Centre for Liver & Digestive Sciences

Overview

Centre for Liver & Digestive Sciences at Sarvodaya Hospital specialize in preventing, diagnosing and treating digestive tract and liver disorders. These mainly include conditions involving the pancreas, liver, gallbladder, oesophagus, stomach, small intestine and colon. We specialize in diagnosing digestive ailments with the help of robust clinical skills which is backed up with an advanced diagnostic and therapeutic infrastructure. The Institutes offer expert care in both Medical and Surgical Gastroenterology.

The centre is located in a new built complex of this multispecialty hospital. It is equipped with state of the art equipment and infrastructure involving modern endoscopy labs with video endoscopy systems.

Services

The centre for Liver and Digestive Sciences provides comprehensive gastroenterology, hepatology and endoscopy services to patients. A wide range of gut, liver, biliary and pancreatic disorders involving gastroesophageal reflux, gastroduodenal ulcers, acute and chronic hepatitis, gallstone disease, acute and chronic pancreatitis inflammatory bowel disease, abdominal TB and GI malignany are treated here. Diagnostic and therapeutic endoscopic procedures including variceal ligations, stricture dilatations, esophageal, duodenal & colonic stenting, polypectomy & ERCP (for bile duct stones, strictures, pancreatic stones & stricture) are done. Diagnostics and the therapeutic Endoscopic Ultrasound (EUS) is done for guided biopics and pancreatic biliary diseases. The centre also offers EUS, Fibroscan & Capsule Endoscopy services. The department has also initiated Hi-Tech activity related to liver and pancreatic diseases. It has also applied for consulting DNB following in Gastroenterology. The department believes in care with comparison excellence & patient safety.

Gastroenterology Services

For specialized diagnostics, the department has Gastroenterology Endoscopy Lab. The lab is equipped with Breath test analyzer, capsule endoscopy and fiberoptic video endoscopes to perform:

  • Out Patient Department

  • In patient including Intensive care

  • Endoscopy Services

    1. UGI endoscopy

    2. Colonoscopy

    3. Side viewing endoscopy

    4. ERCP (Endoscopic retrograde cholangiopancreatography)

    5. Single balloon Enteroscopy

    6. Endoscopic Ultrasound

  • Fibroscan

Upper GI Endoscopy

 

It is used to see inside oesophagus, stomach and duodenum. It is used to determine cause of abdominal pain, reflux symptoms, acidity, nausea, vomiting, swallowing difficulty, unexplained weight loss, anaemia, diarrhoea and bleeding from upper GI tract.

  • Diagnostic Upper GI Endoscopy with narrow band imaging (NBI)

  • RUT (Rapid Urease Test for detection) of H. pylori bacteria

  • EVL (Endoscopic Variceal Ligation) for oesophageal varices

  • EST (Endoscopic Sclerotherapy) for oesophageal varices

  • Glue Injection (for gastric varices)

  • Adrenaline Injection (for bleeding ulcers)

  • Hemoclipping (for bleeding ulcers)

  • Fibrin Spray (for bleeding lesion)

  • Foreign body Removal

  • Balloon Dilatation of stricture

  • S G Dilatation (for oesophageal strictures)

  • Polypectomy

  • SEMS (Self Expanding Metallic Stents): Placement as palliative therapy for gastrointestinal carcinoma

  • P.E.G (Percutaneous Endoscopic Gastrostomy)

  • Ryle`s tube and Nasojejunal tube placement

  • Achalasia Dilation

  • Biopsy

Lower GI Endoscopy

It is used to look inside rectum and colon. It is used to determine cause of abdominal pain, bloating, constipation, diarrhoea, unexplained weight loss, anaemia and bleeding from lower GI tract.

  • Sigmoidoscopy or Colonoscopy

  • Biopsy

  • Polypectomy

  • Stricture Dilation

  • Colonic SEMS

ERCP

It is a technique to diagnose and treat problem in bile duct or pancreatic duct.

  • CBD/ PD Stone removal

  • Mechanical Lithotripsy for large / difficult CBD stone

  • Bile leak management

  • Biliary Stricture Dilation + Stent placement

  • Pancreatic Stricture Dilation + Stent placement

  • Stent placement for biliary obstruction

  • Biliary SEMS

  • Stent Removal

Endoscopic Ultrasonography (EUS)

EUS is a type of endoscopic examination. It involves placing an endoscope that has a small ultrasound probe attached to its tip into the esophagus, stomach and duodenum. It facilitates visualising of sonological images of pancreas, biliary system, liver, medicinal and inter abdominal lesion. Diagnostic sensitivity for their stmus is higher than CT or MRI.

Single Balloon Enteroscopy

 

It facilitates diagnose, treatment of disease of small intestine. It is used for diagnosing and treating obscure GI bleeding, overt small intestinal bleed, small bowel tumor and stricture.

Capsule Endoscopy

Capsule Endoscopy involves swallowing a small (the size of the large vitamin pill) capsule, which contains a color wireless camera, battery, light source and transmitter. After a patient swallows the capsule, it takes thousands of pictures for eight hours, transmitting images to a data recorder about the size of a portable CD player that patients wear around the waist. Capsule endoscopy assists in diagnosing gastrointestinal conditions in the small bowel such as: bleeding, malabsorption, chronic abdominal pain, and chronic diarrhoea.

Hydrogen Breath test

It is a simple, non-invasive test based on analysis of breath hydrogen using breath test analyzer. It is used for diagnosis of gastrointestinal disorders like small intestinal bacterial overgrowth, lactose/fructose/other sugar intolerance or malabsorption, gastrointestinal dysmotility, etc.

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