Surgical Gastroenterology provides state-of-the-art care for patients with gastrointestinal problems that need surgical approach. We provide advanced laparoscopic surgical techniques to patients with various gastrointestinal conditions including gastrointestinal cancers. Patients can get oncologically sound surgeries with minimally invasive technique, therefore ensuring a faster recovery and quick return to normal life.
It is one of the few departments that offer a multimodality approach to liver cancer. Complex liver surgeries have been conducted with intraoperative ultrasound guidance, thus making these procedures safer with better outcomes. Patients with liver cancer and chronic liver disease are also given the option of liver transplantation.
The department has dedicated clinics to offer focused care for patients with specific surgical gastrointestinal conditions.
The Special clinics are:
Liver Clinic:This clinic provides patients with chronic liver disease and liver cancers a one-stop solution. These patients are worked up based on standard protocols to get the accurate diagnosis and management of their condition. They are also given long-term care for chronic liver disease. We work up to adult and paediatric patients for liver transplantation.
Obesity Clinic:In this modern era obesity has become a common problem. When medical management is not feasible based on the patient’s condition surgical management is suggested. Based on the health and body type patients are offered Gastric Bypass, Gastric Banding, Sleeve Gastrectomy, Bilio-pancreative diversion, and their long-term care is looked after. The clinic is supported by nutritionists, physiotherapists, psychologists, psychiatrists, endocrinologists and medical gastroneterologists.
Colorectal Clinic:Large number of patients suffer from various colorectal problems. Colorectal malignancy is rising in our population. Our clinic helps in screening high-risk individuals. The early detection and management of these cancers by a dedicated team of surgeons, medical gastroenterologists, Medical oncologists, and Stoma nurses makes sure these patients get the most advanced treatment. Most patients are offered Laparoscopic colorectal surgery which gives them complete oncological clearance with the ability to recover fast.
Hernia Clinic:Abdominal hernias are one of the most common conditions. Our team of surgeons offer advanced laparoscopic and open hernia repair surgeries to patients with this problem.
Gastrointestinal surgery is recommended for conditions like:
Surgery is primarily used to remove the inflamed and infected appendix.
- Colon cancer
Surgery is the most effective and recommended treatment method for colon cancer. The type of surgery is chosen based on the stage of cancer and the severity of the condition.
- Gallbladder disease
Gallstone is the most common condition concerning the gallbladder. In severe conditions, the gallbladders need to be removed. This type of surgery is called a cholecystectomy.
- Gastroesophageal reflux disease
In case the medication is not successful then laparoscopic antireflux surgery is performed to correct the gastroesophageal reflux. Through the surgery, an effective valve mechanism is created at the bottom of the oesophagus.
- Hiatal hernia
Surgery is performed to repair Hiatal hernia by making the diaphragm opening smaller and pulling the stomach back into the abdomen.
- Rectal prolapse
Surgery is performed on individuals with rectal prolapse to pull the rectum back in place. With the help of a mesh sling, the rectum is anchored back to the wall of the pelvis.
- Gastrointestinal cancers
The treatment option for gastrointestinal cancers mostly includes surgery, chemotherapy and radiation therapy. Surgery is conducted to remove a part of the stomach or the entire stomach.
When do you need a Gastroenterology Surgical procedure?
A surgical gastroenterologist will first evaluate your medical condition. This will help to know whether you are ready for the surgery or not? You may be one of the candidates for surgery, only if you are facing the following issues mentioned below. If you are diagnosed with these symptoms, it is best to reach out to us, immediately.
- Facing difficulty in swallowing the food/ liquid which is passing in the stomach through the mouth
- You are facing serious pain in the chest and that reaches to your groin too
- There is a constant abdominal discomfort that leads to the feeling of vomiting which can be treated with the help of an expert at any gastroenterology hospital in India.
- Sometimes, there is blood found in your vomit
- Due to the problem in your bowel control, you are facing leakage of faeces on a regular basis.
- Watery stools are passed out regularly, with no hope of normal stool anytime soon
- Blood is spotted in stools regularly
Other ways to identify whether you are eligible for the surgery and the matter is serious are.
- If you feel the increase in your weight is leading you to obesity
- You are dieting and trying to maintain your weight with regular exercise, but do not see any results of weight loss.
How would the post-surgery result in health?
Certain complications that are temporary may be experienced post-surgery. Therefore, during your stay in the gastroenterology hospital, you will be carefully monitored. But there is nothing to worry about, as it is normal. Other complications that may result are:
- Infection at the site treated
- Soreness and pain in your stomach during the process of recovery
- Bleeding, excreting out the unwanted blood from your body and cleaning your internal system of the body
- Reaction to anaesthesia which may make you feel dizzy, tired, sleepy and not in your senses.
When should you see a gastroenterologist?
As a preventive measure, people need to visit a gastroenterologist if they are over the age of fifty. People over the age of fifty have a higher chance of developing colon cancer.
What are the options for general gastrointestinal surgery?
Depending on each patient’s case, several types of surgical techniques can be performed, such as:
- Endoscopic surgery: In endoscopic surgery, the surgeon advances an endoscope through the mouth, nose or other natural body openings to reach the area for treatment.
- Laparoscopic surgery: The surgeon makes a small incision on the body and then inserts a thin and flexible tube called a laparoscope to perform surgery. The laparoscope has a lighted camera as well.
- Robotic surgery: Robotic surgery offers better precision, control, accuracy and a greater range of motion than human hands. It can, therefore, be used for complex and delicate procedures. The surgeon also uses a console that provides a high-definition and magnified view of the surgical site.
What are the risks or side effects associated with gastroenterology surgical procedures?
Although proper care is ensured, surgical procedures can come with some risks, such as:
- Infection: Infections may get in every time an incision is made for surgery. Therefore, surgeons exercise great caution about keeping things sterile and clean during surgery.
- Pain: People may experience some kind of soreness and pain during recovery depending on the surgery they underwent.
- Bleeding and blood clots: At times, cuts from surgery may continue to bleed delaying the recovery process. Other times, a blood clot may be formed blocking a vital blood vessel to the lungs, heart or brain.
- Accidental damage: During surgery, a healthy body part can be accidentally damaged.
- Reaction to anaesthesia: Anaesthesia may cause negative reactions in some people. They may feel nauseous and vomit.
How should you prepare for your gastroenterology procedure?
- Follow the instructions of the doctor or nurse: Usually, your doctor will brief you about what or what not to eat or drink before the surgery. They may also advise you to stop taking some of the medicines before surgery. You need to follow every instruction you get while preparing for the surgery.
- Plan well for the day of surgery and after: Ensure that you have someone who can take you to the surgery and drop you back home after it is done. The time after the surgery is equally important. Have someone to help you during the time for a speedy recovery.
- Make plans to manage things in your living space: It’s crucial to plan in advance whether you will be able to climb the stairs or use the bathroom or cook food. You might also need physical therapy after the surgery. Plan where you will be doing it.
What should I expect during recovery after gastroenterology surgery procedure?
The time you will need to recover depends on the surgery and how invasive it was. If it was a simple surgery, such as colonoscopy, you can get back to your daily activities right away. If you underwent an invasive surgery, you will need some time to heal and manage the pain after the surgery. However, it is advisable to check with your doctor about what to expect during the recovery.