Medical Gastroenterology

Other Information

Services :

Endoscopic Centre

• Spyglass DS Cholangiopancreatoscopy.

• Radiofrequency Ablation (RFA) for cholangiocarcinoma.

• Third Space Endoscopy procedures such as Per-Oral Endoscopic Myotomy [POEM] for Achalasia Cardia.

• Submucosal Tunnelling endoscopic resection (STER), where submucosal lesions like GIST (Gastrointestinal stromal tumors) are removed endoscopically avoiding major surgery.

• Diagnostic & Therapeutic Gastrointestinal Endoscopy of the esophagus, stomach, small bowel and colon including routine procedures such as Endoscopic Band ligation, Sclerotherapy, Polypectomy, and GI Bleeding interventions.

• Endoscopic Retrograde Cholangiopancreatography (ERCP) for biliary and pancreatic disease (avoids major operations by endoscopic methods) including Biliary and pancreatic stent placement and Self-expanding Metal stent placement for Advanced Cholangiocarcinoma.

• Endoscopic gallbladder drainage for Acute Cholecystitis in inoperable cases or as a bridge to surgery.

• ESWL for shattering pancreatic and bile duct stones.

• Laser Lithotripsy for bile duct and pancreatic duct stones.

• Argon Plasma Coagulator to control all bleeding lesions and to treat early cancers.

• Gold Probe for bleeding lesions.

• Endoscopic Palliation for Gastro-Intestinal Cancer including Oesophageal, Duodenal and colonic Self-expanding Stent placements.

• Endoscopic Mucosal resection (EMR) and Endoscopic Submucosal Resection(ESD) for Superficial tumors of the GI Tract.

• Interventional GI Radiology including Transjugular Intrahepatic Portosystemic Shunting (TIPS), Inferior Vena Cava Stenting, Angiographic Embolisation of liver cancer(TARE), RFA for Liver Cancer, Microwave ablation and Angiographic Interventions in GI bleed.

Endosonography

• Endosonography for Diagnostic and Therapeutic indications of Pancreas and Bile duct including Celiac plexus block and transesophageal mediastinal interventions.

• EUS guided Biliary Drainage.

• EUS Guided Pseudocyst Drainage.

• EUS Guided Pancreatic Tumour Treatment (Radiofrequency ablation of Pancreatic Tumors).

• EUS (Endoscopic Ultrasound) guided coiling for Gastric Variceal Bleed for Portal Hypertension (Introduced in Kerala for the first time).

Division of Hepatology & Molecular Biology

• Handles patients with Chronic Liver disease such as cirrhosis of liver and Hepatitis including Hepatitis B and Hepatitis C.

• Multiple trials (free treatment) currently in progress for Hepatitis and Inflammatory Bowel Disease.

• Whole Exome Sequencing analysis and PCR for HBV DNA and HCV RNA Quantitative studies done.

• Management of Portal Hypertension and Variceal Bleeding.

• Management of Fatty Liver, Alcoholic Liver Disease, Pediatric Liver Disease, and Nonalcoholic Steatohepatitis.

• Management of Drug-Induced Liver Injury.

• Management of Acute Liver Failure and Hepatic Encephalopathy.

• Identifying and shortlisting of patients for liver transplantation.

• Post-transplant Management.

Small Bowel Evaluation

• Small bowel evaluation using Double Balloon Enteroscopy in South India, with an experience of over 1000 cases.

• Capsule Endoscopy- for non-invasive evaluation of small bowel with a small pill which contains a camera capable of recording thousands of images as the pill goes down the intestine.

• Conducts a Breath test, for Helicobacter Pylori and Small Bowel bacterial overgrowth.

• Mechanical Spiral Endoscopy treatment of small bowel will be added shortly.

Academic

• 3 year DNB Training program in Gastroenterology and Gastrointestinal Surgery (post-doctoral) with thesis submission accredited by the National Board of Education, New Delhi.

• Endoscopy Technician Training Program (2 years).

• Wednesday Gastroenterology round table discussion with GI Surgery, Radiology, and Pathology departments.

• Routine Clinical Presentations and seminars every week with Journal clubs and discussions on difficult cases.

• Tumor board with Oncologists and Onco surgeons every week.