Kolkata's Premier Health Care Institution Since 1967


Belle Vue Clinic

M P Birla Group

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+91 91630 58000

"Thank you very much for all the assistance rendered to me during my stay with you at Belle Vue Clinic. Please convey my regards also to Mr.Tandon."

Bimal Kumar Chatterjee - Advocate General, West Bengal

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Nephrology

Department of Nephrology and Kidney Science

The BelleVue clinic department of nephrology provides the state of the art facility for caring all types of kidney patients. The term nephrology originated from the "Nephron" which is the structural and functional unit of kidney. The department of Nephrology started functioning dates back seventies decade and the first ever renal replacement facility (hemodialysis) of eastern India was started in this prestigious department. Over the last four decade with continuous effort and dedication of our nephrology team, administrative authority and other staffs the department has now reached to its zenith with all state of the art facility for comprehensive care of all types of kidney patients.

Nephrology Department

Services available:

Department of nephrology is equipped with all state of the art equipment and human resource of best of its class. The department provides following services

  • Out patient service for all types of kidney patients
  • In patient service
  • Renal replacement therapy
    1. Hemodialysis
    2. All modalities of CRRT
    3. SLED
    4. Plasmapheresis
    5. IntermittentPeritonealDialysis
    6. Continuous Ambulatory Peritoneal Dialysis
  • Facility for kidney transplantation
  • HLA Tissue typing and Cross matching
  • Renal laboratory service
  • All form of dialysisvascular access creation including AV fistula, AV graft, Tunneled percutaneous dialysis catheter, Temporary single or double lumen dialysis catheter
  • CAPD catheter insertion
  • Kidney Biopsy from both native or graft kidney
  • All form of Renal imaging including Real time USG, Tissue Doppler, CT scan, MRI of kidney and urinary tract

Out Patient service:

Out patient service is available for six days a week with two dedicated fulltime consultant nephrologist and six specially trained in nephrology registers from 10am in the morning to 9pm at night. Patients are primarily evaluated by our most qualified and efficient consultants and necessary advice are given. Disease specific Special nephrology clinic are going to be stated very soon.

In patient service:

With six fulltime specially trained in nephrology registers and two full time consultants leading the team with the help of renal nurses,renal nutritionist, rehabilitative service patients admitted in nephrology department gets special and dedicated care round the clock.

Comprehensive kidney health checkup:

In view of silent nature of kidney disease we have started a comprehensive kidney health checkup facility in our hospital, by which we can pickup early stages of kidney disease and can take necessary action prior the disease progresses to advance stage. The integral part of comprehensive kidney health checkup are clinical evaluation by our Nephrologist, GFR estimation, Blood biochemistry, Renal Ultrasound for assessing kidney structure, and urinalysis.

Kidney Biopsy: Kidney biopsy is the procedure where a piece of tissue is taken out from the kidney by nephrologist using a specialized gun designed for this specific purpose under CT scan or ultrasound guidance and examined under microscope for detailed pathology of the kidney for accurate and specific diagnosis of kidney disease. Depending on the need our department performs multiple kidney biopsies from the native kidney or from the graft kidney every month.

DIALYSIS

Dialysis is advised to patients of end stage renal failure as most common modalities of renal replacement therapy. The blood from patient's body is passed through a special filter/dialyzer, which cleans/ purify blood of its impurities and returns it to the body. Depending on the clinical condition of the patient, it is given 1-3 times/week or more and takes 4-5 hours for each session.

Our Dialysis unit:

The dialysis unit is a special care unit for BelleVue end stage renal disease (ESRD) patients. It has 10 stations and performs near about 12,000-15,000 dialysis treatments per year. The unit has a dialysis system supported by the best quality water treatment plant with double R.O. (Reverse Osmosis) water purification facility and most advanced state of the art dialysis machine. The dialysis unit also provides all modalities of Continuous Renal replacement therapy, Plasmapheresis, and Slow lowefficient extended Hemodialysis(SLED) for ESRD patients when indicated.

Dialysis unit

CAPD

CAPD is another form of renal replacement therapy where a catheter is inserted inside the abdomen permanently and through which dialysis or purification of the toxins can be done at home. CAPD is a very good option of treatment for those patients who stays far away from the hemodialysis center or those who do not have any permanent vascular access for hemodialysis

KIDNEY TRANSPLANTATION

Once the patient developed End Stage Renal Disease with irreversible loss of renal function, the bestsolution is kidney transplantation. The donor kidney is harvested commonlyfrom living related or altruistic donor or from suitable Cadaveric donors.All donors are carefully screened to make sure there is a suitable match and to prevent any transmissible disease or complications. The new healthy kidney is placed in the lower right or left side of the abdomen and is surgically connected to blood vessels and bladder and it starts functioning normally in place of the diseased one. Drugs are needed post surgery to prevention rejection of the transplanted organ. Our Kidney Transplantteam performs approximately 85 to 100 transplant per year. Since inception our department has performed more than thousands of successful renal transplantation.

Kidney Transplantation Unit

Blood Group Compatibility:

Different tests are conducted for the donor and the recipient, to ensure a successful transplantation. First of all the donor and recipient's blood group should be compatible. If not the organs would be rejected.

Tissuetyping:

We are all unique in our own ways and so are our tissues. (Body is made up of trillions of small individual units called cells. A group of cells is called tissue.) The human body has the remarkable power to distinguish what is self and non-self. If by any mechanism our body identifies the new kidney as a foreign body, it will immediately try to reject it. However, the tissues of different individuals can sometimes share some or all-common characteristics (these characteristics are called tissue antigens). Although there are many such antigens but for the purpose of transplantation we are mainly concerned with four major antigens called HLA-A, HLA-B, HLA-C, HLA-DR. We have the state of the art tissue typing facility.

The Cross Match Test:

The above two tests are followed by cross matching test. Even when the blood group and the tissue type of a donor and the recipient are found to be compatible, there are other factors that determine the outcome of the surgery and the possibility of rejection. So a final test is done before proceeding with the transplant operation. A test called as the cross match test is done before the transplantation to screen for these factors. This is done by mixing the donor and recipient blood cells together. If the cells attack one another, the transplant would not work. In this case, the cross match test is said to be positive and the transplantation should not occur. Follow up after kidney transplantation.

The renal transplant recipient would be required to report to the hospital after one or two weeks following discharge. Subsequent visits are scheduled monthly for the next six month and there after if everything is ok every three month. During these visits renal function other necessary tests are performed to evaluate the functioning status of the graft kidney and health of the other organs.