GASTROENTEROLOGY
Overview of the department:
The Gastroenterology department offers a full range of clinical services which include outpatients, inpatient and emergency services in the management of GI and liver diseases for adult and paediatric patients.
Aims And Objectives :
To provide state of art, high quality, comprehensive Gastro endoscopy and Liver disease management under one roof
Scope :
Focus on enhancing the entire patient experience backed by a multi-disciplinary team of Consultants and other team members like specialist doctors, technicians, nurses. The services are provided to patients of all age groups. In addition to a wide range of advanced endoscopic therapies offered, the unit also run DNB super specialty teaching programme and an advanced endoscopy one year fellowship programme.
Spectrum and Services:
- Specialty Clinics include –
- GI motility
- Inflammatory Bowel Disease
- Fatty liver clinic
- Hepatology and Liver transplant Pancreas Clinic
- AI-based GI Cancer Screening Clinic
- Dedicated Liver ICU and liver transplant
- Daycare Services
- Management of Ascites
- Albumin infusion therapy
- Biological infusions for IBD
- Fecal microbiota Transplant
- Cancer detection, staging and treatment planning
SERVICES
- Breath tests
- Fibroscan
- ESWL for pancreatic and biliary stones
- High-definition Gastroscopy/Colonoscopy with optical magnification, Chromoendoscopy and Endocytoscopy - which includes management of GI bleed, foreign body removal, dilatation, placement of feeding tubes or luminal stents and polyp removal.
Third Space Endoscopy Procedures
- Per Oral Endoscopy Myotomy (POEM) for Achalsia Cardia and other motility disorders of esophagus and stomach (G-POEM)
- Fundoplication with POEM (POEM-F)
- Management of Zenker’s Diverticulum and upper esophageal sphincter disorders (Z-POEM)
- Endoscopic submucosal dissection (ESD) for large polyps/lesions or early GI cancers
- Submucosal tunnelling and Endoscopic Resection (STER)
- Endoscopic Full-Thickness Resection (EFTR)
- Per-Rectal Endoscopic Myotomy (PREM) for Hirschsprung’s Disease
- Natural Orifice Transluminal Endoscopic Surgery (NOTES)
Endotherapy for GERD – Antirefluxmucosetomy (ARMS)/ Anti-reflux mucosal ablation (ARMA)/ GERD-x
Endobariatrics– Intragastric Balloon/ Endoscopic Sleeve Gastroplasty (ESG)
Enteroscopy–
- Single Balloon Enteroscopy - Diagnostic and Therapeutic
- Video Capsule Enteroscopy
Diagnostic and Interventional Endo sonography
- FNAB of lesions
- Aspiration of cysts
- Pseudocyst drainage
- EUS guided biliary drainage
- EUS guided cholecystostomy
- EUS guided gastro-jejunostomy
Biliary and Pancreatic Endo therapy
- Diagnosis of biliary and ampullary malignancies
- Removal of bile duct stones
- Biliary duct and pancreatic duct stenting – plastic and metal
- Management of jaundice/cholangitis in malignant biliary blocks
- Endoscopic Ampullectomy for ampullary tumours
- Endotherapy for post-surgical biliary complications
Endo-Hepatology
- EUS guided liver biopsy
- EUS guided coiling for gastric varices
- PPG measurement
Facilties:
- 5 fully equipped State-of-the-Art Endoscopy suites
- 38 high-end endoscopes including neonatal and paediatric endoscopes designed to cater to every situation
- State of the Art GI physiology & motility lab
- Latest Olympus X1 4K 4HD video endoscopes with NBI, TXI RDI &Endocytoscopy
- Two Latest State-of-the-Art EU-ME3 Echoendoscope rooms with Tissue elastography, Contrast EUS & Tissue Harmonic Imaging
- High resolution Phillips Zenition C-ARM IITB
- Two ErbeVio 3 Electrosurgical Units
- Dedicated area for endoscope disinfection and storage along with 6 dedicated Endowashers
Location of department:
2nd Floor SS Building
Departmental Workload:
Total endoscopic procedures in a year – 8000-9000 procedures/year
Total admissions in Gastroenterology department – 3000 admissions/year
Total OPD Consultations – more than 20,000 consultations/year
Courses and training:
The department is at the forefront in research in clinical and endoscopic gastroenterology
Houses a 3-year DrNBProgramme
1 year post DM/DrNB Advanced endoscopy programme
Any Salient features:
Advanced speciality endoscopy services
- Optical Magnification (zoom) endoscopy, endocytoscopy
- Artificial Intelligence
- Neonatal and Paediatric endoscopy
- Video Capsule Enteroscopy and small bowel Enteroscopy
- High performance Endo sonography
- Advanced ERCP for complex bilio-pancreatic pathologies with hybrid techniques using Interventional Radiology/ Endo sonography
- Digital Cholangioscopy&Pancreatoscopy
- Third Space Endoscopic Procedures