Nephrology and Kidney Transplantation at Jaslok Hospital & Research Centre, Mumbai

About the Department of Nephrology & Kidney Transplantation

The Department of Nephrology & Kidney Transplantation at Jaslok Hospital & Research Centre, Mumbai, provides care for patients with kidney-related conditions.

The department has a team of nephrologists, surgeons, nurses and other healthcare professionals who work together to diagnose, treat and manage kidney diseases and disorders.

The department provides indoor and outpatient care through clinical nephrology, haemodialysis, peritoneal dialysis, critical care nephrology and kidney transplant.

Conditions Managed

The department focuses on the prevention, diagnosis and management of kidney diseases, including:

• Chronic kidney disease
• Glomerulonephritis
• Polycystic kidney disease
• Nephrotic syndrome
• Other conditions affecting the kidney

Dialysis and Nephrology Services

Haemodialysis is provided as outpatient haemodialysis and indoor haemodialysis. SLED and CRRT modalities are used for dialysis in ICU patients. Peritoneal dialysis (CAPD and APD) services are also available.

Other services include tunnelled cuffed haemodialysis catheter (Permcath) insertion, temporary dialysis catheter insertion, and percutaneous biopsy of the native kidney and kidney allograft.

Kidney Biopsy Examination

The department has facilities to examine kidney biopsy samples by light microscopy, immunofluorescence and electron microscopy.

Kidney Transplant Programme

The Kidney Transplant Program at Jaslok Hospital & Research Centre began in 1974. The department undertakes both living donor and deceased (cadaver) donor kidney transplants.

The programme also provides:

• ABO incompatible kidney transplantation
• Kidney paired exchange (swap) transplants
• Kidney transplantation in children
• Kidney transplantation for patients with abnormal bladder, hepatitis B, hepatitis C or HIV
• Robotic and laparoscopic donor nephrectomy surgeries

The department provides long-term follow-up for kidney transplant patients.

ABO Incompatible (Across Blood Group) Kidney Transplantation

ABO incompatible kidney transplantation is performed at the department using plasmapheresis procedures. A or B blood group columns are used in patients with high levels of anti-blood group antibodies.

Kidney Transplantation in Higher-Risk Situations

The department performs living donor kidney transplantation for patients such as elderly recipients, paediatric recipients, donors above 70 years of age, HIV-positive recipients and positive cross-match patients, after desensitisation therapy.

The department also performs adult and paediatric deceased donor kidney transplants, and kidney paired exchange (swap) transplants for blood group incompatible or HLA-antibody incompatible pairs.

Critical Care Nephrology

The department is involved in the care of critically ill patients. It performs ICU dialysis (SLED) and continuous renal replacement therapy (CRRT) for such patients. CRRT can be managed intraoperatively, with an ECMO circuit, and with citrate anticoagulation.

Immunoadsorption columns are used in the management of patients with cytokine storm, sepsis and septic shock.

Training and Research

The department runs a Doctorate of National Board (DrNB) in Nephrology training programme. It is also involved in research on kidney diseases and transplantation.

Procedures

• Haemodialysis, including outpatient haemodialysis, indoor haemodialysis, and SLED and CRRT modalities
• Peritoneal dialysis, including CAPD and APD
• Kidney transplant, including living donor and deceased (cadaver) donor kidney transplants

FAQ’s

Q1. Which kidney conditions does the Department of Nephrology & Kidney Transplantation manage?

The department manages chronic kidney disease, glomerulonephritis, polycystic kidney disease, nephrotic syndrome and other conditions affecting the kidney.

Q2. What types of dialysis are available?

Outpatient and indoor haemodialysis, SLED and CRRT for ICU patients, and peritoneal dialysis (CAPD and APD) are available.

Q3. Does the department perform both living donor and deceased donor kidney transplants?

Yes. The department undertakes both living donor and deceased (cadaver) donor kidney transplants, as well as kidney paired exchange (swap) transplants.

Q4. Is kidney transplantation available for children?

Yes. The department performs kidney transplantation in children, including paediatric deceased donor kidney transplants.

Q5. How can I request an appointment?

You can call 09930192000 or 8471006006 (Monday to Sunday, 8:00 AM to 8:00 PM), use the Request Appointment form, or request a video consultation.