Gastroenterology is branch of medicine which deals with your gut, liver, pancreas and gall bladder. Your intestines or gut is a 10 meter long tube encompassing the food pipe (oesophagus), stomach, small intestine and colon. As a speciality, gastroenterology deals with; diseases of oesophagus such as reflux, achalasia, strictures - benign and malignant; stomach ailments like gastritis, ulcers, cancers etc; small bowel diseases – like enteritis, celiac and tropical sprue; colonic diseases like colitis or inflammatory bowel disease like Crohn’s, ulcerative colitis, infectious colitis, colon cancers and functional bowel problems.
Problems related to the liver includes – fatty liver, alcoholic liver disease, viral hepatitis - acute like A and E and chronic like B and C, autoimmune hepatitis; congenital diseases i.e. wilson’s disease; end stage liver disease - fulminant or acute liver failure due to poisonings or viral hepatitis; as well as cirrhosis and chronic liver failure and its complications like bleeding- haematemesis, ascites, encephalopathy and liver cancer. Gall bladder problems are primarily related to gall stone disease and its complications, gall bladder tumors; and pancreatic ailments are acute and chronic pancreatitis and pancreatic cancers.
The department of Gastroenterology & Hepatology at Dr L H Hiranandani Hospital is ranked as one of the top institutions in the western part of our country, offering comprehensive and professionalised services catering to all these listed ailments. We have a team of qualified, experienced and devoted doctors who handle and help heal all of these ailments. The department has a state of the art endoscopy department with high end endoscopes, endoscopic ultrasound with all accessories. All diagnostic and therapeutic gastroscopies, colonoscopies and ERCP (endoscopic retrograde cholangio-pancreatography) and endoscopic ultrasounds, are performed inhouse here.
Therapeutic upper GI procedures includes – endoscopic variceal banding, glue injections for gastric varices, polypectomies, endoscopic mucosal and submucosal dissections, POEM (per oral endoscopic myotomy), oesophageal dilatation (opening of strictures or narrow food pipe), oesophageal stenting, percutaneous endoscopic gastrostomy and placement of feeding tubes, duodenal stenting, diagnostic and therapeutic ERCP with CBD stone removal and placement of plastic and metal stents within CBD, drainage of pancreatic collections and pancreatic stenting. Therapeutic colonoscopic procedures include removal polyps, mucosal and submucosal dissections, colonic stenting, endoscopic management of bleeding lesions in colon.
The radiology department also forms an integral support service to gastroenterology and we have the latest CT scan, MRI and high end sonography machines to assist in diagnostic and therapeutic procedures.
Liver disease management requires the help of interventional radiology for managing portal hypertension and liver cancers. We have high end 2 angiography labs and highly experienced interventional radiologists performing TIPSS (trans-jugular-porto-systemic shunts), BARTO (Balloon-assisted-retrograde-transvenous-obliteration-of-gastric-varices), trans arterial chemo embolization, radio frequency and microwave ablation of liver tumours and percutaneous biliary drainage. Essentially any liver ailment can be tackled here under one roof.
Additionally, the Dr L H Hiranandani Hospital, augments the management of liver failure and its complications with an active liver transplant program. Here both live related and cadaveric liver transplantations are performed with very good outcomes. Managing acute and chronic liver failure as well as liver transplantation requires a specialty focussed intensive care. We take pride in our liver ICU dedicated specially to liver transplant & liver failure patients, managed by highly experienced intensivists.
In addition the gastroenterologist has expertise in the specialized field of minimal access surgery. Care pathways include a broad based multidisciplinary clinical program for malignant disorders of the gastrointestinal tract. The program offers evaluation and treatment for patients with cancer of the digestive tract and liver. The centre is also recognized by the government as a centre for liver transplant.
Medical equipment that is available is the cutting edge and the equipment is sourced from the world’s best vendors.