GASTROENTEROLOGY

Overview :

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 : 

1. Specialty Clinics include –
   • GI motility
   • Inflammatory Bowel Disease
   • Fatty liver clinic
   • Hepatology and Liver transplant Pancreas Clinic
   • AI-based GI Cancer Screening Clinic
2. Dedicated Liver ICU and liver transplant
3. Daycare Services
   • Management of Ascites
   • Albumin infusion therapy
   • Biological infusions for IBD
   • Fecal microbiota Transplant
4. 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

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