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.

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.