Gastroenterology

Department of Gastroenterology

The mission of our department of Gastroenterology & Hepatology is the understanding, prevention, diagnosis and treatment of diseases of the digestive tract and liver through the integration of novel models of healthcare delivery with innovative programs in clinical and basic research.

Our patients are cared for by teams of physicians with broad expertise in all forms of gastroenterological and hepatobiliary diseases. Superspecialities of exceptional endoscopic skills are available for all state of the art diagnostic and therapeutic procedures who have backgrounds from major Indian and overseas institutions. Innovation and implementation of recent development is the aim and to provide best to the patient. ICU with best of the facilities care provides the world class emergency and intensive service which often determines the final outcome in seriously ill patients. Integration and co-operation of other department provides a total care absolutely essential for today's medical excellence.

• Upper GI Endoscopy Colorectal Neoplasia
• Colonoscopy
• ERCP (Endoscopic Retrograde Cholangio Pancreatography)
• Sclerotherapy and band ligation of varices
• Oesophageal dilations
• Ballon treatment for Achalasia cardia
• Prosthesis Placement
• Extraction of stone from CBD.
• Stenting of CBD and pancreatic ducts
• Per-cutaneous endoscopic gastrostomy
• Colorectal Nepoplasia

Surgical Gastroenterology
Surgical Gastroenterology has made phenomenal advances and has created a niche for itself, to keep in step with advances in medical Gastroenterology.

The common gastrointestinal operations continue to be part of the domain of the general surgeons, who operate over a much wider spectrum. However, several gastrointestinal operations are complicated and need a sophisticated and precise approach, which can be provided by a team of gastrointestinal surgeons, confining themselves to this area of expertise.
At Apex Hospital, we have a superspeciality Department of Surgical Gastroenterology providing exclusive and comprehensive services to patients with complicated diseases of pancreas, biliary tract, gastrointestinal tract, liver and spleen.

Advanced GI Surgical procedures offered at the department include:

Pancreas:
Pancreatic Surgery is the main thrust area of this department. The various procedures being performed are:
Necrosectomy, peritoneal drainage and procedures for acute pancreatitis.
Surgery for pseudocysts both open and laparoscopic.
Both drainage and resectional procedures for chronic pancreatitis like lateral pancreato-jejunostomy, Frey’s and other pancreatic head preserving procedures.
Whipple’s procedure and other resectional procedures for periampullary and pancreatic tumours are being done routinely.

Biliary tract:
Surgery for benign and malignant surgical obstructive jaundice including biliary strictures, CBD stones.
Post cholecystectomy complications are actively managed.
Choledochal cyst.
Carcinoma of the gall bladder, pancreas and the bile duct.
Our experienced interventional and therapeutic endoscopies provide us with the expertise for ERCP and advanced therapeutic interventions like papillotomy, CBD stone removal and large variety of short and long term stents.

Surgery for ulcerative colitis and complicated gastrointestinal problems:
Pouch and ileoanal procedures have changed the outlook for ulcerative colitis and now patients can get rid of the disease by surgery with intact anal passage. They do not need a permanent ileostomy. Complicated intestinal problems like multiple surgeries, intestinal fistulae etc. are being managed by an expert team.

Surgery for Liver and Portal hypertension:
Surgery for benign and malignant tumours i.e. hepatic resections.
Portasystemic vascular shunt procedures like splenectomy and lieno-renal shunt and other shunt procedures.
Oesophago gastric devascularisation for cirrhotic patients.
Procedures for intractable Ascites.

Laparoscopic Surgery:
Laparoscopic cholecystectomy, appendectomy and other advanced laparoscopic procedures are being performed routinely. Advanced laparoscopic surgery like colorectal surgery, GI cancer surgery and bariatric surgery are being done.

These major and complicated procedures are possible only due to state of the art operation theatres with all modern amenities and critical care ICUs equipped with the latest monitoring and therapeutic gazettes and a huge infra-structure, with the expertise of devoted medical and paramedical personnel.