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Gastroenterology & GI Surgery

Gastroenterology & GI Surgery

Department of Gastroenterology and GI, Hepatobiliary and BariatricSurgery at Eternal Hospital is devoted to the clinical care like consultation, diagnostic and therapeutic procedures of patients with digestive system, gastrointestinal and liver disorders. These include peptic ulcer disease, gastro-esophageal reflux disease, gastrointestinal bleeding, functional gastrointestinal disorders, inflammatory bowel disease, pancreatico-biliary diseases, acute and chronic liver disease as well as gastrointestinal and liver malignancies.

Eternal Hospital’s Gastroenterology and GI, Hepatobiliary and Bariatric Surgery department has a dedicated team of Gastroenterologist and GI Surgeons who understand that Liver and Digestive Diseases account for the fifth most common cause of death in India. The experienced team of surgeons specialize in performing high end procedures based on international standards. Hospital with its multi-disciplinary approach has a well-co-ordinated protocols to treat patients.

 

  • Gastroenterology
  • GI Surgery
  • Hepatobiliary
  • Bariatric Surgery

Department of Gastroenterology and GI, Hepatobiliary and Bariatric Surgery at Eternal Hospital has a state-of-the-art Endoscopy Centre, fully equipped to offer comprehensive diagnostic and therapeutic endoscopy service.

MEDICAL GASTROENTEROLOGY

Diagnostic endoscopic procedures

  • Colonoscopy
  • Enteroscopy

Interventional endoscopic procedures

  • Polypectomy
  • Percutaneous endoscopic gastrostomy (PEG)
  • Endoscopic retrograde cholangio-pancreatography (ERCP)
  • UGI Endoscopy
  • UGI Endoscopy with Biopsy
  • Variceal Banding Oesophageal (EVL)

 

Jaundice –obstructive jaundice, viral hepatitis and biliary stone disease.

Ulcers – Peptic ulcers, Gastric ulcers, Esophageal ulcers

Chronic liver disease – (Hepatitis B, Hepatitis C), cirrhosis, portal hypertension, variceal bleeding, ascites

GI Bleeding (haematemesis / melena / fresh blood per rectum)

Abdominal pain

  • Dyspepsia (gas, bloating of abdomen, distension of abdomen)
  • Gastro oesophageal reflux disease (acidity, heartburn, vomiting)
  • Loss of appetite/weight loss
  • Irritable bowel syndrome (chronic diarrhoea, mucus in stools, loose bowel movements/constipation)
  • Inflammatory bowel disease e.g. ulcerative colitis disease.
  • Elevated SGOT, SGPT (could be due to chronic Hepatitis B or C, non-alcoholic fatty liver disease)
  • Difficulty in swallowing
  • Pancreatitis (Acute/Chronic)
  • Malabsorption syndrome
  • Celiac disease

SURGICAL GASTROENTEROLOGY

Oesophagus 

  • Cancers of  the  oesophagus
  • Corrosive injuries/ strictures  of  oesophagus
  • Oesophageal perforations
  • Peristaltic Disorders of  oesophagus (Achalasia cardia)

Stomach

  • Carcinoma of  the  stomach
  • Gastrointestinal stromal  tumours of  stomach
  • Complicated duodenal ulcer disease

Small  Intestine

  • Small bowel tumours
  • Crohns disease

Colon, Rectum & Anal  canal

  • Colonic cancers
  • Ulcerative colitis
  • Rectal carcinoma
  • Anal canal  cancers
  • Colonic polyposis

Hepatobiliary & Pancreas

  • Liver tumours (Primary/ secondaries)
  • Hydatid cysts, liver /spleen/any other organ (intra-abdominal)
  • Cholangiocarcinoma
  • Carcinoma of gall bladder
  • Complicated gallstone  disease (Cholecysto/Choledochal duodenal Fistula)
  • Choledochal cysts
  • Biliary stricture/ biliary fistulae
  • Post cholecystectomy biliary  injuries
  • Carcinoma of  the head of  pancreas
  • Surgery in Acute  pancreatitis (Necrotising  pancreatitis)
  • Chronic pancreatitis
  • Cystic tumours  of  pancreas
  • Surgery for  Portal  hypertension
  • Surgical obstructive  jaundice

 

A hepatobiliary (HIDA) scan is an imaging procedure used to diagnose problems in the liver, gallbladder and bile ducts.

In the HIDA scan, a radioactive chemical or tracer is injected into a vein in your arm.

The tracer is handled by the liver like bile. Bile is a fluid produced and excreted by your liver that helps your digestive system break down fats in the foods you eat. Bile is stored in your gallbladder and the gallbladder releases the bile when you eat a meal.

 

Bariatric/ Obesity / weight loss surgery is a treatment option for patients suffering with morbid obesity. It is considered to be the most effective treatment for obesity in terms of maintenance of long-term weight loss. Moreover, it causes significant improvement in obesity-related comorbid conditions like Type 2 diabetes, high blood pressure, joint pains, sleeping disorders like sleep apnea, heart diseases, infertility issues and more.

Bariatric surgery is performed using Laparoscopic technique (Keyhole surgery- minimally invasive) and most of the patients are walking around on the same day of the surgery.

Bariatric surgical procedures cause weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption. The weight loss surgeries are performed using minimally invasive techniques.

Common Bariatric surgery options which are available :

  • Gastric Bypass
  • Sleeve Gastrectomy
  • Minigastric bypass
  • Gastric bands
  • Others

The choice of the surgical procedure depends on the treating surgeon and the team after evaluation and counselling.

FAQs for Bariatric Surgery

1. Are you OBESE?


The word obesity may have negative connotations, but it is simply the medical term for someone whose excess weight poses a health risk. The most useful measurement is weight in relationship to height known as the Body Mass Index (BMI). The calculated BMI allows us to classify whether someone is normal, overweight or obese.

BMI=Weight (kgs)/ (Height in mts)

BMI Helps in calculation of :

- How much a person is overweight

- The risk of medical problems is related to excess weight, so the BMI allows us to estimate this risk

- The ideal weight for someone based upon their height.
 

2. Is Bariatric Surgery right for me?


This surgery is not a cosmetic procedure. Anyone thinking about it should understand that the surgery will cause a reduction in the number of calories you may consume and help obese patients.

The following will help you decide whether you are ready:

 - Do you meet the weight and health guidelines established to determine eligibility?
-  Are you determined to lose weight and improve your health?
-  Have you been unsuccessful at long-term weight loss using non-surgical  methods?

3. How does Bariatric Surgery work?

The best suited bariatric surgeries taking are –

- Laproscopic Verticle Sleeve Gastrectomy
- Laprocsopic Roux-en-Y Gastric Surgery
- Mini Gastric Bypass.
 

4. What is Laparoscopic Verticle sleeve Gastrectomy?

In this procedure the majority of the stomach is removed leaving a long tubular structure. This surgery can be done laparoscopicaly ensuring scar less speedy recovery. The risk of nutritional deficiency is lower compared to operations that bypass part of the gastrointestinal tract.

5. What is Laparoscopic Roux- en-Y Gastric Bypass?

This procedure involves the creation of a small gastric pouch. There is very little interference with normal absorption of food. The operation works by reducing food intake & reducing the feeling of hunger. The result is a very early sense of fullness, followed by a profound sense of satisfaction. It is the preferred surgery for patients with metabolic disorders like uncontrolled diabetes.

6. What is Mini Gastric Surgery?

In the first part of mini gastric bypass surgery the stomach is divided and a small tube of stomach created which becomes the pouch.  This means that only a very small amount of food can be taken at any one time.  Fewer calories absorbed, means weight loss.

Steps followed by us to ensure your best:

- Evaluation by the surgeon: Do you really need the surgery?

- Comprehensive Medical Evaluation

- Intensive Counseling & Motivation

- Surgery Preparation & Performance

- Post Surgery Care & Rehabilitation

After the surgery, person needs to make changes in his/her lifestyle. This will be closely monitered by our surgeons, nutritionists. 

7. The Results of Bariatric Surgery:

Expected weight loss:  About 50 to 75 per cent of excess weight
Duration of operation:  2 hours

8. Healthy benefits of Weight Loss Surgery:

Diabetes: 77% of patients on medication for diabetes are able to discontinue taking medication after surgery. Some patients experience an improvement in the control of Diabetes.

Hypertension: Over 60% of patients with high blood pressure are able to stop medication and nearly 80% report an improvement in their blood pressure.

Sleep Apnea: Many patients have undiagnosed sleep apnea during their initial evaluation for weight loss surgery. Post surgery, it has been reported that 68-95% of the patients have resolutions of these symptoms.

Hyperlipidemia: Many patients seeking treatment have elevated cholesterol or lipids prior to surgery. Lipid profiles improve in 60%-95% of patients after weight loss procedures.

Quality of Life: Patients report an improved quality of life & increased activity levels after weight loss surgery.

Death: Multiple studies have shown a decrease in the long term risk of death in obese individuals after weight loss surgery, mainly due to reduction in deaths due to cardiovascular disease & cancer. The reduction is even greater in people suffering from Diabetes.

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