Liver & Digestive Sciences

ENDOSCOPY: A minimally invasive facility used to examine the inner body using a long, thin and tube-like instrument called an endoscope. 

• Diagnostic UGIE test: We offer Upper Gastro-intestinal Endoscopy with narrow band imaging technology.
• RUT: We offer a Rapid Urease Test with endoscopic facilities to detect H. pylori. 
• EVL: Our Endoscopic Variceal Ligation (EVL) is used to treat bleeding esophageal variceal with minimal invasion. 
• EST: In this procedure, we treat bleeding Esophageal Varices with Endoscopic Sclerotherapy to inject the sclerosing agent into it and prevent future bleeding. 
• Glue Injection: We use cyanoacrylate glue injection as a procedure to manage gastric variceal bleeding.
• Adrenaline Injection: To treat bleeding ulcers we inject Adrenaline Injection into the adrenalin gland with the help of endoscopes. 
• Hemoclipping: This is a highly effective hemostatic treatment for upper gastrointestinal bleeding or bleeding ulcers.
• Fibrin Spray: It delivers a rapid, adherent, and lasting fibrin clot that prevents bleeding lesion. 
• Foreign body Removal: To remove ingested objects from the oesophagus, stomach and duodenum using endoscopic technologies.
• Balloon Dilatation: This procedure is done using the endoscope over the wire balloon system to treat esophagal, pyloric or colonic strictures. 
• SG Dilatation: This is an advanced technique we use to treat esophageal strictures with the endoscopic Savary-Gilliard Dilators.
• Polypectomy: We use endoscopic techniques to remove polyps from the inside of large intestine through minimally invasive surgery. 
• SEMS: Self Expanding Metallic stents are used as a placement for palliative therapy to treat gastrointestinal carcinoma. 
• P.E.G: Percutaneous Endoscopic Gastrostomy or commonly define as a process to feed the patients who are not able to take food by mouth. In this process, a thin tube is passed through the abdominal wall.
• Achalasia Dilatation: This first line nonsurgical therapy is used to treat achalasia.
• Biopsy: We offer endoscopic biopsy facilities for liver & digestive conditions to understand the malignancy of a certain disease condition, if at all.
• Enteroscopy: This facility is used to treat small intestine lesions by using endoscopic technology.
• We also offer endoscopic technology supported by an NJ Tube Placement. 

COLONOSCOPY: This is a type of endoscopic procedure used to examine the large bowel and the distal part of the small bowel. 

• Sigmoidoscopy: A colonoscopic technique used to look inside sigmoid colon. 
• Biopsy: We offer colonoscopic biopsy facilities for liver & digestive conditions
• Polypectomy: To remove polyps from the inside of large intestine, we use colonoscopic techniques. 
• Stricture Dilation: This is the most effective way to treat a urethral stricture using the colonoscopic technique.
• Colonic SEMS: Colonoscopic techniques are used to treat both malignant and benign obstructions in the colon. 

ERCP:  Endoscopic retrograde cholangiopancreatography used to examine the pancreatic and bile ducts. 

• CBD/ PD Stone removal: We use minimally invasive endoscopic techniques to carry out CBD/ PD Stone removal surgery. 
• Mechanical Lithotripsy: This endoscopic technique is used for removing large/difficult CBD stones. 
• Bile leak management
• Biliary Stricture Dilatation & Stent placement 
• Pancreatic Stricture Dilatation & Stent placement 
• Stent placement for biliary obstruction
• Biliary SEMS
• Stent Removal

EUS – EUS is an endoscopic procedure that allows to examine the digestive tract and adjacent structures like liver, pancreas, gall bladder.  Diagnosis of digestive tract diseases can be done with great precision by EUS. It is also used for taking biopsies from tumors, cysts and lymph nodes.  Staging of malignant tumors and many therapeutic procedures, related to pancreas and bile ducts can be done successfully with EUS.

FibroScan - FibroScan is an advanced ultrasound machine that is used to perform pain free, non-invasive test for managing chronic liver diseases. It measures fibrosis (scarring) and steatosis (abnormal retention of fat) in the liver. The machine can quantify stiffness of liver tissue and generate an approximation of fat in the liver.

We also offer the following services & treatment at our Centre for Liver & Digestive Sciences:

• Capsule endoscopy
• Intraoperative endoscopy
• Breath test (H2) 
• Liver biopsy (percutaneous transjugular)