Sakra Medical Gastroenterology & Liver Diseases

Best Gastroenterology Hospital in Bangalore

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 patients a comprehensive, multidisciplinary approach to all Gastrointestinal / Liver / Pancreatic / Gall bladder-related problems.

The Medical Gastroenterology has a dedicated, qualified, and experienced team that provides clinical evaluation; state of art endoscopy suites with a focus on high-end technology; emphasis on patient safety; disinfection protocols; with high ethical values. We have an excellent supporting team which includes experienced GI surgeons, Interventional radiologists, GI pathologists, ICU specialists, Anaesthesiologists, and gastroenterologists in Bangalore.

The Department focuses on:

1. Minimally Invasive Advanced Interventional Endoscopy services which deal with:

Removing bile duct stones
Other than the conventional methods of removing bile duct stones (ERCP), our centre has the expertise and facilities to remove the largest of stones in the bile duct by a technology called spyglass and holmium laser. In the absence of these high-end technologies, most of them would require surgery.

Providing Relief of Jaundice by Endoscopy routes for patients with obstruction of the bile duct due to Gall bladder/ Pancreatic/ and Bile duct cancers.

Endoscopic treatment for Pancreatitis like stone removal, stenting, and drainage of fluid collection (Pseudocyst and walled pancreatic necrosis).

Endoscopic removal of early tumours of the stomach/colon by endoscopic mucosal resection; requires high-end technology and skills which are not readily available in most of the centres in our country.

Being the best gastroenterology hospital in Bangalore, we also provide endoscopic palliation for Gastrointestinal Advanced Cancers (Oesophageal/Stomach/Colon) by Oesophageal/ Antral / Colonic Stenting.

Ours is one of the rare centres which has the expertise to visualize the small intestine by Single Balloon Enteroscopy for patients with gastrointestinal bleeding where the source is not detectable by conventional upper endoscopy and colonoscopy.

We have the latest Endoscopic Ultrasound which helps us to diagnose bile duct and pancreatic stones/tumours and 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 a 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 biofeedback 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 the abdomen)
Hepatic Vein Stenting/IVC Stenting for blockade of blood vessels in the 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 permission to start the liver transplant programme shortly.

4. Endoscopic Treatment of Obesity

Our centre has the expertise for the Endoscopic Treatment of Obesity by placing balloons into the stomach endoscopically for achieving weight loss for a select group of patients.

5. Luminal Clinical

We also have a focused team that deals with Gastrointestinal Luminal problems like inflammatory bowel disease (Ulcerative Colitis and Crohn’s Disease). These patients often require regular follow-up and endoscopic procedures, 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
Peroral Endoscopic Myotomy (POEM) 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

Bleeding ulcer – Injection therapy, Clipping of vessel, and thermal ablation
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

PANCREATIC 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 lymph nodes, 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 sphincterotomy 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 ganglion block/neurolysis

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

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, Crohn's disease, Swallowing disorders, Dyspepsia, and Reflux disease.