Examination of the upper gastrointestinal tract using a flexible video-endoscope
- Diagnostic - for diseases like gastro-esophageal reflux disease, H.pylori infection, acid-peptic disease of the esophagus and stomach
- Therapeutic - for management of emergencies like variceal bleeding (procedures like sclerotherapy, variceal banding), application of thermal current or hemoclips, endoscopic treatment for bleeding peptic ulcer by injection, placement of percutaneous endoscopic Gastrostomy (PEG) tube or Jejunostomy as a feeding device for neurologically impaired patients or those who are not able to swallow. We also perform Endotherapy for early cancers and place stents for palliation of obstructive malignant lesions
Examination of the lower gastrointestinal tract using a flexible video-endoscope
- Diagnostic - for disorders like cancers, polyps, strictures, bleeding sites, Diverticuli
- Therapeutic - for management of colonic obstruction with stenting, Endotherapy for lower gastrointestinal bleeding and polypectomy
ERCP (Endoscopic retrograde cholangio pancreatography)
ECRP involves treating various bilio-pancreatic disorders which include, relieving obstruction in bilio-pancreatic cancers by placement of plastic or metal stents or obstructive jaundice caused by common bile duct stones (extraction of the stones). ERCP also aids in obtaining tumor tissue cytology / biopsy from the bile duct to confirm the diagnosis in suspected cases of malignancy. This procedure is also useful in treating chronic pancreatitis and performing pseudocyst drainage in acute or chronic pancreatitis by placing plastic stents
EUS – Endoscopic Ultrasonography
EUS involves performing ultrasound examination with a probe attached at the tip of an endoscope. It allows detailed visualization of the walls of the esophagus, duodenum, stomach, as well as bile duct, the pancreas, lymph nodes, blood vessels other adjacent organs. This allows quicker and definitive diagnosis of various diseases, staging of cancers, and thus aids in management. This procedure is also helpful in procuring tissue for examination. It aids in difficult biliary and pancreatic therapeutic endoscopic procedures.
This is a painless procedure in which the patient swallows a capsule with an inbuilt camera that takes photographs of the intestine and transmits them. The capsule endoscopy helps in diagnosis of various conditions, e.g., localizing the site and cause of intestinal bleeding, chronic diarrhea, polyps and tumors in the small intestine.
In this procedure,pressure in the esophagus, stomach, duodenum and anorectal region is measured, aiding in diagnosis of disorders like achalasia cardia, pelvic floor dysfunction, Hirschsprung’s disease, chronic constipation and incontinence.