Gastroenterologists, specialized doctors in gastroenterology, are trained in diagnosing and treating patients with diseases of the gastrointestinal tract. Diagnostic procedures for gastroenterology include endoscopic examination, laboratory tests, ultrasound, and surgery.
Along with antibiotics and medications, a combination of proper attention to diet and life style are needed to reduce the symptoms of gastroenterology.
Gastroenterology involves management of patients suffering from disorders of digestive system . Patients may be suffering from simple problems like indigestion or dyspepsia, constipation, pain in the abdomen, jaundice, diarrhoea or difficult problems like blood in the vomiting or stools, liver cirrhosis, swelling abdomen, bile duct stones, cancers of gall bladder, pancreas, food pipe, stomach or intestine.
Our hospital carries out a number of procedures, which are both diagnostic as well as therapeutic in nature.
UGI Endoscopy: Is used for diagnosis of diseases of food pipe, stomach & duodenum like; reflux, ulcers & cancers.
Endoscopic Sclerotherapy: Injection of sclerosant in bleeding varices (veins in cirrhosis) and ulcers.
Endoscopic Variceal ligation (Banding): For ligating the varices
Dilatation of Strictures: Dilating narrowed passages.
APC: Argon Plasma Coagulation of bleeding lesions.
Foreign Body Removal: It involves taking out foreign bodies ingested by using endoscope and accessories.
Endoscopic / Fluroscopic Placement of Nasojejunal Tube: To maintain the nutrition in sick patients.
Percutaneous Endoscopic Gastrostomy: This procedure is done for long term nutritional management of neurological patients who cannot swallow to maintain their nutrition.
Endoscopic Retrograde Cholangiopancreatography: This is an advanced procedure which from a diagnostic tool has now acquired therapeutic dimension. Various treatments can be caused out using this procedure like:
Bile duct stone removal
Mechanical lithotripsy of large bile duct stones.
Placing plastic /metallic stents for palliating or bypassing malignancies or treating biliary infections.
Our department has expertise in this and is a major referral centre in North India.
Enteroscopy: To examine lesions of small intestine
Double balloon Enteroscopy: Allow visualisation of entire small intestine and is recent technology. This procedure has a therapeutic potential also.
Sigmoidoscopy & Colonoscopy: To look for diseases of large intestine like ulcers, tumors, polyps, and diverticulosis, AVMs and at times to treat these too.
Polypectomy: For removal of polyps which can be a cause of bleeding or having a malignant potential.
pH monitoring: For confirmation of reflux disease & as a research tool.
Manometry: Done to diagnose motility disorders.
Endoscopic ultrasonography (EUS): It is a new technique, which is used to diagnose & stage cancers of digestive & hepatobiliary tract so as to optimise treatment of such patients. This technique can differentiate between benign and malignant lesions by doing FNAC (fine needle aspiration cytology). A number of therapeutic procedures can be carried out using EUS. This technique is available in very few centers in India and in Northern India, We have both diagnostic and therapeutic EUS facilities. This technique is better than any other imaging modality for staging and diagnosis cancers.
Capsule endoscopy: This procedure involves swallowing a capsule which has a video camera & takes pictures of GI tract which are recorded on an instrument & taken analysed on computer. This allows visualization of entire small intestine. This and double balloon Enteroscopy are complementary to each other.
Liver biopsy: This procedure is done to diagnose diseases of the liver so as to give appropriate treatment.
Transjugular Liver biopsy: Many patients suffering from liver disease have abnormal coagulation profile and are unfit to undergo biopsy. Such patients are taken up for this procedure, which is done under fluoroscopy. During this procedure one can be pressure measurement, which is a research tool and also helps in selecting patients for particular treatment.
MARS dialysis (Molecular Adsorbent Recirculating System): Ours is one of the few centres in India to have this facility. This dialysis is a temporary measure in patients who are to undergo a liver transplant to stabilize them before the procedure. It is being carried out in patients who have fulminant hepatic failure.
These procedures are performed by experts .