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 has a dedicated, qualified and 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, Anaesthesiologists and gastroenterologist in Bangalore.
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.
Being the best gastroenterology hospital in Bangalore, we 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:
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TIPSS for patients with difficult to treat ascites (Fluid in abdomen)
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Hepatic Vein Stenting/IVC Stenting for blockade of blood vessels in liver.
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TACE/RFA for liver cancers
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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
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Upper GI endoscopy for
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Endoscopy with NBI for
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Manometry for difficulty in swallowing
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Ph Metry for reflux disease
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Endoscopic Ultrasound for
Therapeutic services
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Control of GI bleeding – EVL/EST
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Foreign body removal
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Esophageal stricture dilatation
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Esophageal stent placement
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Ballon dilatation for Achalasia
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Peroral Endoscopic Myotomy (POEM) for Achalasia
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EMR/ ESD for early esophageal cancer
STOMACH DISEASES
Diagnostic services
Therapeutic services for
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Bleeding ulcer – Injection therapy, Clipping of vessel and thermal abalation
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Glue injection for gastric varix bleed
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Stent placement for gastric outlet obstruction
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Feeding tube/ PEG tube placement
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Foreign body removal
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APC for GAVE
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EMR/ESD for early gastric cancer
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Balloon placement for treatment of obesity
PANCREATICO BILIARY DISEASES
Diagnostic services
Therapeutic services
ERCP for
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Metal and plastic stent placement for biliary obstruction/ portal biliopathy
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Bile duct stone removal
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Endoscopic management of bile duct inuries
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Pancreatic duct stone removal
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Accessory pancreatic duct sphinchterotomy and stenting for Pancreas divisum
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Drainage of pancreatic pseudocyst
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Pancreatic duct stenting for -
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Pancreatic duct stricture
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Pancreatico pleural fistula
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Traumatic pancreatic duct disruption
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Endoscopic necrosectomy
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Endoscopic Ultrasound for
SMALL INTESTINAL DISEASES
Enteroscopy for diagnosis and management of small intestinal
COLONIC DISEASES
Diagnostic services
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Colonoscopy for
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Blood in stool
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Long standing diarrhea
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Colonic obstruction
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Detecting cancers
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Endoscopy with NBI for
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Manometry for
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Endoscopic Ultrasound for
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Therapeutic services for
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Colonic/ piles bleeding ( Banding/ injection therapy/ Clip placement)
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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.