Patient Endoscopy in Indraprastha Apollo Hospitals Delhi, India

Endoscopy is routinely performed at the Centers for Medical and Surgical Gastroenterology, Apollo Hospitals, India for the following conditions:

For patients who suffer from gastrointestinal bleeding, both Banding / injection of esophageal varices and control of bleeding with adrenaline injection / argon plasma coagulation are routinely performed.

·         For patients with swallowing difficulty due to esophageal stricture or achalasia, endoscopic dilatation can be carried out under fluoroscopic guidance. Similarly dilatation of pyloric and colonic strictures can also be carried out. In patients with Esophageal tumours, metallic stent placement is done, after dilatation.

·         For patients for whom feeding is a problem either due to neurological disorders or altered consciousness levels, endoscopic placement of nasojejunaltube or PEG (Percutaneous Endoscopic Gastrostomy) tube is done.

·         Endoscopic removal of gastric / colonic polyps is routinely done.

·         For patients with obstructive jaundice, ERCP / papillatomy / stone extraction from CBD/biliary stenting (plastic as well as metal stents) can be performed.

·         Placement of pancreatic stents in patients with severe pain due to chronic calcific pancreatitis is done.

·         Esophageal manometry, pH studies and rectal manometry, which are available in only limited centres, are done routinely and help not only in diagnosis, but also in deciding which patients with gastroesophageal reflux or achalasia are likely to require surgery.

Other routine procedures like liver biopsy, aspiration of liver abscess and diagnostic and therapeutic paracentesis are done through endoscopy.

Treatments & Services of Gastrointestinal and Hepatology Surgery in Apollo Hospitals Delhi, India

The Institute of Gastroenterology & Hepatology provides various diagnostic and therapeutic endoscopies of different kinds as mentioned below:

 

1. Diagnostic Endoscopy:

·         Upper Gastro Intestinal Endoscopy

·         Sigmoidoscopy/Left Limited colonoscopy

·         Full length colonoscopy

·         Colo-Ileoscopy

·         ERCP (Endoscopic Retrograde Cholangio Pancreatography)

2. Therapeutic UGI Endoscopy:

·         Dilatation of oesophageal strictures/webs

·         Pneumatic dilatation for achlasia

·         EVL(Endoscopic Variceal Ligation (Oesophageal varices)

·         EST ( Endoscopic Sclero Therapy) (Oesophageal varices)

·         Glue Injection for Gastric varices

·         APC (Agron Plasma Coagulation) for Gastric lesions

·         Injection Sclerotherapy

·         Oesophageal stenting

·         Entero duodeno stenting

·         Percutaneous endoscopic gastrostomy(PEG)

·         Endoscopic placement of feeding tubes (NGFT)

·         Foreign Body Removal

·         Gastric duodeno polypectomy

3. Capsule Endoscopy: The Institute has been using capsule endoscopy for last several years for the evaluation of patients with small bowel diseases like obscure gastro intestinal bleed, Crohns disease, Tuberculosis & chronic diarrhoea with very encouraging results.

4. Therapeutic colonoscopy

·         Colonoscopic polypectomy

·         APC for radiation proctitis/colitis

·         Sclero therapy for bleeding lesions in colon and ileum

·         Colonic stents

·         Colonoscopic decompression in Pseudo obstruction

·         Therapeutic ERCP

·         Removal of CBD stones

·         Biliary stenting to relieve jaundice and cholangitis (plastic stents and metallic stents)

·         Bile duct stricture dilatation and stenting

·         Stenting of Pancreatic duct

5. Endoscopic ultrasonography: We have the state of art Olympus equipment for carrying out endoscopic Ultrasonography for evaluation of mediastinal masses, pancreatic lesions, and bile duct lesions. Besides diagnosis, fine needle aspiration and biopsy are done routinely which help tremendously in making a diagnosis.

 6. The Institute of Medical Gastroenterology/Hepatology works in close cooperation with the department of Surgical Gastroenterology and the hospital provides facilities for carrying out advanced surgical procedures for various complicated disorders. Along with the department of liver transplant, we are carrying out an excellent liver transplant programme for management of patients having chronic end stage liver disease as well as acute liver failure.

FAQs on Endoscopy

Q- What Is GI Endoscopy?

Ans- GI Endoscopy

Gastrointestinal endoscopy is done when to see the inside of the stomach or intestines.

Gastrointestinal endoscopy involves placing a thin tube-like instrument through the mouth or

the back passage, the rectum, and down into the gullet, or oesophagus, stomach or intestines.

The tube is able to carry pictures back to a video screen or camera. When endoscopy is done 

through the mouth, it is called upper endoscopy or esophagogastroduodenoscopy (EGD for short).

When endoscopy is done through the rectum, it is called lower endoscopy or colonoscopy.

Common reasons for its use and benefits:

• BLEEDING - The most common reason for gastrointestinal endoscopy is to find the
•  source of bleeding from the oesophagus, stomach or intestines. Sometimes, if the source
•  is found, doctors can use the endoscope to stop the bleeding ? TUMOURS - Sometimes
•  tumours can cause discomfort or even clog the oesophagus, stomach or intestines. The
•  endoscope can be used to find tumours and take a small sample for analysis in the lab, 
• called a biopsy.
• DIARRHEA - Sometimes severe diarrhea can be caused by inflammation or infections
•  of the colon and endoscopy can be used to help find the cause ? BELLY PAINS -
•  Sometimes severe stomach pain can be a sign of ulcer, a clog in the gastrointestinal track,
•  inflammation or infection. Endoscopy can help find the reasons for some belly pains.

Risks:

Some of the risks though rare of gastrointestinal endoscopy include:

• A low blood pressure (called hypotension) – Frequently, medicines are given to help 
• keep patients comfortable during endoscopy. Some patients develop brief drops in
• the blood pressure during endoscopy. Such drops can be life-threatening and can 
• be a reason for stopping endoscopy before it is finished.
• oesophagus, stomach or intestines can be damaged by the endoscope and the
• contents can leak into the surrounding area of the body. This is a serious problem
• which can cause infection and even death.
• Bleeding - The oesophagus, stomach or intestines can be damaged by the
• endoscope causing some internal bleeding.

Please Note: The information contained in this leaflet is designed to provide some basic

information regarding surgery. This information is in no way intended to supersede the

recommendations given to you by your medical caregivers. If you have a question about your

medical condition, or if at any time you feel you need the advice or treatment of a physician,

you should seek it immediately.