Medical Gastroenterology
Medical Gastroenterology

Gastroenterology branch of medicine which deals with prevention, diagnosis and treatment of diseases of the digestive tract, liver and pancreatic-biliary system in children and adults.The Department of Medical Gastroenterology at Chettinad Hospital and Research Institute was established in the year 2010. The Departmentoffers DM program in Gastroenterology for one eligible candidate every year.We offer state of art endoscopic procedures for the medical management of conditions such as gastrointestinal bleed, gastrointestinal, malignancies, removal of foreign bodies.

The Team of consultants in the Department of Gastroenterology at CHRI have immense skill and experience dealing with the diagnosis and medical treatment of conditions of the digestive tract and liver. The gastroenterologists make use of cutting-edge technology for patient care, as a result of which patients have more options now than ever for the treatment of Gastrointestinal and Hepatobiliary disease.


The Department of Medical Gastroenterology provides outpatient services from 08:30 AM to 04:00 PM on all days.During holidays the services are restricted from 8:30 AM to 02:00 PM.Inpatient care is facilitated by providing utmost care to the sick patients. Patients can choose between general wards, semiprivate rooms and private rooms.

The common diseases treated in this department include

  • Alcoholic Liver disease
  • Inflammatory bowel disease (ulcerative colitis, Crohn’s disease)
  • Acute and chronic viral hepatitis (B and C)
  • Dyspepsia
  • Gall bladder related disease
  • Gastrointestinal malignancy
  • Acute and chronic pancreatitis
  • Peptic ulcer disease

Hepatitis B Clinic: The department of Medical Gastroenterology has systematized a Hepatitis B specialty clinic on Monday from 8.30 am to 4.00 pm. Patients are screened and treated for Hepatitis B. Special attention to Hepatitis B vaccination is given.

Pancreas clinic: Patients with pancreatic disorders and pancreatic malignancy are treated. Special care is given to pancreatic enzyme insufficiency and malnutrition.

IBD Clinic: Patient’s with IBD (Ulcerative colitis, Crohn’s disease) are treated.

Medical Gastroenterology
Hepatitis B clinic Monday
Pancreas clinic Wednesday
IBD Clinic Friday

Inpatient care is facilitated by providing utmost care to the sick patients. Patients can choose between general wards, semiprivate rooms and private rooms.

The salient feature of intensive care unit is that the unit is fully equipped with all necessary lifesaving equipment like multipara monitors, ventilators, centralized oxygen and suction facilities, infusion pumps, syringe pump, defibrillators etc. Medical emergencies such as acute pancreatitis, Acute on chronic liver failure, Upper GI Bleeds are treated.



The Department of Gastroenterology at Chettinad is well equipped with state-of-the-art facilities that place it on par with the best hospitals in the world.Endoscopy procedures being done in the department includes.

Upper GI Endoscopy

  • Endoscopic band ligation (EVL)
  • Endoscopic Sclerotherapy (EST)
  • Endoscopic Dilatation (Savory Gillard & Balloon)
  • Endoscopic self expanding stent placement (SEMS)
  • Percutaneous Endoscopic Gastrostomy (PEG)
  • Pyloric balloon dilatation for pyloric stenosis
  • Endoscopic foreign body removal
  • Hemoclip application for duodenal/ gastric ulcer bleeding
  • Argon plasma coagulation

Lower GI Procedures

  • Sigmoidoscopy
  • Colonoscopy
  • Endoscopic snare polypectomy
  • Colonic SEMS placement
  • Argon plasma coagulation

ERCP

  • Common Bile Duct Stone Removal
  • Palliative Self Expanding Biliary Metallic Stenting
  • Common Bile Duct Structure Dilatation
  • Pancreatic stenting /Stone removal

Hydrogen Breath Analysis


Fibroscan


Prime focus of the Department of Medical Gastroenterology is medical education which involves imparting knowledge to PostgraduateDM students and Allied Health Sciences. The teaching methodology adopted for the Post doctorial students includes Outpatient clinic, Bedside clinical teaching, lectures in basic sciences, diagnostic challenges, laboratory approach to common medical disorders, update on emergencies, journal clubs, interdepartmental discussions, CME, Workshops and conferences.

The department of medical gastroenterology trains MD students during there one month of posting to the department.

The Department also teaches BSc Allied Health Sciences students in endoscopy procedures.

The Department is involved in PhD programs in association with departments of Pathology and Biotechnology.

Thrust areas for researchincludes IBD, colon cancer, chronic pancreatitis and Regenerative studies (Islet cell Transplantation)

Ongoing research project on the Role of Micro RNA- 122 in regulating the phenotypes of colon cancer cells through targeting AEG1 protein –(In association with Department of Biotechnology)

To name a few of the interesting cases the department has dealt with,

1. An Interesting Case of Postprandial Epigastric Pain and Fullness
2. Terlipressin Induced Ventricular Tachycardia
3. Unusual Presentation of Gastric Neuroendocrine Tumour
4. A Rare Case of Immunodeficiency Diagnosed During Upper Gastrointestinal Endoscopy
5. A Rare Case Of Recurrent Intussusception
6. Ascitic tuberculosis in primigravida
7. Megaloblastic anaemia presenting as pancytopaenia in primi
8. Pancreatico pleural fistula : Massive pleural effusion
9. Pulsating dysphagia in elderly

The department conducts rural health camps, and industrial visit on frequent intervals.
Hepatitis B awareness camps are conducted on July 28th, to commemorate the World Hepatitis B day.IBD awareness camps are conducted on May 19th, to commemorate the World IBD day.


Department of Medical Gastroenterology

About the Department

Gastroenterology branch of medicine which deals with prevention, diagnosis and treatment of diseases of the digestive tract, liver and pancreatic-biliary system in children and adults.The Department of Medical Gastroenterology at Chettinad Hospital and Research Institute was established in the year 2010. The Departmentoffers DM program in Gastroenterology for one eligible candidate every year.We offer state of art endoscopic procedures for the medical management of conditions such as gastrointestinal bleed, gastrointestinal, malignancies, removal of foreign bodies.

The Team

The Team of consultants in the Department of Gastroenterology at CHRI have immense skill and experience dealing with the diagnosis and medical treatment of conditions of the digestive tract and liver. The gastroenterologists make use of cutting-edge technology for patient care, as a result of which patients have more options now than ever for the treatment of Gastrointestinal and Hepatobiliary disease.


Patient Care

The Department of Medical Gastroenterology provides outpatient services from 08:30 AM to 04:00 PM on all days.During holidays the services are restricted from 8:30 AM to 02:00 PM.Inpatient care is facilitated by providing utmost care to the sick patients. Patients can choose between general wards, semiprivate rooms and private rooms.

The common diseases treated in this department include

  • Alcoholic Liver disease
  • Inflammatory bowel disease (ulcerative colitis, Crohn’s disease)
  • Acute and chronic viral hepatitis (B and C)
  • Dyspepsia
  • Gall bladder related disease
  • Gastrointestinal malignancy
  • Acute and chronic pancreatitis
  • Peptic ulcer disease

Outpatient Special Clinics

Hepatitis B Clinic: The department of Medical Gastroenterology has systematized a Hepatitis B specialty clinic on Monday from 8.30 am to 4.00 pm. Patients are screened and treated for Hepatitis B. Special attention to Hepatitis B vaccination is given.

Pancreas clinic: Patients with pancreatic disorders and pancreatic malignancy are treated. Special care is given to pancreatic enzyme insufficiency and malnutrition.

IBD Clinic: Patient’s with IBD (Ulcerative colitis, Crohn’s disease) are treated.

Medical Gastroenterology
Hepatitis B clinic Monday
Pancreas clinic Wednesday
IBD Clinic Friday

Inpatient

Inpatient care is facilitated by providing utmost care to the sick patients. Patients can choose between general wards, semiprivate rooms and private rooms.

The salient feature of intensive care unit is that the unit is fully equipped with all necessary lifesaving equipment like multipara monitors, ventilators, centralized oxygen and suction facilities, infusion pumps, syringe pump, defibrillators etc. Medical emergencies such as acute pancreatitis, Acute on chronic liver failure, Upper GI Bleeds are treated.



Facilities & Specialized Services

The Department of Gastroenterology at Chettinad is well equipped with state-of-the-art facilities that place it on par with the best hospitals in the world.Endoscopy procedures being done in the department includes.

Upper GI Endoscopy

  • Endoscopic band ligation (EVL)
  • Endoscopic Sclerotherapy (EST)
  • Endoscopic Dilatation (Savory Gillard & Balloon)
  • Endoscopic self expanding stent placement (SEMS)
  • Percutaneous Endoscopic Gastrostomy (PEG)
  • Pyloric balloon dilatation for pyloric stenosis
  • Endoscopic foreign body removal
  • Hemoclip application for duodenal/ gastric ulcer bleeding
  • Argon plasma coagulation

Lower GI Procedures

  • Sigmoidoscopy
  • Colonoscopy
  • Endoscopic snare polypectomy
  • Colonic SEMS placement
  • Argon plasma coagulation

ERCP

  • Common Bile Duct Stone Removal
  • Palliative Self Expanding Biliary Metallic Stenting
  • Common Bile Duct Structure Dilatation
  • Pancreatic stenting /Stone removal

Hydrogen Breath Analysis


Fibroscan


Teaching

Prime focus of the Department of Medical Gastroenterology is medical education which involves imparting knowledge to PostgraduateDM students and Allied Health Sciences. The teaching methodology adopted for the Post doctorial students includes Outpatient clinic, Bedside clinical teaching, lectures in basic sciences, diagnostic challenges, laboratory approach to common medical disorders, update on emergencies, journal clubs, interdepartmental discussions, CME, Workshops and conferences.

The department of medical gastroenterology trains MD students during there one month of posting to the department.

The Department also teaches BSc Allied Health Sciences students in endoscopy procedures.

The Department is involved in PhD programs in association with departments of Pathology and Biotechnology.

Research

Thrust areas for researchincludes IBD, colon cancer, chronic pancreatitis and Regenerative studies (Islet cell Transplantation)

Ongoing research project on the Role of Micro RNA- 122 in regulating the phenotypes of colon cancer cells through targeting AEG1 protein –(In association with Department of Biotechnology)

Interesting cases

To name a few of the interesting cases the department has dealt with,

1. An Interesting Case of Postprandial Epigastric Pain and Fullness
2. Terlipressin Induced Ventricular Tachycardia
3. Unusual Presentation of Gastric Neuroendocrine Tumour
4. A Rare Case of Immunodeficiency Diagnosed During Upper Gastrointestinal Endoscopy
5. A Rare Case Of Recurrent Intussusception
6. Ascitic tuberculosis in primigravida
7. Megaloblastic anaemia presenting as pancytopaenia in primi
8. Pancreatico pleural fistula : Massive pleural effusion
9. Pulsating dysphagia in elderly

Outreach Activities

The department conducts rural health camps, and industrial visit on frequent intervals.
Hepatitis B awareness camps are conducted on July 28th, to commemorate the World Hepatitis B day.IBD awareness camps are conducted on May 19th, to commemorate the World IBD day.

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