{tab=Facilities & Services}

Fully Equipped G.I. Theater Boyle's Apparatus & Life saving Monitors

 

" True Friendship is like sound health;
the value of it is seldom known until it be lost."

Installation of Ultramodern

1. Video G.I. Endoscopes EVIS 140 Olympus 
2. High Resolution 26' Olympus color monitor
3. High resolution Sony color video Printer .
4. Video Re-coder
5. Image Intensifier & X-ray Facilities.

Facilites 

1. Computerized Reporting  
2. Endoscopy Photographs
3. Video CD Recording
4. Image Intensifier & X-ray Facilities.

{tab=Diagnostic Endoscopy}

1] Upper G.I. Endoscopy (EGD or Gastroscopy)

Upper G.I.Endoscopy is visual examination of upper part of G.I.Track viz. Esophagus, stomach and proximal duodenum. It helps in diagnosis and treatment of various condition like ulcers, tumor,bleeding, and stricture etc.

Indication for Examination

1. Symptoms like Upper abdominal pain nausea vomiting & heart burn may be due to  reflux esophagitis. 
2. Ulcers in esophagus stomach or duodenum ulcers can be benign or malignant.
3. Dysphasia or difficulty in swallowing may be due to stricture in esophagus.

Preparation Required

Not to eat or drink 6hr prior to procedure. normally patient remain nil by mouth overnight and patient come to clinic on an empty stomach in the early morning next day.

Procedure

It is out patient procedure & the throat is anaesthetised by local spray and some patient due required intravenous sedation, Patient take normal breath throughout the procedure. The endoscope passes to the mouth & into esophagus, stomach and duodenum. Additional intravenous sedation may be required in case physician decide to conduct procedures like dilatation of stricture variceal banding treatment, or biopsy.

Advantage

This procedure is performed on OPD basis and patient can go home after the half hour of the procedure. Immediate diagnosis and specific treatment is given to the patient. Various other treatments also can be given with the help of endoscope.

Side Effects

Side effects after Upper G.I.Endoscopy are the very uncommon but temporary mild throat irritation may be there for first 12hr.

2] ILEO Colonoscopy

Diagnostic colonoscopy is recommended for
1. Occult blood or fresh blood in the stool. 
2. Anaemia.
3. Alter bowel habit chronic diarrhoea and constipation.
4. Polyps
5. Colitis inflammation of the colon ulcerative or crohn’s disease

Colonic: Preparation

Special colonic preparation is required a previous day to clean the colon. Patient received the instruction from the centre. Patient is given (Coloprep or Exelyte Solution) on previous day. Patient is called on next day on empty stomach.

Procedure

Colonoscopy is usually on out patient basis. Patient is given mild sedation and endoscope is passing through anus and entire length of colon. Various procedures like biopsy, polypectomy snaring for polyp are done at same sitting. Procedure takes around 15 to 20minitus.
Patient is kept in recovery room for 1hour. Vital signs are monitor until the patient is fully recovered.

Side Effects

Occasionally patient may experience cramp like pain and gaseous distension. This is normal and usually disappears in 1hour.

3]  E.R.C.P(Endoscopic Retrograde Cholangio Pancreatography)

It is X-ray visualisation of bile duct and pancreatic duct.

Indication

Ercp helps in diagnosis and treating number of conditions.
1. Gall stones which are slip in common bile duct. 
2. Stricture of common bile duct and stenting if necessary.
3. To evaluate surgical jaundice.
4. Cancer of bile duct and pancreasis & stenting.
5. Post cholecystectomy biliary leak.
6. Pancreatitis

Preparation

Patient an called in empty stomach with overnight fasting. Patient is advice to stop aspirin and blood thinner for at least 48 hours prior to procedure.

Procedure

Procedure is done under sedation and duodeno scope is inserted in the mouth and to the second part of the duodenum. Thin cannula is inserted in bile duct and pancreatic duct, Die is then injected and visualisation of bile duct and pancreatic duct done under fluoroscopy machine. Various condition and disease are diagnose and treated accordingly patient is the kept in the recovery room for 1hour; vital signs are monitor throughout the procedure.

Advantage

ERCP helps in diagnosing the correct problem of bile duct and pancreatic duct.
1. Bile duct stone can be removed with the help of balloon. 
2. Stenting done for bile duct stricture.
3. Biopsy taken for certain cancer.

Side Effect

Serious side effects with ercp are uncommon. But rarely pancreatitis perforation or some time bleeding may happen. Patient may require hospitalization.

{tab=Therapeutic Endoscopy / Procedure}

Therapeutic Endoscopy / Procedure

Upper G.I

1.Sclerotherapy
2.Variceal Band Ligation.
3.Glue Injection.
4.Foreign Body Removal.
5.Balloon Dilatation for Achalasia-cardia.
6.Esophageal Prosthesis for Malignancy.
7.Percutaneous Endoscopic Gastrostomy.

Lower G.I

1. Polypectomy Snaring for Polyps.
2. Prosthesis for Colonic Stricture.

Therapeutic E.R.C.P

1.CBD Stone Extraction
2.CBD Stenting for Obstructive Jaundice.
3.Pancreatic Stenting for Chronic Pancreatitis.
4.Endoscopic Drainage of Pseudocyst of Pancreas.

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