The department provides a comprehensive gastroenterology service with the help of modern technology and a humane touch. The gastroenterology department has 4 highly qualified consultants and also is a prefered refferal centre and patients are referred from all over the country
Medical Gastroenterology and Hepatology
The department deals with various medical problems in gastroenterology in the outpatient, inpatient, and emergency services . The doctors have expertise in the management of the full spectrum of gastrointestinal, liver and pancreatico-biliary diseases. This includes, but is not restricted to, disorders like inflammatory bowel disease, irritable bowel syndrome, malabsorption syndrome, gastrointestinal bleed, chronic diarrhea, constipation, peptic ulcer, reflux disease, acute liver failure, chronic liver disease (viral, alcoholic and others), portal hypertension, bilio-pancreatic disorders , malignancies etc.
Bombay Hospital has a well-equipped endoscopy department where diagnostic, therapeutic as well as emergency procedures in gastroenterology are performed. The department also performs procedures like percutaneous and trans-jugular liver biopsy, Hepatic Venous Pressure Gradient (HVPG) monitoring and Transjugular Intrahepatic Porto systemic Stent (TIPSS) placement. The procedures most commonly performed include:
Examination of the upper gastrointestinal tract using a flexible video-endoscope.
– Diagnostic – for disorders like acid-peptic disease, H. pylori infection, gastro-esophageal reflux disease, cancers of the esophagus and stomach.
– Therapeutic – for management of emergencies like variceal bleeding (procedures like sclerotherapy, variceal banding), endoscopic therapy for bleeding peptic ulcer by injection, application of hemoclips or thermal current, placement of percutaneous endoscopic gastrostomy (PEG) tube or jejunostomy as a feeding device for neurologically impaired individuals or those who are unable to swallow. We also perform endotherapy for early cancers and place stents for palliation of obstructive malignant lesions.
Examination of the lower gastrointestinal tract using a flexible video-endoscope.
– Diagnostic – for disorders like polyps, cancers, strictures, bleeding sites, diverticuli.
– Therapeutic – for management of colonic obstruction with stenting, endotherapy for lower gastrointestinal bleeding, and polypectomy.
ERCP (Endoscopic retrograde cholangio pancreatography):
This procedure involves treating various Biliary-pancreatic disorders. These include obstructive jaundice caused by common bile duct stones (extraction of the stones) or relieving obstruction in biliary-pancreatic cancers by placement of plastic or metal stents. ERCP also aids in obtaining tumor tissue cytology / biopsy from the bile duct to confirm the diagnosis in suspected cases of malignancy. helpful in procuring tissue for examination. It aids in difficult biliary and pancreatic therapeutic endoscopic procedures.
Apart from the clinical work the department also is successfully running the running the DNB course in Gastroenerology.