Center of Hepatobiliary & GI Sciences


Overview:

The Department of Gastroenterology offers a wide range of inpatient, outpatient and endoscopic services to patients with gastrointestinal and liver diseases. The Hospital has a separate endoscopy suite, which is equipped with the state of the art video endoscopy system. There is a separate Gastroenterology OPD on all working days of the hospital. The aim of the department is to provide a patient- focused approach. The 24 —hours emergency of the hospital caters to all type of patients with any gastrointestinal and liver related emergencies.  

 

FACILITIES & SERVICES

DIAGNOSTIC & THERAPEUTIC UGI ENDOSCOPY
This is a procedure of visualizing the esophagus, stomach and 1st and 2nd parts of Duodenum. This technique helps us in diagnosing many disorders like GERD, Esophageal & Gastric Varices and Cancers the of Upper GI tract. With this procedure, doctors can do therapeutics like Endoscopic Variceal Ligation, Endoscopic Sclerotherapy, Esophageal Dilatation & foreign body removal.

SIGMOIDOSCOPY AND COLONOSCOPY
Sigmoidoscopy is a procedure by which a doctor inserts either a short and rigid or slightly longer and flexible fiber-optic tube into the rectum to examine the lower portion of the large intestine (or bowel). With Colonoscopy procedure, doctors are able to the visualise the whole large intestine and ileum. It is used to diagnose conditions like Inflammatory Bowel Diseases, Cancers of Lower GI tract and Haemorrhoids. Colonoscopy can be used as diagnostics in bleeding ulcers, colonic stricture dilatation and banding of piles.

ENDOSCOPIC RETROGRADE CHOLANGIO PANCREATOGRAPHY (ERCP)
ERCP is a procedure done with the help of side viewing endoscope to diagnose conditions like CBD Stones, Cancers of the biliary tract and Worms of Biliary tract. During an ERCP, the gastroenterologist uses an endoscope, a long, thin, flexible tube, with, a light and camera at the end, through the esophagus, the stomach, and the first part of the small intestine, called the duodenum. Once the endoscope reaches the papilla, which is the opening of the common bile duct, the physician injects dye through these ducts, enabling X-rays to be taken and after this stones are removed from CBD. Metallic & plastic stents are put across the CBD to give palliative measures in cancers of biliary tract.

ESOPHAGEAL, GASTRIC AND COLONIC STENTS
This procedure helps in providing palliative care to the patients of cancers of esophagus, stomach and colon. Metallic stents are placed across the malignancy to relieve obstruction.

Overview:

The Department of Gastrointestinal Surgery is a tertiary referral centre attracting patients from all over the region. This highly specialised unit is committed to focused care in Gastro-Intestinal diseases and is well equipped to perform all major GI surgeries like liver resections, pancreatic resections and all advanced GI Laparoscopic surgeries. The main objective of the department is to serve as an apex institution providing state-of-the art medical facilities through highly sophisticated equipment and highly skilled personnel and to serve as a training institution on the subject.  

 

FACILITIES & SERVICES

MINIMAL INVASIVE SURGERY
Minimally invasive surgery has become the cornerstone of management of many benign as well as malignant diseases of the gastrointestinal tract. Be it gall stones or gastroesophageal reflux disease, the benefits of minimally invasive surgery are for all to see. The main advantages include (but are not limited to) better visualization of certain areas with magnification where vision and access may be limited while performing the conventional surgery, less pain in the perioperative period, early return to work and lower incidence of complications like wound infection and incisional hernias.

SMALL INTESTINE AND COLORECTAL SURGERY
Disorders of the small and large intestine form the major bulk of the diseases of the gastrointestinal tract. Cancers of the colon and rectum are the commonest malignancies found in the GI tract. The treatment entails resection of the diseased part along with clearance of the adjacent lymph nodes. This is followed by restoration of intestinal continuity by means of an anatomises. Other common diseases include intestinal obstruction, perforations, diverticulitis and lower GI bleeds. Many of these diseases can be tackled laparoscopically as well.

ESOPHAGEAL AND GASTRIC SURGERY (INCLUDING REFLUX SURGERY)
Upper GI surgery which includes surgery for diseases of stomach (gastric) and esophagus forms an important part of the specialty of GI surgery. The majority of surgeries are those performed for cancers of the stomach (gastrectomies) and esophagus (esophagectomies). The extent and approach of the procedure may depend on the location and extent of the disease and may entail partial or total removal of the organ in question. Surgery also may be required for benign disorders like peptic ulcer disease and its complications and diseases like reflux

SURGERY FOR BILIARY STRICTURESAND FISTULAS
As the incidence of laparoscopic cholecystectomies has increased, there are increased chances of biliary injuries leading to biliary strictures and fistulas. These conditions require highly specialized care for diagnosis, stabilization and optimum treatment. The chances of success of such a procedure decrease with every previous failed repair. Hence it becomes imperative that such procedures are attempted by a skilled person with adequate experience in dealing with such problems. A well performed hepaticojejunostomy in a properly selected patient may be life-saving. On the other hand, a mistreated patient of biliary injury may have disastrous consequences if proper and timely care is not instituted.

HEPATOBILIARY SURGERY
Hepatobiliary disorders are very common and are being detected with increasing frequency because of better diagnostic facilities these days. The common biliary disorders include stones forming in the biliary tract, and cancers of the bile duct and gall bladder. Liver tumors are also commonly encountered and require removal of a part of the liver ensuring adequate remnant is left behind. Liver cysts (simple/ hydrated) require surgery when indicated. The emphasis in dealing with patients with hepatobiliary disorders is on multidisciplinary care involving the gastroenterologist, the radiologist, the surgeon and the oncological disciplines. disease and other disorders of the esophagus.

PANCREATIC SURGERY
Pancreatic disorders though not very common are a frequent source of morbidity and mortality amongst patients with GI disorders. Pancreatic cancer remains a challenge and usually requires complex surgeries like Whipple’s procedure and distal pancreatectomy. The complication and mortality rate of these procedures have steadily declined over the years. Acute and chronic pancreatitis are relatively common problems. These require Surgeries like Frey’s procedure and longitudinal pancreatojejunostomy. Acute pancreatitis in rare situations may need surgeries like necrosectomy and drainage procedures.

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