Department of Gastroenterology

Gastroenterology deals in diseases of the food pipe, stomach, intestines, colon, liver, gall bladder, pancreas and other abdominal organs. Technological advances have allowed thorough examination and treatment of these organs by endoscopy using thin tube like camera.

Disease covered by Gastroenterology
All kinds of abdominal pain
Dyspepsia (including abdominal discomfort)
Diarrhoea
Bleeding with stool
Constipation
Bleeding from gastrointestinal tract
Jaundice

In addition, unexplained anaemia, weight loss, anorexia, repeated vomiting, unexplained prolonged fever etc. may also require a gastroenterological consultation. Early referral to a gastroenterologist in such cases can often be life saving.

Endoscopy

Endoscopy is a procedure that enables the examiner (usually a gastroenterologist) to examine the oesophagus (swallowing tube), stomach and duodenum (first portion of small bowel) using a thin, flexible tube through with the lining of the oesophagus, stomach and duodenum can be viewed on a monitor.

A gastrointestinal endoscope is inserted through the mouth or anus. An ultrasound probe can be added to a gastrointestinal endoscope. This is called an endoscopic ultrasound. Depending on the area of interest, this device can also be passed through the mouth or anus.

Endoscopy is useful in early detection of ulcers and cancers in food pipe. It also helps in treating any obstruction in the intestinal and biliary tracts. Modern therapeutic endoscopy is of immense value in treating vomiting blood and bleeding from the rectum. Its other major advantage is the ability to perform biopsies (obtain small pieces of tissue) or cytology (obtain some cells with a fine brush) for microscopic examination to determine the nature of the abnormality and whether the abnormality is benign or malignant (cancerous).

Biopsies are taken for many reasons and may not mean that a cancer is suspected. Endoscopy also can be used to treat many conditions with its reach. The endoscope’s channels permit passage of accessory instruments enabling the examiner to treat many of the conditions such as stretching areas of narrowing (strictures), removal of benign growths such as polyps, accidentally swallowed objects, or treating upper gastrointestinal bleeding as seen in ulcers tears of the lining. These capabilities have markedly reduced the need of transfusion or surgery.

Gastrointestinal Surgery

Gastrointestinal (GI) Surgery provides the surgical option of treating gastroenterological diseases mentioned above. In some cases surgery is the obvious and first treatment of choice, e.g. treatment of stones in the gall bladder, removal of acutely inflamed appendix, removal of early cancerous tumours etc.

Laparoscopy

Laparoscopy is a procedure where a thin, light tube is inserted in your abdomen through a tiny incision. The surgeon can look through the laparoscope into your abdominal and pelvic cavity and can see whether the uterus, tubes or ovaries have any pathogens.

To the end of the laparoscope is attached a video camera, which allows us to view and record the image and thus the terminology Video Laparoscopy. If, in case any pathogen is found during diagnostic laparoscopy, the doctors prefer to do operative laparoscopy and corrective action in the same sitting so that the patient does not have to undergo another surgical procedure.

Laparoscopy is now used to perform operations in a big way. The greatest advantage is the comfort for the patient because it is less painful and patient recovers faster.

Some of the common general surgeries and endoscopic procedures :-
1. Laparoscopic/Open Cholecystectomy for gall bladder stones
2. Common bile duct (CBD) surgery for common bile duct stones
3. Open and laparoscopic inguinal hernia repair
4. Incisional/ Umbilical hernia mesh repair
5. Hiatus hernia surgery (open and laparoscopic fundoplication)
6. Lateral pancreaticojejunostomy for Chronic pancreatitis
7. Head coring surgery for chronic pancreatitis
8. Cystogastrostomy/cystojejunostomy for pseudocysts
9. Surgey for haemorrhoids (piles)/fissure/fistula/abscess
10. Surgery for Appendix-open and laparoscopic

Gastroenterology at Park Hospaital

Park Hospital has highly experienced, capable and qualified consultants who have received training at some of the best center in India and abroad.

Park Hospital also caters to emergency treatment by Gastroenterologists 24X7, which include:
Abdominal pain
Blood vomiting
Hepatic failure
Perforations
Burst ulcers
Bleeding from rectum
Pancreatitis
Jaundice
Cholangitis
Severe weight loss
Anaemia

Specialists Available
GE consultants
GI Surgery consultants

Gastroenterology
Upper Gastrointestinal Endoscopy
Sclerotherapy and Banding of Varices
1. ERCP
2. Colonoscopy
3. EPT, Papillotomy
4. Endoscopic Polypectomy
5. Endoscopic SBF Stone Extraction
6. Stricture Dialating and Stenting: Oesophageal, Bile Ducts and Intestines
7. PEG (Percutaneous Endoscopic Gastrostomy)
8. Flexible Sigmoidoscopy

9. Liver Diseases/ Jaundice Clinic
10. Fulminant Hepatitis and Liver Failure
11. Chronic Hepatitis, including Hep B & C
12. Liver Biopsy & Asciticfluid Examination
Gastro Intestinal Surgery
Laparoscopy – Diagnostic and Operative (All types of Lab surgeries)
Cholecyctectomy
Appendicectomy
Adhesionolysis
Solid Organ Surgery
Hernia Repair
Operations for cancers and tumours of stomach, duodenum, pancreas, colon, rectum etc
Hernia Operations – Incisional, Inguinal, Femoral, Diaphragmatic and others