Gastroenterology and Hepatology

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Gastroenterology and Hepatology

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GASTROENTEROLOGY AND HEPATOLOGY

Expertise in Digestive Health

Our Department of Gastroenterology and Hepatology is dedicated to the study and treatment of disorders affecting the entire digestive system, including the esophagus, stomach, small and large bowel, pancreas, liver, and biliary system.

Conditions We Treat

Reflux & Esophageal Issues: Gastroesophageal reflux disease (GERD) (heartburn, burping), difficulty/pain during swallowing, and esophageal cancer.
Stomach & Intestinal: Peptic ulcers, Malabsorption (causing diarrhea, malnutrition), Cancers of the gut, Irritable Bowel Syndrome (IBS), Gas bloat and flatulence.
Inflammatory Bowel Disease (IBD): Crohn’s disease and Ulcerative colitis.
Liver, Gallbladder & Biliary: Hepatitis, Fatty liver disease, Cirrhosis (causing jaundice, abdominal distention), Gallstones and bile duct stones.
Pancreatic Disorders: Acute and Chronic Pancreatitis, Pancreatic masses/Cancer, and Pancreatic Cysts.
Functional & Anorectal: Constipation, Faecal incontinence, Blood vomiting, and bleeding through the anus.
Emergency Care: Gastrointestinal bleeding, foreign body ingestion, and acute pancreatitis.

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OUR SERVICES

Advanced Endoscopy Services

Endoscopy involves using a very thin camera on the end of a flexible tube to look inside the digestive tract for diagnosis and treatment. Our services are available on all weekdays and include 24-hour emergency coverage.

Upper Gastrointestinal Endoscopy

This procedure diagnoses problems in the esophagus (gullet), stomach, and upper small bowel.

Diagnostic:

Accurately diagnosing issues in the upper gut.

Therapeutic (Treatment):

Foreign body removal
Esophageal Dilatation (for strictures/narrowing)
Treating bleeding ulcers (by injection, heat, or clips)
Varices treatment (banding/ligation for engorged veins)
Enteral Tube Placement and Percutaneous Endoscopic Gastrostomy (PEG) (for feeding support)

Colonoscopy

This procedure investigates problems in the anus, rectum, large, and small bowel, often used for symptoms like bleeding, chronic diarrhea, constipation, or unexplained weight loss.

Diagnostic:

Screening for polyps and early detection of colorectal cancer.

Therapeutic (Treatment)

Polypectomy (removing polyps)
Enteral Stent Placement (holding open narrowed areas in the colon)
Argon Plasma Coagulation (treating bleeding lesions)

ERCP (Endoscopic Retrograde Cholangio-Pancreatography)

A specialized procedure used primarily to treat disorders of the biliary and pancreatic ducts.

For Bile Ducts:

Removal of bile duct stones (including mechanical lithotripsy for large stones).
Treatment of bile duct infections (cholangitis) and relieving jaundice by drainage and stenting.
Placing metal stents for inoperable bile duct, pancreatic, or gallbladder cancers.
Stopping bile leakage after surgery or trauma.

For Pancreas:

Relieving pain in chronic pancreatitis (by removing pancreatic duct stones or dilating the duct).
Pseudocyst drainage (placing stents to drain fluid collections).

Endoscopic Ultrasound (EUS)

EUS combines endoscopy with ultrasound imaging for high-resolution images of internal organs in the chest and abdomen.

Cancer Staging: Determines the extent (staging) of malignancies, especially cancers of the esophagus, pancreas, stomach, and rectum.
Tissue Diagnosis (EUS-FNA): Uses Fine Needle Aspiration to obtain tissue from masses or lymph nodes for accurate cancer staging and diagnosis, helping to guide or avoid surgery.
Evaluation: Assesses disorders of the bile duct, chronic pancreatitis, pancreatic masses, and cystic lesions.
Pseudocyst Drainage: Considered the least invasive option for draining pancreatic pseudocysts.

Capsule Endoscopy

This technique involves swallowing a small capsule containing a camera to visualize and evaluate the entire small intestine (duodenum, jejunum, and ileum).

Primary Use: Detecting the source of obscure gastrointestinal bleed (bleeding not identified by standard upper endoscopy and colonoscopy).
Other Uses: Detecting small bowel tumors, ulcers, and inflammatory bowel disease.