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Gastroentrology
Department has state of the art diagnostic and therapeutic
facilities. The department has latest model of Video-
Endoscopes 2 sets, GIF-XQ 140, GIF-V70, side-view video-Duodenofibroscope,
TJF-V70, Colonoscope & CF-V70L series from olympus Japan.
Various Interventional Gastro-enterological procedures
available are:
Endoscopic sclerotherapy in cases of gastro - intestinal
Bleeds associated with oesophageal varices and peptic ulcer,
Endoscopic variceal Ligation with six-shooter (wilson Cook) or
superview (Micro-vasive) in cases of Bleed from oesophageal
varices, Glue injection in cases of fundal varices, Endoscopic
removal of foreign bodies, Endoscopic dilatation of
oesophageal strictures both Benign and malignant, Endoscopic
placement of Self expandable metallic stents in cases of
cancer oesophagus, Balloon dilatation of Achalasia cardia
patients, Percutaneous endoscopic gastrostomy to give
Nutrition to cancer / paralysed patients, Endoscopic placement
of Ryles tube for feeding purpose, Endoscopic removal of
Gastro Intestinal polyps, Therapeutic ERCP which (a) includes
endoscopic removal of common Bile duct stones in cases of
obstructive jaundice (b) endoscopic papillotomy in cases of
obstructive jaundice & gall stone pancreatitis (c) stent
placement in bile and pancreatic ducts.
We have plans to upgrad the department by adding facilities
for gastrointestinal manometery and PH monitoring and
endoscopic ultrasonography, Enteroscopy Laser and Capsule
Endoscopy.
A specialized unit for managing end stage liver disease and
hepatic transplantation is also being established.
The department offers a team approach to gastrointestinal
problems integrating medical, radiological and surgical
approaches for the overall benefit of the patient.
| Diagnostic
Facility |
Therapeutic
Facility |
|
Diagnostic Upper GI Endoscopy for Peptic Ulcer,
Cancer, Polyp, GI bleeds |
Endoscopic Sclerotherapy |
|
Diagnostic Colonoscopy for Lower GI Bleeding Polyps,
Colitis, Tumors |
Endoscopic Variceal Ligation |
|
Liver Biopsy |
Glue Injection for Fundal Varices |
|
Soon introducing new diagnostic procedure of "pH &
manometric studies", Enteroscopy |
Endoscopic Removal of Foreign Bodies |
| . |
Endoscopic Dilatation of Oesophageal Strictures |
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Endoscopic Placement of Self-expandable Metallic
stent |
| . |
Balloon dilation of Achalasia Cardia |
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PEG - Percutaneous Endoscopic Gastrostomy |
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Endoscopic Removal of gastro Intestinal Polyps |
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Therapautic ERCP
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Endoscopic Removal of CBD Stones
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Endoscopic Papillotomy
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Stent Placement in bile & Pancreatic duct &
Naso-Biliary Drainage.
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Surgical Gastroenterology
Batra Hospital has recruited one of the senior most G.I
Surgeon and Major Complicated G.I Surgical cases are already
been performed.
The list of major G.I surgical cases (Organ wise) are:
| ESOPHAGUS |
|
Cancers
|
Ivor-Lewis
McKeon's
Transhiatal DE
Radical Surgery
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Corrosive Strictures
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Colon Transplan
|
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Achlasia Cardia
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Myotomy
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Hiatus Hernia
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Fundoplication
|
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Foreign body Impaction
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Thoracotomy & removal
|
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Esophageal deverticulum
|
Excision/Surgery of the cause
|
| STOMACH
(GASTRIC) |
|
Peptic Ulcer |
TV&GJ
Highly Selective Vagotomy
Antrectomy |
|
Cancer |
D-2 Gastrectomy
D-3 Gastrectomy
Bypass |
|
Bezoar |
Removal |
|
Corrosive Injury |
Bypass
Resection |
| DUODENAL |
|
Periampullary Ca |
Whipple's resection
Ampulectomy
Bypass only
|
| PANCREAS |
|
Periampullary Ca |
Whipple's resection |
|
Ampulectomy |
|
Bypass only |
|
Ca Head |
Whipple's
Bypass |
|
Distal Tumour |
Distal Pancreatectomy |
|
Ac. Pancreatits |
Necrosectomy |
|
Ch. Pancreatitis |
LPJ
Frey's Procedure
|
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Pseudocyst |
Cysto-enterostomy |
Pancreatic Fistula
Internal/External |
Fistulo Jejunostomy/Resection |
|
Pseudoaneurysmal Bleed (postpancreatitis) stable /
Unstable |
Embolization / Surgery |
|
Insulinoma |
Localisation & Excision |
| SMALL
BOWEL SURGERY |
|
Tumour |
Resection |
|
Others |
Resection |
| COLON |
|
Colon Cancer |
Redical hemicolectomy, RT or LT |
|
Rectal Cancer |
Anterior-resection
Low-anti resection
Ultra Low-ant resection
Pelvic Exentration |
|
Hirschsprung's Disease |
Duhamel / Swenson |
| LIVER |
Cyst
-Simple
-Hydatid |
Excision
Cystopericystectomy |
|
Haemangiomas |
Enucleation or excision |
|
Tumours |
Haeptatectomy SegII/III
Hemihepatectomy
Trisegmentectomy |
|
Injuries |
Resectional Surgery |
|
Portal hypertension |
Shunt
Devascularisation |
|
BILIARY TRACT |
|
Gall Bladder Stone |
Cholecystectomy Lap/Open |
|
CBD Stones |
Removal & T tube
Choledochoduodenostomy
Trans Duodenal sphinctroplasty |
|
Benign Strctures |
Heptaticojejunostomy |
|
Rec-Benign Strictures |
Heptaticojejunostomy |
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Ca Gall Bladder (advanced) |
Seg III bypass |
|
Ca Gall Bladder |
Redical Cholecystectomy |
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Cholangio-ca |
Seg III by pass
Radical Resection |
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Intrapheptatic Stones |
Modified Hepaticojejunostomy |
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Choledochalcyst (Various types) |
Excision Hepaticojejunostomy |
| OTHERS |
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Truama |
Depending upon type/severity of injury |
|
Large complicated incisional hernia |
Mesh hernioplasty |
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Ascites (intractable) |
Peritoneumvenous Shunt |
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Obscure G.I bleed |
Investigation (management) |
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