Department of Surgical Gastroenterology
 

The Department of Surgical Gastroenterology came into existence in August 1995. It has since come a long way and made enormous strides in providing complete and comprehensive management for various problems in Gastroenterology.

The Department of Surgical Gastroenterology provides comprehensive service to patients with complicated diseases of pancreas, biliary tract, gastrointestinal tract, liver and spleen. The department is equipped with state-of-art operation theatres, and supported by critical care ICUs equipped with latest monitoring and excellent preoperative and post operative nursing care by well trained nurses.

Apart from the common gastrointestinal problems, the advanced GI surgical procedures offered at the department include:

Pancreas:

  •  Necrosectomy for pancreatic necrosis Surgery for pseudocysts both open and laparoscopic.

  • Drainage and Resectional procedures for chronic pancreatitis -  Lateral pancreato-jejunostomy,  Frey’s procedure, distal pancreatectomy and pancreatico jejunostomy.

  • Whipple’s pancreatico duodenectomy and other resectional procedures for periampullary and pancreatic tumours.

                                Distal Pancreatectomy

 
Biliary Tract:
  • Laparoscopic Cholecystectomy for acute and chronic calculus cholecystitis.
  • Surgery for benign and malignant surgical obstructive jaundice including biliary strictures, CBD stones.
  • Post cholecystectomy complications are actively managed.
  • Choledochal cyst.
  • Carcinoma of the gall bladder and the bile duct
Surgery for ulcerative colitis and complicated gastrointestinal problems:
  • Restorative proctocolectomy procedures have changed the outlook for ulcerative colitis and now patients can get rid of the disease by surgery with intact anal passage. They do not need a permanent ileostomy.                                                             
  • Complicated  gastro-intestinal surgical emergencies like relaporatomy for peritonoitis,multiple surgeries, entero cutaneous fistulae etc. are actively being managed routinely.
Surgery for GI Cancers:
  • All latest facilities of advanced radiotherapy and chemotherapy are available under one roof. We have regular ‘tumour boards’ where specialists (medical oncologist, Surgical Gastroentrologists, radiotherapists, pathologists and radiologists) sit together and chalk out a tailor made management plan for the individual patient.
  • All advanced surgeries for GI cancers are being offered.
  • Surgery for Cancer of the oesophagus –Esophagectomy

Transhiatal esophagectomy (with lateral segmentectomy) 

  • Gastric Malignancy – Radical Gastrectomy (D2)
  • Small and large intestine malignancy.
  • Colorectal cancers – laparoscopic assisted Right hemicolectomy, Low anterior resection, Laparoscopic abdomino perineal excision of rectum, restorative procto colectomy for multiple polyposis coli.
  • Hepatobiliary cancers. - Hepatectomy and extended hepatectomy.                                               
  • Pancreatic malignancy. Whipple’s Pancreatico duodenectomy, Distal pancreatectomy, surgery for endocrine tumours of pancreas.

 

Whipples Pancreatico duodenectomy
Proximal Splenorenal shunt in progress
Surgery of Liver and for Portal hypertension:

  • Hepatic resection for benign and malignant liver tumors.

  • Proximal spleno Renal Shunt for Extra Hepatic Portal Vein Obstruction.

  • Splenectomy & Esophago-gastric devascularisation for cirrhotic patients.

Surgery for GI Haemorrhage:
This area needs an integrated approach with other departments such as Radiology and Nuclear Medicine to identify the cause of obscure GI Bleed. The team works together to provide optimal treatment to a GI bleed patient. All latest technology like MR enteroclysis, RBC tagged Isotope scan are available.
Laparoscopic Surgery:
  • Laparoscopic cholecystectomy, laparoscopic appendectomy and other advanced laparoscopic procedures are being performed routinely.
  • The following are the advanced laparoscopic procedures done routinely in the department.
  • Laparoscopic closure of Duodenal perforation.
  • Laparoscopic Fundoplication for GERD.
  • Laparoscopic Modified HELLER’S Cardiomyotomy for Achalsia Cardia.
  • Laparoscopic truncal vagotomy and gastro jejunostomy.
  • Laparoscopic Common bileduct exploration.
  • Laparoscopic splenectomy for ITP, Hereditary Spherocytosis.
  • Laparoscopic Assisted Hemi colectomy,
  • Laparoscopic APER.
  • Laparoscopic Incisional Hernia Repair.
  • Laparoscopic Inguinal Hernia Repair (TAPP, TEP).
  •  Laparoscopic Hydatid cyst omentopexy
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