The Department of Gastroenterology and Hepatology at Sterling Hospitals Sindhu Bhavan, Ahmedabad is a specialized unit that provides comprehensive care for patients with digestive and liver diseases. The department is staffed by experienced gastroenterologists, hepatologists, and other healthcare professionals who are dedicated to providing high-quality, patient-centered care. 

The department offers a wide range of diagnostic and therapeutic services for patients with conditions such as: 

• Gastroesophageal reflux disease (GERD): This is a condition in which stomach acid flows back into the esophagus, causing symptoms such as heartburn, chest pain, and difficulty swallowing. Treatment options include medications that reduce acid production, lifestyle modifications, and in severe cases, surgery.
• Peptic ulcer disease: This is a condition in which open sores develop on the lining of the stomach, esophagus or small intestine. The most common cause is infection with the bacterium Helicobacter pylori or prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs). Treatment options include antibiotics, medications that reduce acid production, and in some cases, surgery.
• Inflammatory bowel disease (IBD): This is a group of chronic conditions that cause inflammation in the digestive tract. The two most common types are Crohn's disease and ulcerative colitis. Symptoms may include abdominal pain, diarrhoea, and weight loss. Treatment options include medications to reduce inflammation and suppress the immune system, as well as surgery in some cases. 
• Irritable bowel syndrome (IBS): This is a common condition that affects the large intestine, causing symptoms such as abdominal pain, bloating, and changes in bowel habits. Treatment options include lifestyle modifications, such as dietary changes and stress reduction techniques, as well as medications to manage symptoms. 
• Pancreatitis: This is inflammation of the pancreas, which can cause abdominal pain, nausea, and vomiting. The most common causes are gallstones and excessive alcohol consumption. Treatment options include pain management, dietary changes, and in severe cases, hospitalization and intravenous fluids. 
• Chronic liver disease: This is a long-term condition that can be caused by a variety of factors, including viral hepatitis, alcohol consumption, and non-alcoholic fatty liver disease. Symptoms may include fatigue, jaundice, and abdominal pain. Treatment options depend on the underlying cause and may include lifestyle modifications, medications, and in severe cases, liver transplantation. 
• Viral hepatitis: This is a viral infection that can cause inflammation in the liver. The most common types are hepatitis A, B, and C. Symptoms may include fatigue, jaundice, and abdominal pain. Treatment options depend on the type of hepatitis and may include antiviral medications. 
• Liver cancer: This is cancer that begins in the cells of the liver. Risk factors include chronic liver disease, hepatitis B and C infection, and excessive alcohol consumption. Treatment options depend on the stage and location of the cancer and may include surgery, radiation therapy, and chemotherapy. 
• Biliary tract disease: This is a condition that affects the bile ducts, which are tubes that carry bile from the liver to the small intestine. The most common types include gallstones and biliary atresia. Symptoms may include abdominal pain, jaundice, and nausea. Treatment options depend on the underlying cause and may include medications, surgery, or other interventions. 
• Malabsorption syndromes: These are a group of conditions that affect the body's ability to absorb nutrients from food. The most common types include celiac disease and lactose intolerance. Symptoms may include diarrhoea, weight loss, and fatigue. Treatment options depend on the underlying cause and may include dietary changes and medications. 
• Blood in Stool: This is a symptom that can be caused by a variety of conditions, including haemorrhoids, inflammatory bowel disease, colon cancer, or infection. Treatment options depend on the underlying cause and may include medication, dietary changes, or surgery. 
• Black coloured stool: This is a symptom that can be caused by bleeding in the upper gastrointestinal tract, such as from a peptic ulcer or esophageal varices. It can also be caused by certain medications.

The department is equipped with the latest technology and equipment to provide accurate diagnoses and effective treatments. Diagnostic services include endoscopy, colonoscopy, capsule endoscopy, and advanced imaging modalities such as MRI and CT scan. 

Treatment options offered by the department include medications, lifestyle modifications, interventional procedures, and surgery. The department also offers liver transplantation services for patients with end-stage liver disease or liver failure. 

The department is committed to providing compassionate care to patients and their families. The healthcare professionals in the department work closely with patients to develop individualized treatment plans that address their unique needs and goals. 

In summary, the Department of Gastroenterology and Hepatology at Sterling Hospitals Sindhu Bhavan, Ahmedabad is a specialized unit that provides state-of-the-art care for patients with digestive and liver diseases. The department offers a wide range of diagnostic and therapeutic services and is staffed by experienced healthcare professionals who are dedicated to improving the health and well-being of their patients. 

Common Procedures  

• Colonoscopy  
• Esophagogastroduodenoscopy / Upper GI Endoscopy  
• ERCP 
• Liver Biopsy 
• Percutaneous endoscopic gastrostomy (PEG) 
• Manometry 

Colonoscopy

Colonoscopy is a medical procedure that is commonly used to examine the inner lining of the colon (large intestine) and rectum. It is a vital screening tool for detecting colorectal cancer, as well as other abnormalities such as polyps, inflammation, and ulcerations. Sterling Hospitals Sindhu Bhavan, Ahmedabad is a leading center for colonoscopy procedures, providing state-of-the-art facilities and highly trained medical professionals to ensure the best possible care for patients. 

Indications for Colonoscopy: 

Colonoscopy is a recommended screening test for colorectal cancer. It is especially important for people who are at increased risk, such as those with a family history of the disease or who are over 50 years old.

If you experience any symptoms of colorectal cancer, such as rectal bleeding, unexplained weight loss, or changes in bowel habits, see your doctor right away. Colonoscopy can help detect colorectal cancer early, when it is most treatable.

Preparations for Colonoscopy: 

To ensure the best results from a colonoscopy, it is crucial to prepare adequately. The preparation process includes a low-fiber diet for a few days before the procedure, and the use of laxatives or enemas to empty the colon of stool. The bowel must be completely clean for the procedure to be effective, so following the instructions provided by the medical team is essential. 

The Procedure: 

Colonoscopy is a safe and straightforward procedure that usually takes around 30 minutes to an hour to complete. The patient is usually sedated to ensure they are comfortable throughout the procedure. During the colonoscopy, a flexible tube with a tiny camera is inserted through the anus and advanced through the colon. The camera captures images of the colon lining and sends them to a monitor, where the doctor can examine them for abnormalities. 

After the Procedure: 

After the colonoscopy, the patient is taken to a recovery area where they are monitored until the sedative wears off. It is common to experience some discomfort, bloating, or gas after the procedure, but these symptoms should resolve within a few hours. The patient should arrange for someone to take them home, as the sedative can impair their ability to drive. 

At Sterling Hospitals Sindhu Bhavan, Ahmedabad, our experienced gastroenterologists and hepatologists use the latest technology and techniques to ensure the best possible outcomes for patients undergoing colonoscopy procedures. Our team is dedicated to providing compassionate care, and we work closely with patients to ensure they are comfortable and well-informed throughout the entire process. 

In conclusion, a colonoscopy is a vital screening tool for detecting colorectal cancer and other abnormalities of the colon and rectum. Sterling Hospitals Sindhu Bhavan, Ahmedabad is a leading center for colonoscopy procedures, providing state-of-the-art facilities, highly trained medical professionals, and individualized care for each patient. Our team is committed to ensuring the best possible outcomes for patients, and we take pride in our ability to provide high-quality medical care with compassion and expertise. 

EGD or Upper GI endoscopy 

EGD or Upper GI endoscopy is a common diagnostic procedure that is performed to visualize the upper gastrointestinal (GI) tract, which includes the esophagus, stomach, and duodenum. This procedure is done with the help of a flexible endoscope, a thin, lighted tube with a camera on the end that is inserted through the mouth and into the upper GI tract. 

At Sterling Hospitals Sindhu Bhavan, Ahmedabad, we provide state-of-the-art facilities and equipment for the EGD procedure. Our team of experienced gastroenterologists and endoscopists work together to provide patients with the highest quality care. 

Indications: An EGD procedure is used to diagnose a variety of conditions that affect the upper GI tract. Some of the most common indications for EGD include: 

• Gastroesophageal reflux disease (GERD) 
• Peptic ulcer disease 
• Gastritis 
• Difficulty swallowing 
• Unexplained upper abdominal pain 
• Screening for esophageal cancer or stomach cancer 
• Barrett's esophagus 
• Celiac disease 
• Hiatal hernia 

Preparation: In order to ensure that the procedure is safe and effective, there are certain preparations that patients must follow before undergoing an EGD. These preparations include: 

• Fasting for at least 6 hours prior to the procedure 
• Stopping any blood-thinning medications, such as aspirin or warfarin, for a specified amount of time prior to the procedure 
• Informing the doctor of any allergies or medical conditions that may affect the procedure or sedation 
• Arranging for someone to drive the patient home after the procedure, as sedation will be administered and the patient may be groggy or disoriented. 

Procedure: The EGD procedure typically takes around 15 to 30 minutes to complete. The patient is usually sedated for the procedure, and a local anesthetic may be used to numb the throat. Once the patient is comfortable, the endoscope is carefully passed through the mouth and down into the esophagus. The doctor will carefully inspect the lining of the esophagus, stomach, and duodenum for any abnormalities or signs of disease. If necessary, the doctor may also take biopsies or remove polyps during the procedure. 

At Sterling Hospitals Sindhu Bhavan, Ahmedabad, we use the latest technology and techniques to ensure that our patients receive the best possible care during their EGD procedure. Our team of highly trained and experienced gastroenterologists and endoscopists work together to provide patients with a safe and comfortable experience. 

In conclusion, EGD is a valuable diagnostic tool for evaluating conditions of the upper GI tract. At Sterling Hospitals Sindhu Bhavan, Ahmedabad, we provide a comprehensive range of gastroenterology services, including EGD, to help patients achieve optimal digestive health. 

Endoscopic Retrograde Cholangiopancreatography (ERCP) 

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a minimally invasive diagnostic and therapeutic procedure used to visualize the biliary and pancreatic ducts. Sterling Hospitals in Sindhu Bhavan, Ahmedabad is a leading center for ERCP, offering state-of-the-art facilities and experienced gastroenterologists. 

Indications: ERCP is indicated in patients with suspected or confirmed bile duct or pancreatic duct pathology, such as gallstones, biliary strictures, biliary leaks, or tumors. It is also used to obtain tissue samples for diagnosis and to treat certain conditions, such as gallstone pancreatitis or biliary obstruction. 

Preparation: Patients undergoing ERCP are typically asked to fast for 6 to 8 hours prior to the procedure. They may also need to stop taking certain medications that can interfere with blood clotting or affect the pancreas. Before the procedure, patients are given sedatives and pain medications to help them relax and minimize discomfort. 

Procedure: ERCP is performed under conscious sedation, which means the patient is awake but feels drowsy and comfortable. During the procedure, a thin, flexible tube called an endoscope is passed through the mouth, esophagus, and stomach, and into the duodenum, the first part of the small intestine. Then, a small catheter is inserted through the endoscope to access the common bile duct or pancreatic duct. Contrast material is injected to visualize the ducts and X-ray images are obtained. If a blockage or stricture is identified, the gastroenterologist can perform therapeutic interventions, such as removing stones or placing stents to relieve the obstruction. 

Aftercare: Following ERCP, patients are monitored in a recovery room until the sedation wears off. They may experience mild discomfort, bloating, or nausea, but these symptoms typically resolve quickly. Patients are advised to avoid eating or drinking for a few hours after the procedure and to rest for the remainder of the day. They should also arrange for someone to drive them home as they may feel drowsy from the sedation. 

Sterling Hospitals in Sindhu Bhavan, Ahmedabad is well-equipped to perform ERCP procedures with a team of highly skilled gastroenterologists and support staff. Patients can trust in the expertise and experience of the team for accurate diagnosis and effective management of their conditions. 

Capsule Endoscopy  

Capsule endoscopy is a cutting-edge diagnostic tool that allows gastroenterologists to examine the gastrointestinal tract using a small camera enclosed within a capsule. This non-invasive procedure has revolutionized the way doctors diagnose and treat various gastrointestinal conditions, such as inflammatory bowel disease, unexplained abdominal pain, and gastrointestinal bleeding. 

Overview: Capsule endoscopy is a simple yet powerful diagnostic tool that involves the patient swallowing a small capsule containing a camera that captures high-quality images of the small intestine. The camera transmits these images to a receiver worn on a belt or vest, which is then analysed by a gastroenterologist to diagnose and treat various gastrointestinal disorders. 

Indications: Capsule endoscopy is particularly useful in diagnosing conditions such as unexplained abdominal pain, gastrointestinal bleeding, and inflammatory bowel disease. It is also effective in detecting small bowel tumors, Crohn's disease, celiac disease, and other intestinal disorders. Capsule endoscopy provides a safe, non-invasive alternative to traditional endoscopy or colonoscopy procedures. 

Preparations: Before the procedure, patients need to follow specific instructions provided by the gastroenterologist. This may include fasting for 8-12 hours before the procedure and abstaining from certain medications such as iron supplements and anticoagulants. Patients should also inform their doctor about any underlying medical conditions and current medications they are taking. 

At Sterling Hospitals Sindhu Bhavan, Ahmedabad, we understand the importance of providing a comfortable and patient-centric environment for all our patients undergoing capsule endoscopy. Our experienced gastroenterologists and support staff use state-of-the-art technology and equipment to ensure accurate diagnosis and timely treatment of various gastrointestinal conditions. 

As a leading gastroenterology and hepatology center, Sterling Hospitals Sindhu Bhavan, Ahmedabad is committed to providing the highest quality of care for our patients. Our team of experts is dedicated to utilizing the latest advancements in medical technology to diagnose and treat a range of gastrointestinal disorders. We prioritize the safety and comfort of our patients, and strive to provide personalized care to ensure their well-being. 

If you are experiencing any gastrointestinal symptoms or have been advised to undergo capsule endoscopy by your doctor, we invite you to visit Sterling Hospitals Sindhu Bhavan, Ahmedabad for comprehensive diagnostic and treatment services. Our team of experienced gastroenterologists and support staff are available to address any concerns or questions you may have. 

Liver Biopsy  

A liver biopsy is a diagnostic procedure in which a small piece of liver tissue is removed and examined under a microscope to identify liver diseases and conditions. It is performed by a hepatologist or a skilled interventional radiologist in a sterile procedure room. At Sterling Hospitals Sindhu Bhavan, Ahmedabad, we have state-of-the-art facilities and experienced medical professionals who perform liver biopsies using the latest techniques and equipment to ensure accurate and safe results. 

Indications: 

A liver biopsy may be recommended to diagnose liver diseases such as hepatitis, cirrhosis, fatty liver disease, autoimmune liver disease, and liver cancer. It may also be recommended to monitor the progression of a liver disease, assess the effectiveness of a treatment, or identify the cause of unexplained liver function abnormalities. 

Preparation: 

Before the procedure, your doctor will provide detailed instructions on how to prepare for the biopsy. You may be asked to avoid eating or drinking anything for a certain period before the biopsy. You will also need to inform your doctor about any medications you are taking, especially blood thinners, as they may need to be temporarily stopped before the procedure. 

Procedure: 

During the procedure, you will be given a local anesthetic to numb the area where the biopsy will be taken. The doctor will then use a needle to remove a small piece of liver tissue, which is then sent to a laboratory for analysis. The entire procedure usually takes about 30 minutes. 

After the procedure, you will be monitored for a few hours to check for any complications such as bleeding, pain, or infection. You will also be advised to avoid strenuous physical activity for a few days and to avoid taking blood-thinning medications for a period of time. 

At Sterling Hospitals Sindhu Bhavan, Ahmedabad, we prioritize patient safety and comfort. Our medical professionals are highly trained and experienced in performing liver biopsies, ensuring that our patients receive the best possible care. 

Percutaneous endoscopic gastrostomy (PEG) 

Percutaneous endoscopic gastrostomy (PEG) is a medical procedure used to place a feeding tube directly into the stomach. This procedure is usually performed for patients who have difficulty swallowing or are unable to take food and fluids orally. Sterling Hospitals Sindhu Bhavan, Ahmedabad offers this procedure with the highest level of expertise and advanced medical equipment. 

PEG is a minimally invasive procedure that involves the insertion of a feeding tube through a small incision in the abdominal wall, guided by an endoscope. This endoscope is a flexible tube with a camera and light source that allows the medical team to visualize the stomach and guide the placement of the feeding tube. The tube is usually made of a soft, flexible material and can be adjusted to accommodate the patient's specific needs. 

There are several indications for PEG placement, including neurological disorders such as stroke, multiple sclerosis, and Parkinson's disease, as well as cancer, severe trauma, and other medical conditions that affect the ability to swallow. PEG placement can improve the patient's nutrition and hydration status, reduce the risk of aspiration pneumonia, and improve their overall quality of life. 

Before the procedure, patients will receive instructions from the medical team on how to prepare for the PEG placement. This may include fasting for a certain period of time, adjusting medications, and stopping blood-thinning medications. The procedure is usually performed under local anesthesia and sedation, and patients can usually go home the same day. 

At Sterling Hospitals Sindhu Bhavan, Ahmedabad, our medical team includes gastroenterologists, anesthesiologists, and specialized nurses who have extensive experience in performing PEG procedures. Our state-of-the-art endoscopy suite is equipped with advanced medical equipment, ensuring that patients receive the highest quality care and achieve the best possible outcomes. 

In summary, PEG placement is a minimally invasive medical procedure used to place a feeding tube directly into the stomach. Sterling Hospitals Sindhu Bhavan, Ahmedabad offers this procedure with the highest level of expertise, advanced medical equipment, and experienced medical staff, ensuring that patients receive the best possible care and achieve optimal outcomes. 

Manometry 

Esophageal manometry is a diagnostic test that measures the pressure and coordination of contractions in the esophagus and lower esophageal sphincter (LES). It is used to evaluate patients with symptoms of gastroesophageal reflux disease (GERD), difficulty swallowing, or chest pain that may be related to esophageal motility disorders. 

During the test, a small, flexible tube called a manometry catheter is passed through the nose and into the esophagus. The catheter contains sensors that measure pressure as the patient swallows small amounts of water. The test typically takes around 30 minutes and is performed on an outpatient basis. 

Esophageal manometry can help diagnose conditions such as achalasia, diffuse esophageal spasm, and nutcracker esophagus. It can also provide information on the effectiveness of treatments such as medications or surgery. 

At Sterling Hospitals Sindhu Bhavan, Ahmedabad, we offer state-of-the-art equipment and a team of highly experienced gastroenterologists and technicians to perform esophageal manometry. Our team ensures patient comfort and safety during the procedure, and our advanced technology allows for accurate and detailed results. We work closely with patients and their referring physicians to develop a personalized treatment plan based on their individual needs and test results.