Profile Summary

Medical qualification :  

M.B,B.S. (Bachelor of Medicine & Surgery)

M.S. (Master of Surgery)

University of Mumbai ( Seth G.S. Medical College & K.E.M. Hospital).

Certificate of Sponsored Training in Hepatobiliary Surgery & Transplantation - Royal College of Surgeons of England, London, UK.

Fellow of American College of Surgeons (FACS)

Designation: Director Research & Academics , Dept. of Surgical Gastroenterology

Years of experience: 26 yrs

Areas of expertise:

Hepato Pancreatico Biliary Surgery

Introduction:

Dr. Sanjay Nagral is a surgeon from Mumbai with practice focused on Surgical Gastroenterology, Hepatopancreatobiliary surgery & Liver Transplantation. Currently, he is Director of the Department of Surgical Gastroenterology at Jaslok Hospital & Research Centre, a tertiary care private charitable institution in Mumbai.

He did his undergraduate & postgraduate studies at the GS Medical College & worked at the KEM Hospital Mumbai till 1999 as Associate Professor of Surgery. He was awarded the Inlaks fellowship for higher studies in the UK in 1996 -97 and did fellowships in HPB surgery & liver transplantation at the Kings College Hospital & the Royal Free Hospital in London from 1995 to 1997.

He has 120 publications in indexed journals, has edited two surgical textbooks & contributed six textbook chapters.

He was the joint secretary & chairperson of the liver committee of the Zonal Transplant Coordination Committee in Mumbai from 2012 to 2017. He is currently the chair of the donor safety & outcomes committee of the Western region ROTTO of the Government of India. He was nominated to the executive council of the Declaration of Istanbul Custodian Group, an international organization working on transplantation ethics & has been appointed its co-chair for the years 2021-22. He is also the co-chair of the Ethics task force of the Asian Society of Transplantation.

He is the publisher & member of the editorial board of the Indian Journal of Medical Ethics & chairperson of the Forum for Medical Ethics.

Besides his academic work, Sanjay Nagral writes on issues related to public health, medical ethics & organ transplantation in the public space. He has contributed to multiple publications including the Times of India, Indian Express, Hindustan Times, Mumbai Mirror, Hindu, Economic & Political Weekly, the British Medical Journal, Scroll & Wire. He pens a weekly column called “Second opinion” in the Mumbai Mirror in 2020 / 2021 and now in the Hindustan Times. He coedited the book “Healers or Predators? Health Care Corruption in India’ which was published by Oxford University Press in 2018.  

Awards & Publications:

Awards & Publications

• Smita Divyaveer, S. Nagral, K. T. Prasad, Ashish Sharma and Vivekanad Jha,Health system building blocks and organ transplantation in India, Transplantation, August 2021, Volume 105, Number 8, 1631-34. 
• Shah, H., Vadodariya, B., Jaju, V., Nagral, S., Borle, N., Jain, M. Audit of pediatric trauma in a secondary care urban public hospital. Journal of Emergency Practice and Trauma, 2021; 7(1): 7-11.
• Pre-anaesthetic checkup In India: A review. Surgery in Practice and Science, 1, 100005. Dhakre, V. W., Nanavati, A. J., Shakil, M., & Nagral, S. S. (2020). 10.1016/j.sipas.2020.100005
• Study of pre-hospital care, patterns of injury and outcomes of suburban railway accident victims in Mumbai, India. Bhoyar R, Borle N, Khajanchi M, Nagral S. Natl Med J India. 2020 Jul-Aug;33(4):201-204.
• Letter to Editor: Congenital extrahepatic portosystemic shunts (Abernethy malformation): A new variant. Dhakre VW, Shah P, Nagral A, Nagral S.Hepatology. 2020 Jun 20. doi: 10.1002/hep.31427. Online ahead of print. PMID: 32563203
• Nagral S, Hussain M, Nayeem S, Dias R, Enam A, Nundy S. Unmet need for surgery in South Asia BMJ 2017;357:j1423
• Khanapure S, Nagral S, Nanavati AJ. A study of events between the onset of symptoms and hospital admission in patients with acute abdomen Natl Med J India. 2017 Mar-Apr;30(2):65-68.
• Dhakre VW, Nagral S, Jayesh Nanavati A. Castleman's disease in carcinoma gall bladder.BMJ Case Rep. 2016 Nov 25;2016. pii: bcr2016217325.
• Kale S, Nanavati AJ, Borle N, Nagral S. Outcomes of a conservative approach to management in amoebic liver abscess. J Postgrad Med. 2017 Jan-Mar;63(1):16-20.
• Nanavati AJ, Nagral S.Why have we embraced minimally invasive surgery and ignored enhanced recovery after surgery? J Minim Access Surg. 2016 Jul-Sep;12(3):299-301.
• Nagral S, Jain A, Nundy S. A radical prescription for the Medical Council of India. BMJ. 2016 Mar 31;352:i1731..
• Bandewar SV, Nagral S. Healing and dying with dignity: Where does India stand? Indian J Med Ethics. 2016 Jan-Mar;13(1):5-7.
• Nagral S, Nanavati A, Nagral A.  Liver Transplantation in India: At the Crossroads. J Clin Exp Hepatol. 2015 Dec;5(4):329-40.
• Nanavati AJ, Nagral S, Borle N. Retroperitoneal perforation of the appendix presenting as a right thigh abscess. Case Rep Surg. 2015;2015:707191.
• Nagral S. MLK. Indian J Med Ethics. 2015 Jan-Mar;12(1):61-2.
• Nagral S. We need to discuss India's reliance on private medical colleges. BMJ. 2015 Jan 21;350:h237.
• Nagral S, Amalorpavanathan J. Deceased organ donation in India: where do we go from here? Indian J Med Ethics. 2014 Jul-Sep;11(3):162-6.
• Jafarey A, Nagral S. Towards deceased organ donation in Asia: negotiating the challenges. Indian J Med Ethics. 2014 Jul-Sep;11(3):137-8.
• Nagral S. Obituary. H.G. Desai. Natl Med J India. 2014 Jul-Aug;27(4):232-3.
• Nanavati AJ, Nagral S, Prabhakar S. Fast-track surgery in India. Natl Med J India. 2014 Mar-Apr;27(2):79-83.
• Nagral S. Satpal Dang; a personal memoir. Indian J Med Ethics. 2013 Oct-Dec;10(4):280.
• Nanavati AJ, Nagral S. Varicocele due to a biliary cystadenoma. BMJ Case Rep. 2014 Nov 20;2014.
• Gupta RA, Agrawal P, Doctor N, Nagral S The Effect of Prophylactic Transpapillary Pancreatic Stent Insertion on Clinically Significant Leak Rate Following Distal Pancreatectomy: Results of a Prospective Controlled Clinical Trial. Ann Surg. 2013 Dec 23
• Sable SA, Nagral S, Doctor N. Single-Incision Laparoscopic Cholecystectomy Is Associated With a Higher Bile Duct Injury Rate. Ann Surg. 2013 Nov 18.
• Thati V, Nagral S. Inferior vena cava thrombus with pulmonary embolism complicating amebic liver abscess. Indian J Gastroenterol. 2013 Aug 17.
• Gupta RA, Patel RP, Nagral S. Adult onset nesidioblastosis treated by subtotal pancreatectomy. JOP. 2013 May 10;14(3):286-8. doi: 10.6092/1590-8577/1352.
• Mehta JA, Sable SA, Nagral S. Updated Recommendations for Control of Surgical Site Infections. Ann Surg. 2013 Mar 8.
• Hussain M, Balsara KP, Nagral S. Reuse of single-use devices: looking back, looking forward. Natl Med J India. 2012 May-Jun;25(3):151-5.
• Rai R, Nagral S, Nagral A.Surgery in a patient with liver disease J Clin Exp Hepatol. 2012 Sep;2(3):238-46. doi: 10.1016/j.jceh.2012.05.003. Epub 2012 Sep 21. Review.
• Gandhi VV, Nagral S. Pseudomyxoma peritonea: uncommon presentation. Indian J Surg. 2012 Apr;74(2):172-3. doi: 10.1007/s12262-012-0408-9. Epub 2012 Jan 28.
• Gupta RA, Nagral S, Mangukiya D, Nagral A. Rectal adenocarcinoma in an adult with imperforate anus at birth. BMJ Case Rep. 2012 Oct 12;2012.
• Nagral S. Fire in a hospital. Indian J Med Ethics. 2012 Apr-Jun;9(2):76-7.
• Gomes RM, Nagral S, Agarwal P. Loss of fractured part of a proximally migrated esophageal stent through vomiting. Endoscopy. 2012;44 Suppl 2 UCTN:E234-5.
• Sable S, Gandhi V, Nagral A, Nagral S. Management of a large retroperitoneal primitive neuroectodermal tumour: 'a multimodal approach'. BMJ Case Rep. 2012 Feb 25;2012.
• Sable S, Gandhi V, Nagral S, Nagral A. Secondary omental torsion. BMJ Case Rep. 2012 Feb 25;2012. doi:pii: bcr1220115447. 10.1136/bcr.12.2011.5447.
• Gandhi V, Doctor N, Marar S, Nagral A, Nagral S. Major hemobilia--experience from a specialist unit in a developing country. Trop Gastroenterol. 2011 Jul-Sep;32(3):214-8.
• Nagral S, Ethics, equity and justice: a view from the belly of the beast. Indian J Med Ethics. 2011 Jan-Mar;8(1):9-12.
• Hussain M, Nagral S. Biliary pancreatitis secondary to stones from a gall bladder remnant. Trop Gastroenterol. 2010 Jul-Sep;31(3):230-3.
• Gandhi V, Philip S, Nagral S, Heyde Syndrome: Trop Gastroenterol. 2010 Apr-Jun;31(2):120-1
• Nagral A, Marar S, Nagral S. Anticoagulation and Budd-Chiari syndrome. Indian J Gastroenterol. 2010 Jul;29(4):169
• Gandhi V, Jain P, Rathod V, Nagral S. Endoscopic ultrasound in biliary fasciolosis .Indian J Gastroenterol. 2010 Jun;29(3):128.
• Nagral S, Roy N. The Medical Council of India guidelines on industry-physician relationship: breaking the conspiracy of silence. Natl Med J India. 2010 Mar-Apr;23(2):69-71.
• Agrawal P, Gandhi V, Nagral A, Nagral S. An unusual cause of acute liver failure.BMJ Case Rep. 2010 Aug 26;2010. pii: bcr0320102837. doi: 10.1136/bcr.03.2010.2837
• Gandhi V, Nagral A, Nagral S, Das S, Rodrigues C. An unusual surgical site infection in a liver transplant recipient.BMJ Case Rep. 2010 Sep 29;2010. pii: bcr0220102702. doi: 10.1136/bcr.02.2010.2702.
• Philip S, Gandhi V, Nagral S, Doctor N. Ischemic complications after pancreatoduodenectomy: incidence, prevention and management. Ann Surg. 2010 Jan;251(1):178; author reply 178.
• Jain P, Gandhi V, Marar S, Nagral A, Nagral S. Chronic abdominal pain--a radiological solution. J Assoc Physicians India. 2010 Jan;58:50-3.
• Nagral S. Ketan Desai and the Medical Council of India: the road to perdition? Indian J Med Ethics. 2010 Jul-Sep;7(3):134-5.
• Nagral S. Are we ready for non-heart-beating organ donation in India? Indian J Med Ethics. 2010 Apr-Jun;7(2):106-7.
• Nagral S. Will presumed consent make transplantation accessible, ethical and affordable in India? Indian J Med Ethics. 2009 Jul-Sep;6(3):155-6.
• Gandhi V , Nagral S. Bile duct stricture caused by portal biliopathy Indian Journal of Gastroenterology 2009 (July – August): 28: (4): 157 – 161
• Nagral A, Nabi F, Humar A, Nagral S, Doctor N, Khubchandani SR, Amdekar YK. Reversal of severe hepato-pulmonary syndrome in congenital hepatic fibrosis after living-related liver transplantation.Indian J Gastroenterol. 2007 Mar-Apr;26(2):88-9.
• Nagral S. A deceased-donor liver transplant program must precede a living-donor program. Indian J Gastroenterol. 2006 Nov-Dec;25(6):302-4.
• Nagral S. Anatomy relevant to cholecystectomy. Journal of Minimal Access Surgery;2005. April-June ;1(2)53-58
• Nagral S. The kidney trade again. Indian J Med Ethics. 2004 Apr-Jun;1(2):36-7.
• Nagral S.Live operative workshops: a critique. Natl Med J India. 2004 Mar-Apr;17(2):100-2.
• Nagral S.SARS: infectious diseases, public health and medical ethics. Issues Med Ethics. 2003 Jul-Sep;11(3):70-1.
• Nagral S, Everything but medicine. Issues Med Ethics. Vol 11, No 1 (2003):
• Nagral A, Nisar P, Nagral S, Maydeo A, Sampat M, Borkar D. Capsule endoscopy diagnosis    of ileal anglodysplasia. Indian J Gastroenterol. 2003 Mar-Apr;22(2):64-5.
• Nagral S, General practice: some thoughts. Issues Med Ethics. Vol 10, No 2 (2002)
• Bhandari M, Shah S, Nagral S, Doctor N. Treatment of symptomatic polycystic liver disease with resection-fenestration. Indian J Gastroenterol. 2002 Jul-Aug;21(4):163-4.
• Nagral S.Organ transplantation: ethical issues and the Indian scenario.Issues Med Ethics. 2001 Apr-Jun;9(2):41-3
• Nagral S, Doctors and violence. Issues Med Ethics. Vol 9, No 4 (2001): Vol 9, No 4 (2001)
• Nagral S, Medical exams: plugging the 'leaks'. Issues Med Ethics. Vol 9, No 1 (2001)
• Acharya BS, Patankar T, Nagral SS. Conservative Management of Blunt Liver Trauma. Indian Journal of Surgery: 2001; 63; 385-88
• N Doctor, S Nagral. Hepatic resections (review). Indian Journal of Surgery. 2000.;62:380-3
• Nagral S, Maharashtra Medical Council Elections. Issues Med Ethics. Vol 7, No 4 (1999)
• Nagral S.Sponsored medical education? Issues Med Ethics. 1998 Jan;6(1):3.
• Nagral S. Ethics of Organ Transplantation. Medical Ethics. 1995;3:19-22.
• Nagral S. Selection and management of the brain dead donor. National Medical Journal of India 1995; 8:194-5
• Nagral S, Wanted: ethical 'role models'!. Issues Med Ethics. Vol 2, No 4 (1994): November - December 1994
• Shah SR, Nagral SS, Mathur SK. Results of a Modified Sugiura’s Devascularisation in the Management of ‘Unshuntable’ Potal Hypertension. HPB Surgery. 1999;2: 235-9.
• Mathur SK,  Shah SR, Nagral SS, Soonawala ZF. Transabdominal Extensive Esophagogastric Devascularisation with Gastroesophageal Stapling for management of Noncirhotic Portal Hypertension:Long-term Results. World J Surg; 1999:23:1168-75
• Shah SR, Narayanan TS, Nagral SS, Mathur SK. Surgical management of the Budd-Chiari syndrome:early experience. Indian Journal of Gastroenterology. 1999.;18:60-3.
• Nagral S, Shah S, Gandhi G, Mathur SK. Bleeding isolated gastric varices: a retrospective analysis. Indian Journal of Gastroenterology 1999;18:66-8.
• Kulkarni V, Nagral S, Mathur SK. Lieno-adreno-renal shunt for bleeding varices.          Hepatogastroenterology. 1999;46:2033-4
• Mehta S, Nagral A, Sucheta VK, Nagral S, Gopal S, Joshi AS, Krishnamurthy S Hepatic            sickling crisis mimicking recurrent cholangitis. Indian J Gastroenterol 1999;18: 84-6.
• Rao SR, Nagral S. Bleeding Duodenal Varices : Successful treatment with proximal lieno renal shunt. Indian Journal of Gastroenterology. 1998;17:61
• Nagral S, Muiesan P, Vilca-Melendez H, Mieli-Vergani G, Baker A, Karani J, Howard E, Rela M, Heaton N.  Liver Transplantation for Extra Hepatic Biliary Atresia. Tohoku Journal of Experimental Medicine.1997; 181: 117-127
• Bonatti H, Muiesan P, Connolly S, Vilca-Melendez H, Nagral S, Baker A, Mieli-Vergani G, Gibbs P, Rela M, Heaton ND. Liver Transplantation for acute liver failure in children under  year of   age.Transplantation Proceedings. 1997; 29:434-5
• Vazifdar K, Nagral A, Krishnamurthy S, Nagral S. Vomiting and weight loss. Postgraduate Medical Journal. 1997;73:247-8.
• Mathur SK, Shah SR, Soonawala ZF, Karandikar SS, Nagral SS, Dalvi AN, Mirza DF. Transabdominal extensive esophagogastric devascularisation  with gastro-esophageal stapling in the management of acute variceal bleeding . British Journal of Surgery.1997; 84: 413-7.
• Nagral S, Doctor N, Davidson BR. Liver Resection  (Review). Indian Journal of Gastroenterology. 1997;16: 144-8.
• Nagral S, Mohandas KM, Naravane N, Joshi A, Patankar T.Helicobacter Pylorii  Gastritis masquerading as Gastric Lymphoma. Indian Journal of Gastroenterology. 1995; 14:151-
• Kulkarni MS, Mathur SK, Nagral SS, Joshi AS, Vora IM . Fibrolamellar Hepatocellular Carcinoma. Indian Journal of Gastroenterology. 1994;13:148-9.
• Nagral SS. Flushing retained CBD stones; Is it charge or pressure that works?. Indian Journal of Gastroenterology. 1993;12:28.
• Nagral SS, Kothe S, Khare A, Joshi A, Mathur SK. Double primary carcinoma of gall bladder & bile duct. Indian Journal of Gastroenterology. 1993;12:24-5.
• Nagral AS, Nagral SS, Abraham P, Vora I. Splenic abscess- a possible complication of endoscopic variceal sclerotherapy. Indian Journal of Gastroenterology. 1993;12:56-7.
• Mathur SK, Nagral SS, Khare A, Kulkarni MS, Kamath SK.Total Hepatic Vascular Exclusion for Major Hepatic Resection.Indian Journal of Gastroenterology.1993;12:18-20.
• Nagral SS, Sankhe MS, Patel CV. Experience with the Pectoralis Major Myocuataneous flap in a General Surgical Unit. Journal of Postgraduate Medicine. 1992;38:119-23.
• Nagral SS. Consumer Protection Act. Journal of Postgraduate Medicine. 1992;38:214-5.
• Nagral SS, Lokhandwala YY, Nagral AS. Overseas training & doctors from developing countries.Lancet. 1992;339:1545.
• Sakhalkale RP, Sankhe MS, Nagral S, Patel CV. Obstructed Morgagni Hernia. Journal of Postgraduate medicine . 1991;37:229-30.
• Nagral SS, Patel CV, Pathare PT, Pandit AA, Mittal BV.. Actinomycotic pseudotumor of the midcervical region. Journal of Postgraduate Medicine. 1990;37:62-4.
• Shah PA, Nagral SS, Bhansali MS, Deshmukh HL, Someshwar VR, Hardikar JV. Control of secondary haemorrhage from a pancreatic abscess by embolisation. Journal  of  Postgraduate Medicine. 1988;34:119-2

 

Memberships

• The Association of Surgeons of India
• Indian Association of Surgical Gastroenterology
• Indian National Association for the Study of the Liver
• American College of Surgeons
• The Transplantation Society

 

Positions held:

• Chair of the donor safety & outcomes committee of the Western region ROTTO / SOTTO  Western Region
• Chair person Forum for Medical Ethics Society, India
• Co-chair: Declaration of Istanbul Custodian Group 
• Co-Chair: Ethics Committee Asian Society of Transplantation
• Visiting Faculty: School of Health System Studies, Tata Institute of Social Sciences TISS 
• Publisher and Editorial Board  : Indian Journal of Medical Ethics