January 13, 2015
Water and Foodborne Diseases during Festivals
During festivals, it is a common trend to enjoy street food. One can ...
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Overview
The Sakra Institute of Digestive and HPB (Hepato-pancreato-biliary) sciences has two departments i.e Medical and Surgical. At Sakra World Hospital, we strive to offer the patients with comprehensive multidisciplinary approach for all Gastrointestinal / Liver / Pancreatic / Gall bladder related problems.
The Medical Gastroenterology team has dedicated, qualified, experienced team which provides the clinical evaluation; state of art endoscopy suites with focus on high end technology; emphasis on patient safety; disinfection protocols; with high ethical values. We have excellent supporting team which includes experienced GI surgeons, Interventional radiologist, GI pathologist, ICU specialist and Anaesthesiologists.
The Department focus is on:
1. Minimally Invasive Advanced Interventional Endoscopy services which deals with:
Removing bile duct stones:
Other than the conventional methods of removing bile duct stones (ERCP), our centre has expertise and facilities to remove largest of stones in bile duct by technology called spyglass and holmium laser. In the absence of these high end technology, most of them would require surgery.
Providing Relief of Jaundice by Endoscopy routes for patient with obstruction of bile duct due to Gall bladder/ Pancreatic/ and Bile duct cancers.
Endoscopic treatment for Pancreatitis like stone removal, stenting, drainage of fluid collection (Pseodocyst and walled of pancreatic necrosis).
Endoscopic removal of early tumours of stomach/colon by endoscopic mucosal resection; which requires high end technology and skills which are not readily available in most of the centres in our country.
Our centre also provides endoscopic palliation for Gastrointestinal Advanced Cancers (Oesophageal/Stomach/Colon) by Oesophageal/ Antral / Colonic Stenting.
Ours is one of the rare centre which has expertise to visualize the small intestine by Single Balloon Enteroscope for patients with gastrointestinal bleeding where source is not detectable by conventional upper endoscopy and colonoscopy.
We have latest Endoscopic Ultrasound which helps us to diagnose bile duct and pancreatic stones/tumours, also to find the cause of pancreatitis where conventional imaging would have not delineated the cause. Focused tissue samples from the diseased areas can be taken which is otherwise difficult by conventional methods.
2. Gastrointestinal Physiology Lab
We have dedicated Gastrointestinal Physiology Lab which performs PH metry, Esophageal and Anorectalmanometry for patients with refractory or difficult to treat Gastroesophageal Reflux Disease (GERD)/Constipation/ and Fecal incontinence. We also offer biofeed back therapy for constipation and anal incontinence.
3. Liver Unit
We have a focused Liver Unit which mainly focuses on diagnosing the cause of liver problems; optimising the treatment; and for advanced liver disease patients we offer technically demanding procedures like
TIPSS for patients with difficult to treat ascites (Fluid in abdomen)
Hepatic Vein Stenting/IVC Stenting for blockade of blood vessels in liver.
TACE/RFA for liver cancers
Transjugular Liver Biopsy
We have a dedicated team of doctors who have vast experience in managing various liver diseases and also have performed liver transplants earlier. Our centre is awaiting for the permission to start the liver transplant programme shortly.
4. Endoscopic Treatment of Obesity
Our centre has expertise for Endoscopic Treatment of Obesity by placing balloon into the stomach endoscopically for achieving weight loss for select group of patients.
5. Luminal Clinical
We also have a focused team which deals with Gastrointestinal Luminal problem like inflammatory bowel disease (Ulcerative Colitis and Chrohn’s Disease). These patients often require regular follow-up, endoscopic procedure and in certain difficult to treat patients initiating specialised treatment with biologicals.
Services
ESOPHAGEAL DISEASES
Diagnostic services
Upper GI endoscopy for
Retrosternal burning sensation and reflux disease
Difficulty in swallowing
Endoscopy with NBI for
Early detection of esophageal cancers
Manometry for difficulty in swallowing
Ph Metry for reflux disease
Endoscopic Ultrasound for
Evaluation of submucous lesions/ growth
Assessment of resectability of tumors
Therapeutic services
Control of GI bleeding – EVL/EST
Foreign body removal
Esophageal stricture dilatation
Esophageal stent placement
Ballon dilatation for Achalasia
EMR/ ESD for early esophageal cancer
STOMACH DISEASES
Diagnostic services
Upper GI endoscopy for evaluation of
Ulcer disease
Bleeding
Cancers/ polyps
Anemia
Vomiting
Endoscopic Ultrasound for
Evaluation of submucosal lesions
Therapeutic services for
Bleeding ulcer – Injection therapy, Clipping of vessel and thermal abalation
Glue injection for gastric varix bleed
Stent placement for gastric outlet obstruction
Feeding tube/ PEG tube placement
Foreign body removal
APC for GAVE
EMR/ESD for early gastric cancer
Balloon placement for treatment of obesity
PANCREATICO BILIARY DISEASES
Diagnostic services
Endoscopic Ultrasound for
Detection of small bile duct stones and tumors
Diagnosis of early Chronic Pancreatitis
Evaluation of Pancreatic Cancers
Tissue acquisition from lymphnodes, and pancreatic lesions
Choledochoscope/Spyglass
For evaluation of bile duct stricture
To rule out bile duct cancers
Therapeutic services
ERCP for
Metal and plastic stent placement for biliary obstruction/ portal biliopathy
Bile duct stone removal
Endoscopic management of bile duct inuries
Pancreatic duct stone removal
Accessory pancreatic duct sphinchterotomy and stenting for Pancreas divisum
Drainage of pancreatic pseudocyst
Pancreatic duct stenting for -
Pancreatic duct stricture
Pancreatico pleural fistula
Traumatic pancreatic duct disruption
Endoscopic necrosectomy
Endoscopic Ultrasound for
Drainage of pancreatic pseudocyst
Celiac gangion block/neuronolysis
SMALL INTESTINAL DISEASES
Enteroscopy for diagnosis and management of small intestinal
Bleeding
Tumors
COLONIC DISEASES
Diagnostic services
Colonoscopy for
Blood in stool
Long standing diarrhea
Colonic obstruction
Detecting cancers
Endoscopy with NBI for
Early detection of colonic cancers
Manometry for
Severe constipation (due to pelvic floor dysfunction)
Fecal incontinence
Endoscopic Ultrasound for
Evaluation of anal sphincter defects
Therapeutic services for
Polypectomy for colonic polyps
Endoscopic mucosal/ submucosal dissection for precancerous lesions and early cancers
Colonic decompression
Tumor related obstruction (endoscopic metal stent placement)
Non tumor related ( Volvulus and pseudo obstruction)
Colonic/ piles bleeding ( Banding/ injection therapy/ Clip placement)
Biofeedback for severe constipation and fecal incontinence
SPECIAL OPD SERVICES
HEPATO PANCREATO BILIARY CLINIC for liver, gall bladder, bile duct and pancreatic diseases
LUMINAL CLINIC for Chronic diarrhea, Ulcerative colitis, Crohns disease, Swallowing disorders, Dyspepsia and Reflux disease
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FAQ
What are the home remedies for GI disorders?
Ginger promotes GI motility, Turmeric improves ulcer problems and prevents the formation of cancer and Senna and husk will help manage constipation.
Difference between Anal fissure and Haemeroids?
An Anal fissure is a small tear in the anal region. Bleeding is very painful and one will be unable to tolerate pain.
Haemorrhoids are a dilated vein of blood vessels in the lower part of the GI tract (Anal canal) and Bleeding is painful.
What causes food, not to digest or indigestion?
Infection and change in food intake or overeating.
What causes food poisoning?
Eating unhygienic food, spoiled or toxic food.
What are probiotics and how are they helpful?
Probiotics are live bacteria and yeasts which are good for the digestive system. It helps prevent infection and promote gut health.
What causes constipation?
It depends on various factors like age, lack of fluid, fibre, and changes in the food you eat or your activities.
What is the role of yoga and exercise for GI diseases?
It is recommended to perform 30-40 minutes of Aerobics, walking, jogging, swimming, playing badminton, etc that helps to stabilize the gut motility. Yoga will also help with mental balance and specific yoga poses to manage constipation.
