About 30% of Indians suffer from gastrointestinal and liver diseases. Many of them have chronic diseases requiring latest, advanced treatment. In response to this need, The Institute of Gastroenterology and Liver Diseases (IGLD)was started with the aim of providing compassionate, state-of-the-art, comprehensive care at reasonable cost to patients suffering from diseases of the intestine, liver, gall bladder and pancreas.

This Institute is equipped with cutting-edge technology and is staffed by a skilled and dedicated multidisciplinary team consisting of medical gastroenterologists, surgical gastroenterologists, intensivist, radiologist and gastrointestinal pathologist. The Institute is a “one stop”centre of excellence in Gastroenterology and Hepatology providing comprehensive care in prevention, diagnosis and treatment of patients suffering from Gastrointestinal,Liver and Pancreatic diseases.

Spectrum of Conditions Treated at IGLD:

MEDICAL GASTROENTEROLOGY

Esophageal diseases:

• Difficulty or painfulswallowing.
• Achalasia cardia.
• Tumours of esophagus.
• Non-cardiac chest pain.
• Gastroesophageal reflux disease (GERD).
• Motility disorders.

Stomach diseases:

• Acute and chronic gastritis.
• Gastric and duodenal ulcers.
• H pylori infection.
• Tumours of the stomach.
• Gastrointestinal bleeding.
• Gastroparesis.

Intestinal diseases:

• Acute and Chronic diarrhoea.
• Inflammatory bowel disease
  • Ulcerative colitis
  • Crohn's disease
  • Microscopic colitis
• Intestinal tuberculosis.
• Colonic diverticulitis.
• Constipation and faecal incontinence.
• Motility disorder
• Colonic cancer.

Gall bladder and bile duct diseases:

• Gall stones.
• Bile duct stones.
• Benign strictures of the bile duct.
• Cancer of gall bladder and bile duct.

Pancreatic diseases:

• Acute pancreatitis.
• Chronic pancreatitis.
• Pancreatic duct stones.
• Pancreatic cancer.
• Cystic lesions of pancreas.

Liver diseases:

• Fatty liver
• Viral hepatitis – acute and chronic.
• Cirrhosis with portal hypertension and complications – Fluid in abdomen (ascites), bleeding, kidney failure andencephalopathy.
• Acute and chronic liver failure.
• Liver cancer.
• Alcoholic liver disease.
• Budd-Chiari syndrome.

SURGICAL GASTROENTEROLOGY

Minimally invasive surgery:

• Cholecystectomy.
• Appendectomy.
• Fundoplication for GERD.
• Heller's myotomy.
• Diaphragmatic hernia repair.
• Ventral hernia repair.
• Inguinal hernia repair.
• Cystogastrostomy.

Bariatric Surgery for Obesity

Esophageal surgery

• Corrosive disease of esophagus.
• Cancer of esophagus.
• Achalasia cardia.
• Gastroesophageal reflux disease.

Gastric surgery

• Gastric ulcer.
• Duodenal ulcer.
• Stomach cancer.

Small intestine surgery

• Tuberculosis.
• Perforation.
• Bleeding.
• Crohn’s disease.
• Tumours.

Colorectal surgery

• Ulcerative colitis.
• Colon cancer.
• Polyps of colon.
• Diverticulitis.

Gall bladder and bile duct surgery

• Gall bladder and bile duct stones.
• Bile duct strictures.
• Bile duct cancers
• Choledochal cyst

Pancreas surgery

• Severe acute pancreatitis (necrosectomy).
• Chronic pancreatitis.
• Pancreatico-jejunostomy / Frey procedure.
• Pancreatic cancer.
• Whipple procedure.

Liver surgery

• Liver cancer
• Hydatid cyst
• Liver injury

CENTRE FOR ADVANCED GASTROINTESTINAL ENDOSCOPY

The advanced centre for GI endoscopy is equipped with cutting-edge technology and staffed by endoscopists who are experts in a variety of diagnostic and therapeutic procedures.

Services available at the advanced centre for Gastrointestinal Endoscopy are

Diagnostic and therapeutic upper gastrointestinal endoscopy

This technique is used to diagnose and treat the following problems in the esophagus, stomach or duodenum.
(a).Bleeding ulcers: By injection therapy, heat (electrocoagulation) or application of clips (hemoclips).
(b).Bleeding varices: By application of bands or glue injection.
(c).Removal of inadvertently swallowed foreign bodies like dentures, pins, coins etc.
(d).Narrowed food pipe, stomach or duodenum: By dilatation and placing metal stents.
(e).Polyps: Polypectomy using electrocautery.
(f).Fluid collections around stomach (pseudocyst): By cysto-gastrostomy.
(g).Obstructed food pipe: Creating alternate pathways for feeding to stomach (PEG) or small intestine (PEG-J).

Diagnostic and therapeutic colonoscopy

This enables diagnosis and treatment of the following diseases of large intestine.
(a).Diagnosis of colon cancer, ulcerative colitis, Crohn's disease, tuberculosis.
(b).Polyps: Removal using electrocautery.
(c).Strictures (narrowed segment): By self-expandable metal stents (SEMS) across obstruction.

Capsule endoscopy

Non-invasive method to evaluate the small bowel. Patient swallows a capsule (wireless camera) which takes 50,000 photographs in 8 hours as it passes through the small intestine.

Enteroscopy (Single balloon/Power spiral)

To perform therapeutic procedures in small intestinefor bleed, ulcers, tumours, etc.

Narrow band imaging (NBI)

This is an advanced imaging technique used for early diagnosis of cancer of esophagus and stomach.

ERCP for treatment of diseases of bile duct and pancreas

Bile ducts

(a).Extraction of stones using balloon / basket.
(b).Palliating jaundice by placing stent across obstruction.
(c).Bile duct leaks after surgery by endoscopic sphincterotomy/bile duct stent.
(d).Bile duct infection by draining bile duct using stents or catheter (NBD) into duodenum.

Pancreas

(a).Pain relief in chronic pancreatitis by removal of stones or placing stent across narrowed pancreatic duct (stricture).

Endoscopic ultrasound (EUS)

This is a technique that combines endoscopy with ultrasonography. This technique is used for diagnosis and treatment of the following:
(a).Staging of cancers (extent of spread) of esophagus, stomach, rectum, pancreas.
(b).Diagnosis of mediastinal lymphadenopathy (tuberculosis vs malignancy) and staging of lung cancer.
(c).Diagnosis of early chronic pancreatitis, bile duct stones and microlithiasis.
(d).Management of pseudocyst of pancreas.
(e).Management of abdominal pain in pancreatic cancer.

High-resolution manometry with impedance and 24-hr pH study

(a).Used in diagnosis of motility disorders of esophagus and GERD
(b).Constipation and anal incontinence.
(c).Gastroesophageal reflux disease

Breath hydrogen test

This technique is used for diagnosis of
(a).Milk intolerance.
(b).Malabsorption.
(c).Small bowel bacterial overgrowth.

Endoscope reprocessing centre

A state-of-the-art endoscopic reprocessing centre following international guidelines for cleaning and disinfection of endoscopes and accessories after every procedure provides for safe endoscopy for patients and staff.

24-hr emergency endoscopy service

Round-the-clock emergency service is available for patients with gastro-intestinal bleeding, cholangitis (infection of bile ducts) and removal of swallowed foreign bodies.

Givingpriority and prime importance to patient comfort, all endoscopic procedures at IGLDare carried out under conscious anaesthesia

SPECIALTY CLINICS

Inflammatory bowel disease clinic

Staffed by clinicians with large experience in diagnosing and treating complex problems associated with ulcerative colitis and Crohn's disease.

Pancreatic-biliary clinic

This multidisciplinary clinic is staffed by gastroenterologist, endoscopist and surgeon with special interest in pancreato-biliary disorders. Infrastructure to manage bile duct stones, biliary strictures, chronic pancreatitis and biliary and pancreatic malignancy (ERCP/EUS) are available.

Motility clinic

Clinical expertise and equipments (high-resolution manometry with impedance and 24-hr pH) are available for treatment of patients with non-cardiac chest pain, achalasia cardia, faecal incontinence, constipation and gastroesophageal reflux disease. Biofeedback therapy is also available for treatment of anorectal diseases.

Liver clinic

Patients with acute and chronic liver diseases including viral hepatitis, cirrhosis of liver, portal hypertension, metabolic liver diseases and liver cancer are managed at this clinic. Facility for evaluation of patients for liver transplantation is also available.

Institute of Gastroenterology & Liver Diseases

044 - 66738312 / 26568312 / 40128312