Endoscopy is a procedure done to identity disease of food pipe, stomach and Duodenum. It is a out patient procedure done in couple of minutes. It is Indicated in patients with difficulty swalloing, pain in stomach , heart burn , recurrent vomiting , blood in vomitus , iron defeciency anemia and significant wieght loss. Endoscopy is done with empty stomach , usually in the morning. Screeing Endoscopy is indicated in patients with high risk of food pipe and stomach cancers and in relatives of patients who had these cancers.
Diagnostic Colonoscopy is a procedure ti identify diaeses of large intestine. It is done in patients with bleeding in stools, significant wieght loss and chronic diarrheal illness. Screeing Colonoscopy is recomended in everone above 50 years to screen for colon cancers, as these cancers if diagnosed early can be easily treated endoscopically without surgery. Screeing is recomended at an early age in relatives of colon or rectal cancers. Colonoscopy procedure takes 15- 20 min , at times requires mild sedation, essentially a out patient procedure. As the stool contains fecal matter, this procedure requires bowel wash with ceratin agents like PEGLAC prior to the procedure.
Capsule Endoscopy is a procedure done to evaluate small bowel diseases. The Procedure involes swallowing a viatmin capsule sized camera and then patient can do all his normal activites. The camera records the pictures of smallintestine and sends to a reciver attched in pocket of the patient. Later capsule passes normal in the stool. The Gastroenteologists evalutes the 6-8 hour long vedio of small intestine at lesiure and idedentifies the pathology. This Procedure is done in patients with unknown cause of bleeding in stools or iron defeciency anemia. It is an out patient procedure and very convieneint to the patient.
Endoscopy was intially used for only diagnosis , recently therapeutic procedures like endoscopic surgeries are being done more often with the benefit of no scars and day care procedures. The common therapeutic procedures done are ERCP - This procedure is done in patients with Pain, jaundice due to bileduct problems and pancreatic issues. Bile duct stones can be removed, stents can be placed in patients with obstaructed bile systems. This procedues requires fasting and mid to moderate sedation , usually an out patient procedure or overnignt obseration would suffice.
Polypectomy - Small tumors in any part of intestines are removed with this procedure.It is an out patient procedure.
Banding - This procedure is done for patients with large veins in the food pipe , this occurs in patients with liver disaese. It is an outpatient procedre until it is done for heavy bleeding.
Foreign Body Removal - This involves removal of things accidentally swalowed like coins, batteries, large meat bolus, impacted chicken bone or fish bones.
Piles Banding - This procedure is done for patients with large piles and bleeding , an out patient procedure, very good alternative to surgey.
GI Physiology tests are done to evaluate common problems like excessive gas, flatulence, diarrhea, constipation, swalloing problems.
These include
- H2 Breath Tests (Glucose, Lactose, Lactulose, Sorbitol)
- PH Studies
- Manometry
GI Oncology involves diagnostic, therapeutic and palliative care for all GI and Liver Cancers.
Diagnostic Enoscopy/ Colonoscopy
Cancer Screening ( Oesophagus, Stomach, Colon, Rectum )
Curative Endoscopic surgeries ( Polypectomy/ EMR /ESD)
Palliative Endoscopic Procedure ( Enteral stents / ERCP / Ablation / Hemostasis)
Supportive Therapies ( PEG/ Enteral tubes for Nutrition )
Liver Cancer Therapies - Chemotherapy / TACE / Supportive Antiviral therapy and liver care
GI Nutrition deals with proving the essential enteral nutrition fo nutrient and calorie requiremnts in patient who have problems feding normaly due to various diseases like neurological problems and oral-pharyngeal- esophgeal problems .
This involves
- Nasogastric NasoJejunal tube placement endoscopically
- Percutaneous Endoscopic Gastrostomy / Percutaneous Endoscopic Jejunostomy
Pediatric Endoscopy involes endoscopic care in children. Special endoscopes are used for these procedures.
Both diagnostic and Therapeutic procedures are done.
Common Theraputic Procedures done are
- Foreign Body Removal
- Enteral Dilation
- Rectal Polypectormy
Dr Radha Krishna is the only qualified liver specialst in visakapatnam . He has done his advanced hepatology and liver transplant training in the world famous Mount Sinai University , New York.
He deals with all cases of jaundice, liver disease of varous etiologies
He is specilast in hepatitis B, C , Fatty liver and cirrhosis of varois etiologies.
He deals with holistic, multidisciplnary treatment of liver cancer and cholangiocarcinoma.