Dharamshila Narayana Superspeciality Hospital

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Gastroenterology & Digestive Diseases

The Centre for Liver and Digestive Diseases at Dharamshila Narayana Superspeciality Hospital is a state-of-the-art facility equipped with cutting-edge technology for the management of Liver, Pancreato-Biliary & Gastro-Intestinal diseases. It is an advanced facility to provide complex surgeries for the treatment of diseases of digestive tract, biliary tract, pancreas and liver. It excels in providing minimal invasive/laparoscopic solutions for complex gastrointestinal and hepatobiliary diseases including cancers.

The department comprises of 2 sections: 

  • Medical Gastroenterology 
  • Surgical Gastroenterology 

The Department of Medical Gastroenterology & Hepatology at Dharamshila Narayana Superspeciality Hospital deals with disorders of the oesophagus, stomach, small and large intestine, liver, biliary system and pancreas. Facilities are available to treat both paediatric and adults for a wide range of disorders. The Department is dedicated to offer both diagnostic & therapeutic services for the management of a wide range of diseases of digestive tract, liver & pancreatic-biliary system. 

ENDOSCOPY SERVICES

Diagnostic Services: Esophagogastroduodenoscopy, Sigmoidoscopy, Full length colonoscopy, Ileoscopy, Liver Biopsy, Enteroscopy: Anterograde and Retrograde, Endoscopic Ultrasound (EUS) and FNA (Fine Needle Aspiration), Mucosal Enhancing Techniques: Chromoendoscopy, NBI, i Scan etc.

Therapeutic Services

Upper GI and Lower GI Therapeutic Endoscopy - Variceal ligation & Endoscopic sclerotherapy, Glue injection of gastric varices, Esophageal & Intestinal stricture Dilatation, Achalasia dilatation, Argon plasma coagulation of mucosal lesions, Polypectomy for UGI polyps, Endoscopic submucosal dissection (ESD) for mucosal GI lesions, Foreign body removal from UGI tract, Endoscopic placement of feeding tubes and PEG / PEJ tubes, Polypectomies, Endoscopic sclerotherapy for bleeding colonic ileal lesions, Colonoscopic&Enteroscopic placement of self-expanding metal stents for malignant colonic strictures.

Therapeutic Endobiliary& Pancreatic ERCP: ERCP for bile duct stones, Bile Duct strictures and Leaks, Biliary stents (plastic and SEMS)

Cholangioscopy: Diagnostic – spy bite and Therapeutic – LASER Lithotripsy, Pancreatic ERCP: for stones, Strictures and PD Leaks

Pancreatoscopy, Enteroscopy Guided ERCP for Bile Duct and Pancreatic duct (Post Whipple’s, Post Roux-en-Y biliary or pancreatic duct obstruction due to stones or stricture)

Therapeutic Endoscopic Ultrasound (EUS)

  • Cystogastrostomyfor pseudocyst, WOPN (walled off pancreatic necrosis) and collections
  • Cystoduodenostomy for pseudocyst, WOPN (walled off pancreatic necrosis) and collections
  • Biliary Drainage for failed ERCP’s or difficult anatomy, Altered anatomy (post surgery), choledocho duodenostomy (Duodenum to bile duct), Hepatogastrostomy (stomach to bile duct), Cholecystoduodenostomy (Gall bladder to stomach), Choledochoduodenostomy (Gall bladder to Duodenum)
  • EUS Pancreatico gastrostomy or Pancreatico duodenostomy: Pancreatic Drainage in failed ERCP or altered anatomy
  • EUS guided Coil & glue Placement: For Gastric Varices- Primary or Secondary
  • EUS Guided RFA of the Bile duct cancer or Pancreatic lesions
  • EUS Guided Pelvic abscess drainage

The Department of Surgical Gastroenterology at Dharamshila Narayana Superspeciality Hospital has highly specialised surgeons with expertise in liver and gastrointestinal surgeries. The department is equipped with cutting edge technology & latest facilities to carry out all the major GI, HPB and Bariatric surgery procedures. Liver, gallbladder, pancreatic, and gastrointestinal cancers are operated as per the international guidelines and standards. The department excels in providing advanced minimal invasive/laparoscopic solutions for complex hepatobiliary, pancreatic and gastrointestinal disorders including cancer. Owing to the expertise of our surgeons and excellent treatment facilities, Dharamshila Narayana Superspeciality Hospital has made a significant mark in being one of the major healthcare providers in the field of GI, HPB, GI oncology, advanced laparoscopic and bariatric surgery.

Upper Gastrointestinal 

Laparoscopic surgery for hiatus hernia, reflux disease and achalasia cardia is attracting patients from India and abroad. We offer laparoscopic gastrectomy and thoracoscopic esophagectomy for cancers. 

Hepatobiliary and pancreatic 

Liver clinic provides patients a one stop solution for chronic liver diseases and liver cancers. Diseases and cancers of liver, gall bladder, biliary tract and pancreas are treated comprehensively as per international standards and guidelines. Department excels in providing comprehensive care for acute and chronic pancreatitis patients.

Colorectal Surgery 

Colorectal malignancy is on the rise in Indian population, and prompt treatment is necessary to provide patients the best chance to combat this condition. Comprising of a dedicated team of surgeons, gastroenterologists, oncologists (medical and radiation) and stoma nurses, our department ensures patients are provided the best possible treatment. Laparoscopic colorectal surgery is usually the treatment of choice ensuring complete oncological clearance coupled with faster recovery and reduced post-operative complications. 

Hernia Clinic 

Our surgeons can correct hernia defects laparoscopically using extraperitoneal approach or open surgery using tension free repair. 

Obesity Clinic 

Our team of Surgeons along with the Department of Endocrinology and Gastroenterology has developed a comprehensive care package for management of obesity. Surgical options for management of obesity are offered to patients, along with counselling with regards to lifestyle modification. Our team performs lap sleeve gastrectomies and Lap Roux-en-y gastric bypass on regular basis.

Surgery for portal hypertension

Our department excels in performing high end surgeries such as proximal splenorenal shunt, mesocaval shunt and devascularization procedures for portal hypertension. 

Advanced laparoscopic surgery

We have one of the most advanced laparoscopic surgery programme in the country. Most of the diseases of the gastrointestinal system are operated laparoscopically. This ensures faster recovery, less blood loss, minimal scar and decreased complications. 

TEAM OF EXPERTS

Dr. Nikhil Agrawal

Senior Consultant – G. I. Surgery

Dr. Asit Arora

Senior Consultant – G. I. Surgery

Dr. Kapil Jamwal

Consultant – Gastroenterology

 

 

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