The department provides a comprehensive gastroenterology service with the help of modern technology and a humane touch. The gastroenterology department has highly qualified consultants and also is a preferred referral centre and patients are referred from all over the region

The department deals with various medical problems in gastroenterology in the outpatient, inpatient, and emergency services. The doctors have expertise in the management of the full spectrum of gastrointestinal, liver and pancreatico-biliary diseases, but is not restricted to, disorders like inflammatory bowel disease, irritable bowel syndrome, malabsorption syndrome, gastrointestinal bleed, chronic diarrhea, constipation, peptic ulcer, reflux disease, acute liver failure, chronic liver disease (viral, alcoholic and others), portal hypertension, bilio-pancreatic disorders , malignancies etc.

City Hospital has a well-equipped endoscopy department where diagnostic, therapeutic as well as emergency procedures in gastroenterology are performed. The department also performs procedures like percutaneous and trans-jugular liver biopsy, Hepatic Venous Pressure Gradient (HVPG) monitoring and Tran jugular Intrahepatic Porto systemic Stent (TIPSS) placement. The procedures most commonly performed include:

UGI Endoscopy:

Examination of the upper gastrointestinal tract using a flexible video-endoscope.
– Diagnostic – for disorders like acid-peptic disease, H. pylori infection, gastro-esophageal reflux disease, cancers of the esophagus and stomach.
– Therapeutic – for management of emergencies like variceal bleeding (procedures like sclerotherapy, variceal banding), endoscopic therapy for bleeding peptic ulcer by injection, application of hemoclips or thermal current, placement of percutaneous endoscopic gastrostomy (PEG) tube or jejunostomy as a feeding device for neurologically impaired individuals or those who are unable to swallow. We also perform endotherapy for early cancers and place stents for palliation of obstructive malignant lesions.

 

 

Colonoscopy:

Examination of the lower gastrointestinal tract using a flexible video-endoscope.
– Diagnostic – for disorders like polyps, cancers, strictures, bleeding sites, diverticuli.
– Therapeutic – for management of colonic obstruction with stenting, endotherapy for lower gastrointestinal bleeding, and polypectomy.

·      Examination of the upper gastrointestinal tract using a flexible video-endoscope.
– Diagnostic – for disorders like acid-peptic disease, H. pylori infection, gastro-esophageal reflux disease, cancers of the esophagus and stomach.
– Therapeutic – for management of emergencies like variceal bleeding (procedures like sclerotherapy, variceal banding), endoscopic therapy for bleeding peptic ulcer by injection, application of hemoclips or thermal current, placement of percutaneous endoscopic gastrostomy (PEG) tube or jejunostomy as a feeding device for neurologically impaired individuals or those who are unable to swallow. We also perform endotherapy for early cancers and place stents for palliation of obstructive malignant lesions.

 

 

·      Colonoscopy:

·      Examination of the lower gastrointestinal tract using a flexible video-endoscope.
– Diagnostic – for disorders like polyps, cancers, strictures, bleeding sites, diverticuli.
– Therapeutic – for management of colonic obstruction with stenting, endotherapy for lower gastrointestinal bleeding, and polypectomy.