2018 Mar;24(3):442-443. doi:10.1002/lt.24998. Epub 2018 Feb 9. PubMed PMID: 29266684

3) Diaphragmatic herniation following donor hepatectomy for living donor liver transplantation: a serious complication not given due recognition. Lochan R, Saif R, Ganjoo N, Sakpal M, Panackal C, Raja K, Reddy J, Asthana S, Jacob M. Ann Hepatobiliary Pancreat Surg. 2017 Nov;21(4):232-236. doi:10.14701/ahbps.2017.21.4.232. Epub 2017 Nov 30. PMID: 29264588

4) Minimally invasive and endoscopic versus open necrosectomy for necrotising pancreatitis: a pooled analysis of individual data for 1980 patients. van Brunschot S, Hollemans RA, Bakker OJ, Besselink MG, Baron TH, Beger HG, Boermeester MA, Bollen TL, Bruno MJ, Carter R, French JJ, Coelho D, Dahl B, Dijkgraaf MG, Doctor N, Fagenholz PJ, Farkas G, Castillo CFD, Fockens P, Freeman ML, Gardner TB, Goor HV, Gooszen HG, Hannink G, Lochan R, McKay CJ, Neoptolemos JP, Oláh A, Parks RW, Peev MP, Raraty M, Rau B, Rösch T, Rovers M, Seifert H, Siriwardena AK, Horvath KD, van Santvoort HC. Gut. 2017 Aug 3. pii: gutjnl-2016-313341. doi: 10.1136/gutjnl-2016-313341. [Epub ahead of print] PMID: 28774886

5) Methods of Haemostasis During Liver Resection - A UK National Survey. Lochan R, Ansari I, Coates R, Robinson SM, White SA. Dig Surg. 2013;30(4-6):375-82. doi: 10.1159/000354036. Epub 2013 Oct 8. PMID:24107508 Family history of cancer and tobacco exposure in index cases of pancreatic ductal adenocarcinoma Lochan R, Daly AK, Reeves HL, Charnley RM. J Oncol. 2011; 2011:215985. Epub 2011 Apr 6. PMID: 21547248 [PubMed]

6) Surgery for retroperitoneal soft tissue sarcomas: aggressive re-resection of recurrent disease is possible. Lochan R, French J, Manas D. Ann R Coll Surg Engl. 2010 Sep 7. [Epub ahead of print] PMID: 20825703

7) The role of tobacco derived carcinogens in pancreas cancer Rajiv Lochan, Helen Reeves, Anne K. Daly, and Richard Charnley ISRN Oncology 2011

8) Successful management of necrotizing pancreatitis by percutaneous necrosectomy after orthotopic liver transplant for paracetamol induced acute liver failure

9) R Lochan, RM Charnley, JJ French, A Al-Mukhtar, M Hudson, DM Manas, SA White Exp Clin Transplant 2009 Jun; 7(2): 110-4. PMID: 19715515

10) Management strategies in isolated pancreatic trauma R Lochan, G Sen, AM Barrett, RM Charnley J of Hepato-pancreato-biliary Surgery 2009; 16 (2): 189-96. Epub 2009 Feb 13. PMID: 19214372

11) Pre-operative endovascular stenting of coeliac stenosis to facilitate single stage pancreaticoduodenectomy R Lochan, J Rose, J Cosgrove, RM Charnley, BC Jaques, DM Manas, SA White Annals of the Royal College of Surgeons of England 2008 Mar; 90 (2): 173-4. PMID: 18325223

12) The role of genetic susceptibility in sporadic pancreatic ductal adenocarcinoma R Lochan, AK Daly, HL Reeves, RM Charnley British Journal of Surgery 2008 Jan; 95(1): 22-32 PMID: 18076020

13) Liver resection for colorectal liver metastasis - Current concepts R Lochan, SA White, DM Manas Surgical Oncology2007 Jul; 16(1): 33-45. Epub 2007 Jun 4 PMID: 17544654

14) Bile peritonitis due to intra-hepatic bile duct rupture - A case report. R Lochan, BV Joypaul. World J Gastroenterology 2005; Nov 14; 11(42): 6728-9 PMID: 16425375

15) Granular cell tumour – An unusual cause of hilar obstruction R Lochan, S Balupuri, DM Manas Surg Today. 2006; 36(10): 934-6. PMID: 16998691 16) Hepatobiliary and pancreatic disorders R Lochan, RM Charnley. Book Chapter in Clinical Talk; Surgery: Problems and Solutions. Editors: Prof GS Stansby & A Goldberg

17) Oncological feasibility of laparoscopic distal pancreatectomy for adenocarcinoma: a single-institution comparative study. Rehman S, John SK, Lochan R, Jaques BC, Manas DM, Charnley RM, French JJ, White SA. World J Surg. 2014 Feb;38(2):476- 83. doi: 10.1007/s00268-013-2268-2. PMID:24081543 Hepatocellular cancer: the impact of obesity, type 2 diabetes and a multidisciplinary team. Dyson J, Jaques B, Chattopadyhay D, Lochan R, Graham J, Das D, Aslam T, Patanwala I, Gaggar S, Cole M, Sumpter K, Stewart S, Rose J, Hudson M, Manas D, Reeves HL. J Hepatol. 2014 Jan;60(1):110-7. doi: 10.1016/j.jhep.2013.08.011. Epub 2013 Aug 23. PMID:23978719

18)Cyclooxygenase-2 Polymorphisms and Pancreatic Cancer Susceptibility Ozhan G, Lochan R, Leathart JB, Charnley R, Daly AK. Pancreas. 2011 Jun 23. [Epub ahead of print] PMID: 21705955

19) Pancreaticobronchial fistula: a complication of acute pancreatitis. Overbeck- Zubrzycka D, Lochan RJ, Balupuri S, Jackson RW, Charnley RM. JOP. 2011 Jan 5; 12(1): 59-61. PMID: 21206105

20) Quality of life and functional outcome at 3, 6 and 12 months after acute necrotising pancreatitis SE Wright, R Lochan, K Imrie, C Baker, ID Nesbitt, AJ Kilner, RM Charnley Intensive Care Medicine 2009 Aug 14 PMID: 19685037

21)Endoscopic necrosectomy as primary therapy in the management of infected pancreatic necrosis RM Charnley, R Lochan, H Gray, CB O’Sullivan, J Scott, KENW Oppong. Endoscopy 2006 Sep; 38(9): 925-8. PMID: 16981111

22) Outcome of gall bladder polypoidal lesions detected by transabdominal ultrasound scanning: A nine year experience D Chattopadhyay, R Lochan, S Balupuri, BR Gopinath, KS Wynne World J Gastroenterol 2005; 11(14): 2171-2173. PMID: 15810087

23) Herniography (Peritoneography) for Diagnosis of Spigelian Hernia. G Sen, R Lochan, B V Joypaul. Scottish Med J. 2005 Aug; 50(3): 124-5 PMID: 16164000

24) Does sequential complete embolization of inflow to liver result in improved FLR augmentation? R. Lochan, S. Robinson, J. J. French, B. C. Jaques, J. Rose, R. M. Charnley, D. M. Manas, S. A. White British Journal of Surgery 2013; 100 (S4): 2–49 Pg 21

25) Oncological feasibility of laparoscopic distal pancreatectomy for adenocarcinoma of distal pancreas: A single-institution comparative study S. Rehman, R. Lochan, J. J. French, B. C. Jaques, D. M. Manas, S. A. White British Journal of Surgery 2013; 100 (S4): 2–49 Pg 22

26) Significant response to local ablative bridging treatments facilitates acceptable rates of survival following liver transplantation for HCC R. Lochan, A. Vallance, J. J. French, B. C. Jaques, H. L. Reeves, R. M. Charnley, S. A. White, D. M. Manas. British Journal of Surgery 2013; 100 (S4): Pg 32

27) Embolisation of inflow to aid safer liver resection: Is more better? Lochan R etal Gut July 2012, Volume 61, Suppl 2

28) Good response to bridging treatments predicts better survival following liver transplantation for HCC Lochan R etal Gut July 2012, Volume 61, Suppl 2

29) N-acetyl cysteine therapy does not prevent renal dysfunction following major liver resection Lochan R etal Gut July 2012, Volume 61, Suppl 2

30) Membranous expression of sulfatase-2 is associated with a poorer prognosis in patients following pancreatic cancer resection. Televantou d, Hui KYD, Lochan R, Charnley R, Burt AD, Reeves HL In: Gut. 2012, 61(a114) doi.10.1136/gutjnl-2012- 302514b.102

31) Methods of haemostasis during liver resection - a survey of AUGIS members Lochan R, etalBritish Journal of Surgery 2011; 98(S7): 1–5

32) Peri-operative complications following pancreatico-duodenectomy for pancreas cancer and their impact on long-term survival R Lochan, M Jacob, S Robinson, SA White, JJ French, RM Charnley, DM Manas, BC Jaques British Journal of Surgery 2011; 98(S7): 1–5

33) Para-oesophageal hernia repair: An evaluation of tailored laparoscopic repair, postoperative patient outcome and readmission incidence C Saysell, N Altaf, R Lochan, YKS Viswanath, Gastroenterol Suppl May 2010 34) What is the optimum duration of hospital stay following laparoscopic nissen fundoplication? N Altaf, R Lochan, C Phanibhushana, YKS Viswanath. Gastroenterol Suppl May 2010

35) Open Surgery Should No Longer Be Considered As Primary Treatment for Infected Pancreatic Necrosis. Pancreas Nov 2008; vol 37, Issue 4 p470 Lochan R 36) Open surgery should no longer be offered as primary treatment for infected pancreatic necrosis. Lochan R http://www.pancsoc.org.uk/1_0/downloads/PSGB&I%20abstracts%202008abstracts %202008.doc

37) Availability of open and minimally invasive methods of necrosectomy reduces total hospital stay and ITU stay in infected pancreatic necrosis HPB Sept 2006; vol8, Supplement 2: Page 39 Lochan R

38) Decreased tobacco exposure in patients with pancreatic ductal adenocarcinoma who have a family history of cancer in first degree relatives HPB Sept 2006; vol8, Supplement 2: Page 23 Endoscopic transgastric necrosectomy as primary therapy in the management of infected pancreatic necrosis. Pancreatology 2004; 4:129 - 212. Lochan R

39) Letter to Editors. British Journal of Surgery 2003. Lochan R Letter to Parastomal hernia: A review. July 2003, 90, 7.

40) POSSUM Score in predicting outcome of peritonitis due to duodenal ulcer perforation in the elderly population. Lochan R British Journal of Surgery 2003, 90, Suppl 1, Page - 147

41) Isolated Pancreatic Trauma – A review. Lochan R Journal of Hepato-pancreato- biliary Surgery 2002, 9, Supplement 1, Page 259.

42) Hepatic Angiomyolipoma. Lochan R Journal of Hepato-pancreato-biliary Surgery 2002, 9, Supplement 1, Page 153.

43) Delays in the management of patients with pancreatobiliary tumours. Pancreatology 2002, Vol 1, Issue 3, Pages 275-286. Lochan R

44) Delays in the management of patients with pancreatobiliary tumours. Lochan R British Journal of Surgery 2002, 89, Page 379

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