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Medical Gastroenterology & Hepatology
Medical Gastroenterology and Hepatology is a branch of medicine focused on the diagnosis, treatment, and management of disorders affecting the digestive system and liver. Gastroenterology deals with conditions affecting the gastrointestinal (GI) tract, including the esophagus, stomach, small intestine, colon, rectum, pancreas, gallbladder, and bile ducts. Hepatology specifically focuses on diseases of the liver, including hepatitis, cirrhosis, liver cancer, and liver transplantation.
Expertises
- Liver Diseases
- Pancreatic Diseases
- Billiary diseases
- Diagnostic and Therapeutic Endoscopy and ERCP
- Gastrointestinal Haemostasis
- Cancer Detection and Palliation Uni
Liver Diseases
Pancreatic Diseases
Gastrointestinal Haemostasis
Diagnostic Facilities
- All forms of upper gastrointestinal video-endoscopy
- All forms of lower gastrointestinal video-endoscopy / colonoscopy
- Small bowel enteroscopy (Intra-operative)
- Motility studies (Colonic transit study)
- Fluoroscopic imaging of the liver, gall bladder, bile ducts, pancreas and intestinal tract.
- Intraoperative fluoro-radiology (image intensifier- Cholangiogram/ Pancreatogram)
Tratement facilities
- Management of liver cirrhosis and its sequelae like hepatic encephalopathy, ascites, portal hypertensive bleeding, hepatorenal syndrome, spontaneous bacterial peritonitis.
- Management of acute and chronic hepatitis of different etiologies with state-of-the-art medical therapies.
- Treatment of Fulminant hepatic failure in a dedicated ICU area
- Multidisciplinary approach to the management of liver malignancies (primary or metastatic).
- Lab facilities for clinical pathology, biochemical and virological work up.
- Liver biopsy (percutaneous).
- Percutaneous Aspiration/Drainage of liver abscess/hepatic cyst.
- Paracentesis with or without pigtail insertion
Outpatient Activities
- State-of-the-art facilities for the complete diagnosis and management of whole spectrum of acute and chronic liver diseases, including
- Viral hepatitis
- Alcoholic hepatitis
- Lifestyle liver disorders-Fatty Liver, Non-alcoholic Steatohepatitis (NASH)
- Drug-induced hepatitis.
- Autoimmune liver disease
- Cirrhosis of various etiologies
- Genetic abnormalities
- Metabolic disorders
- Hematochromatosis
- Wilson disease
- Primary sclerosing cholangitis
- Liver tumors, especially Hepatocellular carcinoma and Metastatic liver cancer
- Hepato-Biliary tuberculosis
- Liver abscess
Pancreatic Diseases
The Pancreas Clinic offers comprehensive services by experienced pancreatologists with long track records for patients with acute and chronic pancreatitis, pancreatobiliary cancers and pancreatic cystic disease. The services comprise comprehensive care including detailed workups, diagnosis, medical or/and surgical treatment, when indicated, on an outpatient as well as inpatient basis. The clinic has been functioning for the past 15 years now and it has one of the largest pancreatic registries in Orissa nearly 400 patients.
Diagnostic and Therapeutic Facilities
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Multi-Slice CT scan
- Magnetic resonance cholangiopancreatography (MRCP)
- Pancreatic duct stenting
- Pseudocyst drainage
- Celiac plexus block
Comprehensive management of alcohol related pancreatitis, tropical pancreatitis, autoimmune, metabolic and drug induced pancreatitis etc is also available. Pancreatic function testing and evaluation of idiopathic or unknown causes of pancreatitis is undertaken here.
The highlight of our Pancreatitis Care Programme is the integration of clinical care of pancreatitis, care of pancreatic diabetes and its complications, advice on diet and life style during each visit, explaining the basis of the disease and the rationale for decision making and making the patient a full partner in the treatment of his/her disease. In this clinic the maximum emphasis is laid on the quality of life of the patient – it is totally patient oriented and not disease oriented.
Billiary Diseases
- Gall Bladder (State of the art facility available for)
- Gall Bladder Stones
- Bile Duct Stones/Cholelithiasis/Cholecystitis
- Magnetic resonance cholangiopancreatography (MRCP)
- Gall Bladder Cancer
- Obstructive Jaundice
- Biliary Atresia
Paediatric Gastroenterology
The Paediatric Gastroenterology wing has been set up to provide efficient diagnosis and management of paediatric gastroenterological and hepatobiliary problems. Paediatric endoscopy including upper GI endoscopy and colonoscopy are being routinely performed for various indications like dysphagia (for congenital and corrosive injury in children), foreign body ingestion, and acid peptic diseases, bleeding per rectum due to rectal and colonic polyps. Therapeutic colonoscopic polypectomy is routinely performed in children.
Centre for Gastrointestinal Haemostasis
A dedicated team of endoscopists, gastrointestinal surgeons, interventional radiologists, and vascular surgeons are available for treating patients with upper or lower gastrointestinal bleeding. A fully-monitored emergency ICU service, and a 24 hour endoscopic and surgical service ensure immediate control of massive bleeding. Complex diagnostic and therapeutic modalities often avoid the need for high-risk surgery. The availability of all the investigational modalities within the hospital makes LIGG one of the best centres for evaluation of gastrointestinal bleeds. The unit has risen to be a tertiary referral centre in the state of orissa for this pathology. Patients presenting with GI bleeds are resuscitated in the intensive care setting if needed.The investigation required for each patient is decided after consultation between the surgeon, interventional radiologist and the medical gastroenterologist. The availability under a single roof of al advanced imaging techniques like Upper GI Endoscopy, Colonoscopy, On-table Enteroscopy, and Angiography ensures that a patient will not need to be shifted out of the hospital for any evaluation.
Frequently Asked Questions
Gastroenterology is the medical specialty focusing on the diagnosis and treatment of disorders affecting the digestive system, including the esophagus, stomach, intestines, liver, gallbladder, and pancreas. Hepatology specifically deals with diseases of the liver, including hepatitis, cirrhosis, and liver cancer.
You should consider seeing a gastroenterologist if you experience symptoms such as persistent abdominal pain, changes in bowel habits, difficulty swallowing, heartburn, jaundice, or unexplained weight loss. Additionally, if you have a family history of gastrointestinal diseases or need screening for conditions like colon cancer, it’s advisable to consult a gastroenterologist.
Preparation instructions for procedures like endoscopy and colonoscopy typically involve dietary restrictions, bowel preparation to cleanse the colon, and medication adjustments. Your gastroenterologist will provide specific guidelines tailored to your individual needs and the type of procedure you’ll undergo.
Gastroenterologists diagnose and treat a wide range of digestive disorders, including gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), inflammatory bowel disease (such as Crohn’s disease and ulcerative colitis), gastrointestinal bleeding, liver diseases (such as fatty liver disease and viral hepatitis), gallbladder disorders, pancreatic diseases, and gastrointestinal cancers.
During your visit, your gastroenterologist will review your medical history, perform a physical examination, and discuss your symptoms and concerns. Depending on your condition, further diagnostic tests or procedures may be recommended. Your gastroenterologist will explain the findings, discuss treatment options, and develop a personalized care plan tailored to your needs.
Maintaining good digestive health involves adopting a balanced diet rich in fiber, staying hydrated, avoiding excessive alcohol consumption and smoking, managing stress, exercising regularly, and getting regular check-ups with your healthcare provider. Additionally, following recommended screening guidelines for conditions like colorectal cancer can help detect potential issues early when treatment is most effective.
Yes, Medical Gastroenterology encompasses the diagnosis and treatment of liver diseases, including viral hepatitis, fatty liver disease, cirrhosis, liver cancer, and autoimmune liver diseases. Treatment may involve lifestyle modifications, medication management, specialized procedures, and, in some cases, liver transplantation.
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