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Gastrointestinal Sciences

The goal of gastrointestinal sciences is to improve knowledge of healthy digestion, including the mechanisms underlying malfunction and disease development. It is the area of medicine dedicated to problems of the digestive system, which is known as gastroenterology. The speciality mainly focuses on providing effective treatment for the disorders of the gastrointestinal tract, including organs from mouth to anus, along with the alimentary canal such as esophagus, stomach, intestines, colon, pancreas, gall bladder, bile ducts, liver, and anus. Gastroenterologists have expertise in gastrointestinal sciences and contribute efficiently to treating disorders of the gastrointestinal tract.

Why Manipal?

The exceptional endoscopic specialists, minimally invasive surgeons, and gastroenterologists at Manipal Hospitals respond to the most delicate patients and most intriguing cases. They have years of experience treating a variety of digestive ailments. From colitis, oesophageal cancer, and abrupt liver failure to cirrhosis, bile reflux, and gastritis, our specialists are prepared to identify, manage, and treat all types of gastrointestinal disorders using cutting-edge diagnostic and surgical tools. The extraordinary skill set of our gastroenterologists enables them to carry out ground-breaking and novel operations, including the most recent endoscopic techniques, which assess and treat digestive system problems with little harm to surrounding tissues.

The department of gastrointestinal sciences at Manipal Hospitals integrates the scope of practise involving minimally invasive endoscopy, colonoscopy, endoscopic ultrasonography, paediatric gastroenterology, small bowel enteroscopy, robotic surgery, and esophagogastroduodenoscopy. We provide unmatched care for all types of liver and digestive tract problems with a multidisciplinary approach.

The whole digestive system, including the oesophagus, stomach, intestines, colon, pancreas, gall bladder, bile ducts, liver, and anus, is the focus of gastroenterology. All of these organs are affected by a wide range of illnesses, necessitating a thorough evaluation and course of therapy. The Centre of Excellence in Gastroenterology at Manipal Hospitals has world-class gastroenterologists who excel in this field.

The gastroenterologists at Manipal Hospitals are well-trained specialists, and this diversity enables patients to participate in cutting-edge procedures and practises that are, in some cases, unique to India, such as the most recent endoscopic procedures that diagnose and treat digestive tract issues with little harm to surrounding tissues. The department of gastrointestinal sciences at Manipal Hospitals offers multidisciplinary care for all digestive tract and liver issues, including robotic surgery, minimally invasive endoscopy, esophagogastroduodenoscopy, colonoscopy, small bowel enteroscopy, endoscopic ultrasonography, and paediatric gastroenterology.

Treatment and Procedure

The wide range of digestive illnesses that the Department of gastrointestinal sciences at Manipal Hospitals diagnoses and treats makes us happy to have great gastroenterologists, endoscopic experts, and minimally invasive surgeons to handle the most complex patients. So, whether it is colitis, gastritis, bile reflux, or even cirrhosis, acute liver failure, esophageal cancer, and so on, our experts are able to suggest the most effective treatment protocols thanks to our cutting-edge diagnostic and surgical technology. Some of the treatments include:

  • Surgery: The gastrointestinal sciences unit works to provide you with unmatched clinical care by using the most up-to-date tools to perform all types of difficult procedures for bypass, resections, and malignancies. The MILDD specialises in liver transplants and bariatric procedures. The staff at MILDD make sure that all of your digestive problems quickly become a thing of the past thanks to an incredible combination of renowned radiologists, surgeons, endoscopists, and gastroenterologists in India. Surgeries for Corrosive Structure are: 

    • Whipple’s Pancreatico Duodenectomy

    • Surgery for Bile Duct Strictures and Choledochal CystWeight Loss Surgery

    • Restorative Proctocolectomy for Ulcerative Colitis and FAP

    • Liver Transplant

    • Management of Enterocutaneous Fistulae

    • Re-operative Abdominal Surgery

    • Pancreatic Necrosectomy

    • Sphincter Preserving Procedures for Rectal Cancer

    • Major Liver Resections (Benign and Malignant)

    • Surgery for Portal Hypertension

  • Colonoscopy: It is a method used to find alterations or anomalies in the colon, rectum, and large intestine.

    • Pre Procedure: The following points need to be considered before the treatment: 

      • A diet low in fibre is required. A day before the test, stay away from ragi, fruits, tomatoes, green leafy vegetables, and meat-based meals.

      • You must take any pre-medication that your doctor has prescribed before the test.

      • Any underlying medical issues and all medications you are taking, notably blood thinners, must be disclosed to your doctor.

      • About 15 to 20 minutes will pass during this process.

      • You will receive coloprep instruction right before the surgery. You can do this to make sure your bowels are entirely empty by passing clean stools. Only then may the procedure be started. If an enema is necessary for you to ensure that your bowels are clear, it can be given.

      • A doctor will perform your procedure with assistance from a technician.

    • During Procedure: The following points should be considered during the treatment procedure. 

      • About 15 to 20 minutes will pass during this process.

      • You will receive coloprep instruction right before the surgery. You can do this to make sure your bowels are entirely empty by passing clean stools. Only then may the procedure be started. If an enema is necessary for you to ensure that your bowels are clear, it can be given.

      • The doctor doing your procedure will have assistance from the technician.

      • Your privacy will be preserved throughout the process while you are seated comfortably. To change into, a hospital gown will be provided.

      • You will need to take off any dentures, contact lenses, and eyeglasses you may have.

      • The colonoscope will be advanced through the colon by the doctor after passing through your anus, rectum, and colon.

      • Due to pressure from the air that is pushed into your colon, you can feel some cramping and bloating in your abdomen. This is typical and won't last long.

      • Small tissue samples (biopsies) can be painlessly collected during the inspection using this colonoscope, if necessary, for laboratory pathological study.

    • Post Procedure: The following points should be considered after the treatment procedure. 

      • Following the surgery, you will be under observation for roughly 30 minutes.

      • A companion must be available to transport you home if you are given a sedative. You shouldn't operate heavy machinery or drive a car for the rest of the day because the drowsiness hampers your reflexes and judgement.

      • Although small issues could occur in rare instances, colonoscopy is often a safe treatment. Please call your doctor right away in such circumstances.

  • OGD Oesophago gastro Dudenoscopy: It involves the visual inspection of the lining of the oesophagus, duodenum, and stomach. 

    • Pre Procedure: The following points should be considered before the treatment procedure: 

      • The patient must fast for six to eight hours or overnight while on an empty stomach. After midnight, nothing should be consumed, not even water.

      • The patient must let the doctor know if they are using blood thinners and about any underlying medical issues.

    • During Procedure: The following points should be considered during the treatment procedure: 

      • The patient will be made to feel at ease in a setting where their privacy will be maintained at all times. A hospital gown will be provided for dressing.

      • It will be necessary for the patient to take off their contact lenses, dentures, and eyeglasses.

      • The throat will be sprayed with local anaesthesia to numb it. Another option is to administer a sedative.

      • A mouth guard will be provided to safeguard the patient's teeth.

      • The patient will be instructed to try not to swallow the endoscope as it is inserted through the mouth and throat.

      • There won't be any pain or breathing difficulties as a result of the endoscopy. The technique takes about 5 minutes to complete.

      • Small tissue samples (biopsies) can be painlessly taken by the doctor during the process for pathologic analysis.

    • Post Procedure: The following points should be considered after the treatment procedure: 

      • The throat could feel a little numb and uncomfortable.

      • It is suggested that the patient rest for a full day.

      • The patient must wait until the body's swallowing response returns to normal before trying to drink or eat.

      • Unless otherwise instructed, the patient can start eating their normal meals.

      • The endoscope's introduction of air may cause the patient to feel slightly bloated.

      • The patient is cautioned not to drive a car, make crucial decisions, or handle machinery if a sedative was injected during the treatment because the sedation seriously impairs reflexes and judgement.

      • Ordinarily, upper GI endoscopy is a risk-free operation. However, complications, including intestinal tears, haemorrhage, or cardio-respiratory issues, might occasionally happen. In such circumstances, the patient is advised to get in touch with an Indian gastroenterologist right away.

If you're looking for OGD- Oesophago-Gastro Duodenoscopy in India, get in touch with Manipal Hospital for the best care and treatment.

  • Hydrogen Breath Test: This test is typically carried out to look for lactose/glucose malabsorption as well as small intestine bacterial overgrowth.

    • Pre Procedure: Following points should be considered before the treatment procedure: 

      • It is suggested that the patient abstains from taking fibre supplements 24 hours prior to the treatment.

      • Four weeks prior to the test, the patient must abstain from taking antibiotics and antacids.

      • Prokinetics and anti-mobility motility medications must not be taken one week before to the assessment.

      • The patient is encouraged to fast for 12 hours or overnight because the surgery is done on an empty stomach.

      • If the patient has diabetes, they must let the doctor know.

    • During Procedure: The following points should be considered during the treatment procedure: 

      • This is a pleasant, non-invasive process that typically lasts two hours.

      • The patient will be taken to a location where their privacy will be respected throughout the process, and a hospital gown will be provided for them to change into.

      • Throughout the process, the patient will remain sitting.Before the procedure, the

      • Patient will be given glucose water. If the patient has diabetes, there will be less glucose present.

      • The test is carried out using a little piece of equipment called a gastrolyser.

      • Every two hours or every 15 minutes, the patient will be instructed to breathe into a disposable tube attached to a gastrolyser.

    • Post Procedure: The following points should be considered after the treatment procedure. 

      • An hour after the treatment is over, the patient will be given the reports.

      • After the test, the patient's diet won't be restricted, and they can carry on with their regular activities. You can speak with the top gastroenterologist in India to learn more about the diet.

If you're looking for the Hydrogen Breath Test in India, get in touch with Manipal Hospital, Best Gastroenterology Hospital in India for the best care and treatment.

  • Manometry: This test is done to find problems caused by pressure and movement in the oesophagus. In essence, it assesses the oesophagus's muscle control and strength during swallowing. 

    • Pre Procedure: The following points should be considered before the treatment procedure. 

      • The patient must fast for 6 to 8 hours or for the entire night, and they are not allowed to eat or drink anything after midnight.

      • The patient must disclose their medical history and underlying issues to the doctor. In order to ensure that the patient feels secure, our skilled doctors conduct the Manometry Test in India.

    • During Procedure: The following points should be considered during the treatment procedure. 

      • The test usually lasts between 15 and 30 minutes. It is carried out by the doctor with a nurse's assistance.

      • A consent document will need to be signed by the patient.

      • Before the process, the patient will be requested to take off any jewellery or other objects that can obstruct the exam.

      • During the operation, it is also recommended that you take off your glasses, dentures, and contact lenses.

      • The patient will be provided a hospital gown to change into.

      • The patient will be taken to a room where they can be treated privately the entire time.

      • A thin, pressure-sensitive tube called a manometry probe will be inserted through the nose and sent through the oesophagus toward the stomach.

      • A local anaesthetic jelly will be placed to the patient's nostril to ease the discomfort.

      • The probe may cause a little discomfort if it is put through the nose.

      • The patient will be instructed to repeatedly drink 5ml of water throughout the evaluation of oesophageal motility.

      • The probe will be delicately withdrawn from the oesophagus and nose once the surgery is finished. Ask our gastroenterologist in India for more information about the test.

    • Post Procedure: The following points should be considered after the treatment procedure: 

      • For a few hours, no solid food can be eaten until the swallowing reflux returns to normal.

      • After a few hours following the test, there won't be any food restrictions, and the patient can get back to their regular routine.

      • After an hour has passed after the surgery was finished, the patient is given the reports.

 

  • Endoscopic Retrograde Cholangiopancreatography (ERCP): This treatment is used to diagnose and treat specific problems with the pancreatic or biliary ductal systems by using fluoroscopy and endoscopy.

Visit Manipal Hospitals today to receive treatment if you need ECRP in India.

  • Pre Procedure: The following points should be considered before the treatment procedure: 

    • The patient is instructed to fast for 6 to 8 hours or for the entire night and not consume any food or liquids after midnight.

    • The patient must disclose to the doctor any underlying illnesses they may have as well as their medical background.

    • If the patient suspects or knows she is pregnant, she should also let the doctor know.

    • Usually, admission is necessary for a day of procedural observation.

    • Before the test, the patient must sign a consent document.

    • Before the test, all jewellery and other objects that can obstruct the process must be taken off.

    • Additionally, the patient will be asked to take off their contacts, dentures, and eyeglasses.

    • The patient will be taken to a room where they will be requested to change into a hospital gown and their privacy will be respected throughout the operation.

  • During Procedure: The following points should be considered during the treatment procedure: 

    • The operation typically takes two to three hours. It is carried out by the doctor, with a nurse's assistance.

    • The patient will receive a mouth guard to safeguard their teeth.

    • To administer fluids and IV medications, a cannula is placed.

    • An anaesthesiologist will inject or inhale the anaesthesia into the patient.

    • While the patient is in the prone position or in a comfortable position on their left side, the doctor will insert an endoscope via the patient's mouth and route it towards the stomach and duodenum (the first portion of the small intestine) in order to examine the bile and pancreatic ducts.

    • The process lasts around an hour.

  • Post Procedure: The following points should be considered after the treatment procedure: 

    • The patient will remain under supervision in the gastro recovery room for 1-2 hours after the treatment is finished. Throughout the duration of the observation, routine checks of their vital signs will be made.

    • Medication and IV fluids will be stopped after the observation period, and the cannula will be taken out.

    • Until the swallowing reflex returns to normal, the patient must wait a few hours before consuming food or water.

    • It's totally natural for the throat to feel a little bit numb and uncomfortable. After some time, this will go.

    • After a few hours following the surgery, the patient won't have to follow any food restrictions and can get back to their regular routine.

    • After the operation is over, the patient receives the reports two hours later.

  • Minimally invasive surgery for Acute Pancreatitis: The primary cause of acute pancreatitis is a sudden pancreatic inflammation. It can be moderate or life-threatening, but it usually goes away. The main causes of acute pancreatitis include excessive alcohol consumption and gallstones, and the main symptom is intense stomach discomfort. If complications like cysts, bleeding, or infection develop, surgery is necessary. The gallbladder may need to be removed if gallstones are the condition's cause. Our professionals at Manipal Hospitals are highly skilled at treating acute pancreatitis in India.

  • Liver Scan: It is a diagnostic procedure used to examine the liver and spleen more closely in order to find any abnormalities. The liver, spleen, and bone marrow absorb a contrast agent or radioactive dye during the surgery. Then, by creating an image of low radioactivity (cold spots) and high radioactivity, a scan is carried out to determine the regions where the radioactive elements have been deposited (hot spots). The hazards associated with exposure to radioactive materials are quite low and this technique is absolutely safe. ​​Consult with a Gastro Doctor for the Best Gastro Treatment In India.

Visit Manipal today to receive a liver scan in India and speak with a gastroenterologist.

  • Endoscopic Ultrasound: This minimally invasive test is used to identify gastrointestinal disorders. A specialised endoscope is used during the surgery to obtain precise images of the pancreas, liver, lymph nodes, chest, and digestive tract utilising high-frequency sound waves. The procedure is mostly diagnostic in nature and aids in the identification of gastrointestinal problems like cancer and cysts.

Facilities & Services

With novel technologies and cutting edge practices, Manipal Hospital, the best Gastroenterology Hospital in India provides the most comprehensive patient care for all types of hepatic and gastro disorders, such as Appendicitis, Bile reflux, Acute liver failure, Chronic pancreatitis, Bile duct stones, Celiac disease, Crohn's disease, Constipation, Cirrhosis, Clostridium difficile infection, Enlarged spleen, Faecal incontinence, Diverticular disease, Esophageal ulcer, Esophagitis, Esophageal motility studies, Gastroenteritis, Diverticulitis, Endoscopic submucosal dissection, Gilbert's syndrome, Indigestion, Haemorrhoids, Pancreatic cysts, Lactose intolerance, Irritable bowel syndrome, Esophageal varices, Ulcerative colitis, Mesenteric ischemia, Inflammatory bowel disease (IBD), Lymphocytic colitis, Esophageal cancer, Travellers’ diarrhoea, Viral hepatitis, Gastroesophageal reflux, Poem, Pancreatitis, Microscopic colitis, Heartburn, Giardiasis, Gastritis, Endoscopic ultrasound, and Dysphagia.

Gastrointestinal Sciences doctors
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Dr. Deepak Ganga

Consultant - Gastroenterologist,Consultant - Gastroenterologist

Hebbal - Bengaluru

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Dr. Govind Nandakumar

Consultant Gastrointestinal Surgery,Consultant - Gastrointestinal Surgery

Hebbal - Bengaluru | Yeshwanthpur - Bengaluru

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Dr. Veerendra R Koujalagi

Consultant - Gastroenterology & Hepatology

Hebbal - Bengaluru