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Overview
Gastroenterology deals in treating diseases related to gastrointestinal tract including liver, biliary system, and digestive disorders. The branch also includes the understanding of gastrointestinal organs, like the functioning of the liver, digestion and absorption, removal of waste and several others. Any gastrointestinal disorder can cause problems in stomach, oesophagus, pancreas, gallbladder, liver, small and large intestines.
Centre for Liver & Digestive Sciences:
The Centre for Liver & Digestive Sciences specializes in providing world-class treatment for Gastroenterology, Hepatology and Endoscopy services. This department is fully equipped with the latest technology and infrastructure to treat 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 Malignancies.
The Centre is supported by renowned Gastroenterologists who are acclaimed for their vast work in this field. The specialists are backed up by a team of highly trained Endoscopy technicians, trained nurses and paramedical staff who believe in providing best care services to all with dedication, precision & passion.
Diagnostic and therapeutic endoscopic procedures including variceal ligations, stricture dilatations, oesophagal, duodenal & colonic stenting, polypectomy & ERCP (for bile duct stones, strictures, pancreatic stones & stricture) are performed by specialists in the department. Endoscopic Ultrasounds (EUS) are also done for guided biopsies and pancreatic biliary diseases. We also offer Fibroscan & Capsule Endoscopy services.
The latest machines, skilled team of specialists & modern infrastructure help provide precise treatment for all.
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)
Endoscope: This is a long, thin and tube-like instrument with a light source and a thin camera at one end by which it takes images of the inner body and the same on the television screen.
Colonoscope: Colonoscopes are a thin tube-like instrument that comes with a CCD camera/fibre optic camera and it is passed through the anus for carrying out the examination.
FibroScan: This is a specialized ultrasound machine that measures fibrosis and steatosis in the liver. We recommend that every individual after a certain age gets checked so that they can take preventive action when required. This a safe, non-invasive way we can identify an issue beforehand and it is the need of the hour, due to the stark variations in our diet & lifestyle & negative routine habits.
ERCP: This is a type of endoscopic technology which is a bendable, lighted tube used for examining stomach & small intestine.
Capsule colonoscopy: A thin tube-like endoscopic instrument with a camera at both ends which is used to examine the colon.
Meet Our Specialists
(Air Cmdr) Dr. Bhaskar Nandi
Director & HOD - Centre for Liver & Digestive Sciences
Dr. Bir Singh Sehrawat
Senior Consultant - Centre for Liver & Digestive Sciences
Dr. Shashank. J. Wanjari
Consultant - Centre for Liver & Digestive Sciences
