Gastroenterology - Ernakulam

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Overview

 

 

Gastroenterology is the branch of medicine that deals with disorders of the stomach and intestines.

 

This speciality department of our hospital provides comprehensive care through the diagnosis and treatment of various conditions of the digestive system that affect the esophagus, stomach, small intestine, large intestine (colon) and the biliary system that includes liver, pancreas, gall bladder and bile ducts.

 

Using the latest equipments and techniques, we ensure the highest quality care in this department. Apart from ongoing research in hepatology and various drug trials, the department also runs periodic specialty clinics forsome common gastrointestinal disorders.

 

 

 

Our Services

 

The department offers consultation and treatment services in the following categories :

 

• Treatment of general gastrointestinal (GI) disorders
Diagnostic endoscopy
Therapeutic endoscopy

 

Conditions we treat

 

The list given below indicates some of the common GI disorders that we treat. You may please consult our specialist for treatment and information on any of the conditions not found in the list.

 

General disorders of the upper GI tract

 

GERD (Gastroesophageal reflux disease)
Gastritis
Pancreatic disease
Gall stones
• Peptic ulcer
• Celiac disease

 

General disorders of the lower GI tract

 

• Colon polyps / cancer
• Constipation
• Diarrhea
• Hemorrhoids
• Ulcerative colitis
• Rectal bleeding
• Crohn’s disease

 

General disorders of the liver

 

Hepatitis
• Autoimmune hepatitis
Cirrhosis

 

Diagnostic endoscopy

 

Our hospital is equipped with state-of-the-art endoscopic instruments that are maintained under strict infection control standards and procedures. The services provided by the unit include :

 

Upper GI Endoscopy
• Side Viewing Endoscopy
• Intra operative Enteroscopy
• Lapro endoscopy
Sigmoidoscopy, Colonoscopy
ERCP

 

Therapeutic Endoscopy

 

This is an endoscopic procedure to carry out the treatment for many of the conditions in the digestive system, as observed through a diagnostic endoscopy procedure.

 

While the diagnostic endoscopy provides the doctor a visual image of the organ for diagnosis, therapeutic endoscopy is used to provide the necessary treatment for the condition, including some minor endoscopic surgical procedures. In some cases, both these procedures are performed at the same time.

 

Some of the common therapeutic endoscopic procedures carried out in the hospital includes:

 

Therapeutic Upper GI Procedures

 

• Variceal Bleeding – Sclerotheraphy, Variceal banding, Hemoclips
• Gastric Varices – Cyanoacrylate glue injection
• Ulcer Bleed – Injection Haemostasis, Gold probe, Haemoclips
• Mallory Weiss Ters – Injection haemostasis
• Foreign Body – Extraction
• Corrosive/Peptic Stricture – Savary Gillard Dilatation, TTS Balloon dilatation
• Achalasis Cardia – Rigiflex Balloon dilatation
• Carcinoma Esophagus/ GE junction – Ethanol tumour necrolysis, self expandable metal stent placement
• Tracheo-Esophageal Fistulas – Covered SEMS placement
• Pyloric stenosis – TTS Balloon Dilatation, SEMS placement
• Dieulafoy’s Ulcer – Injection haemostsis, Haemoclips
• Gastric Polyps – Endoscopic polypectomy
• Early Gastric/Esophageal Cancer – Endoscopic Mucosal Resection (EMR)
• Feeding Technique – PEG,PEGJ,Nasojejunal Feeding tube placement

 

Therapeutic Lower GI Endoscopic Procedures

 

• Colonic Polyps – Polypectomy and tattooing
• Diverticular Bleed – Injection haemostasis
• Carcinoma Colon – Metallic stent placement

 

Therapeutic ERCP Procedures

 

• Bile Duct Stones – Basket/Balloon Extraction;Lithotripsy
• Papillary stenosis – Sphincterotomy
• Bile Duct Strictures – Stenting
• Bile Duct Cancer – Metallic stent placement
• Chronic Pancreatitis – Pancreat stenting C
• Pancreas Divisum – MinorPappilla stenting
• Papillary Carcinoma – Ampullectomy
• Pancreatic Paseudocyst – Cystogastrostomy, Cystoduodenostomy

 

Therapeutic & Diagnostic Radiology Procedures

 

FNAC, Liver Biopsy
• Percutaneous Cholangiogram / Pancreatogram
• Biliary Obstruction – Percutaneous Transhepatic biliary drainage (PTBD)
• Rendevouz Biliary stenting
• Liver Tumours – Percutaneous Ethanol injection (PEI)

 

Special Clinics

 

Special clinics including a consultation and diagnostic sessions are regularly conducted in the department for the treatment of following conditions:

 

Portal Hypertension Clinic – Every Monday
Inflammatory Bowel Disease Clinic – Every Tuesday
Hepatitis B Clinic – Every Thursday
Pancreas Clinic – Every Saturday

 

 

Meet our specialist:

 

Dr. Sunil Mathew

Dr. Sunil Mathew, MD, DNB(Gastro)

Consultant Gastroenterologist

Consultation Timings:

Morning : 10:00AM to 1:00 PM (Tuesday, Thursday, Saturday)

Evening : 5:30 PM to 6:30 PM (Tuesday, Thursday)

 

 

How to book an appointment