Gastroenterology

The department of Gastroenterology and Hepatology provides multidisciplinary and collaborative care, which is aimed at prevention, diagnosis and treatment of gastro and liver disorders. Our team takes care of the patients from evaluation, diagnosis to rehabilitation after treatment. Qualified and experienced gastroenterologists, hepatologists and endoscopists’ use sophisticated equipment and diagnostic technology to provide comprehensive care.

Medical Gastroenterology

Nowadays gastrointestinal problems have become very common owing to unhealthy lifestyle and bad eating habits. Many people are suffering from gastrointestinal problems ranging from acid reflex, constipation, irritable bowel syndrome, gastrointestinal bleeding, diarrhea, peptic ulcer, portal hypertension, indigestion, bloating, blenching to severe health conditions like liver cirrhosis, pancreatitis, liver failure, stomach cancer, colon cancer and liver cancer. The diseases of the gastrointestinal tract are slow and progress silently without any major symptoms in the initial stages; therefore, early diagnosis and intervention is mandatory to diagnose them in the initial stages for effective cure and to prevent future complications.

Our expert and experienced team of doctors manage all types of GI diseases including the ones that require emergency care. We offer comprehensive management of GI Disorders including hepatobiliary and pancreatic disorders through precise diagnosis by means of endoscopy, colonoscopy, sigmoidoscopy, and ERCP procedures.

UGI Endoscopy

Endoscopy is a diagnostic and therapeutic procedure that employs a flexible endoscope with a camera for the diagnosis of gastrointestinal disorders. We have a well-equipped endoscopy department wherein diagnostic, therapeutic as well as emergency procedures in gastroenterology are performed.

  • Diagnostic Endoscopy
  • Double Balloon Enteroscopy
  • Esophago-gastroduodenoscopy
  • Therapeutic Endoscopy
  • Narrow Band Imaging
  • Endoscopic sclerotherapy
  • Endoscopic variceal banding
  • Endo-clipping
  • Endo-looping
  • Polypectomy
  • Argon plasma coagulation
  • Endoscopic dilatation
  • SEMS placement
  • EMR (Endoscopic Mucosal Resection)
  • Biliary endotherapy
  • Pancreatic endotherapy
  • Endoscopic cystogastrostomy

Endoscopic Ultrasound

  • Esophageal EUS
  • Gastric EUS
  • Mediastinum EUS
  • Diagnostic pancreaticobiliary EUS
  • Anorectal EUS
  • EUS guided cystogastrostomy
  • EUS guided FNAC
  • EUS guided celiac plexus neurolysis

High Resolution Manometry

  • Oesophageal manometry
  • Ambulatory oesophageal pH monitoring
  • Ambulatory oesophageal manometry and impedance testing
  • Anorectal manometry
  • Breath tests

Colonoscopy

Colonoscopy is performed by using a flexible endoscope with a camera to examine the lower GI tract. It is a diagnostic &therapeutic approach to detect bleeding site, diverticuli, strictures, polyps, cancers and to manage GI bleeding by endotherapy, colonic obstruction with stenting and bleeding by polypectomy.

ERCP (Endoscopic retrograde cholangio pancreatography)

This is a sophisticated diagnostic and therapeutic procedure that treats several pancreatico-biliary disorders including extraction or removal of bile duct stones or any other obstruction in the biliary-pancreatic cancers by plastic or metal stents placements. ERCP procedure also helps in obtaining tissues from the bile duct for biopsy in cancer cytology as a confirmatory diagnosis in the suspected cases of malignancy. Apart from the examination work, this technique is also helpful in very difficult pancreatic and biliary therapeutic endoscopic procedures.

We offer the following diagnostic and therapeutic procedures:

  • ERCP
  • Oesophageal stenting
  • Oesophageal Dilation
  • Sclerotherapy
  • Sigmoidoscopy
  • CBD stricture dilatation
  • CBD stone removal/ stenting
  • Foreign body removal
  • Endoscopic variceal ligation
  • Fundal glue injection/ Haemoclip application/ Heater probe application
  • Endoscopic Ryle’s tube placement
  • Percutaneous endoscopic gastrostomy(PEG)
  • Polypectomy
  • Naso-biliary drainage
  • Pancreatic stone removal and stenting
  • Biliary cytology

 Surgical Gastroenterology

Over the past few years gastroenterology has witnessed several advancements owing to robust research and advancements in technology. In view of such development surgical gastroenterology has also evolved – and as a result minimally invasive surgery has now become the talk of the town procedure for almost all of the gastrointestinal surgical interventions. We have experienced minimally invasive (Laparoscopic) surgeons who perform all types of GI surgeries including GI cancer surgery (staging laparoscopy), appendectomy and laparoscopic cholecystectomy.

Some of the common disease entities managed / operative procedures routinely performed under the domain of Surgical Gastroenterology include:

Liver: Portal hypertension (devascularisation & shunt) surgery for portal hypertension; laparoscopic, radical or conventional surgery for hydatid cyst disease; surgeries for cancerous and benign conditions of the liver.

Upper GI Tract: Oesophageal & stomach cancer management – Radical resection; perforations, strictures and refractory bleed for benign conditions

Bile Ducts & Gallbladder: Bile duct surgery for bile duct stones and radical cholecystectomy for bile duct and gallbladder cancer.

Pancreas: Management of chronic & acute pancreatitis – pancreatic stones surgery, Frey’s procedure & resections; abscess & pseudocyst drainage, necrosectomy; distal resections and pancreatoduodenectomy; resections for neuroendocrine and pancreatic cancers

 Colon & Rectum: Surgery for lower GI bleed, complicated diverticular disease, ulcerative colitis; radical resection for colon cancer; Nerve /sphincter saving surgery for rectal cancer.