Institute Of Liver Gastroenterology & Pancreatico Biliary Sciences

The Institute of Liver Gastroenterology and Pancreaticobiliary Sciences as a super-specialty is involved in the management of patients suffering from disorders of the digestive system and liver. These patients may be suffering from simple problems such as indigestion, bloating, constipation, pain in the abdomen, diarrhoea, jaundice or diffi cult problems like blood in the vomit or stools, liver failure, cirrhosis, ascites, bile duct stones, cancer of the gallbladder, pancreas, food pipe, stomach or intestine.

The mission of the Institute of Liver Gastroenterology and Pancreaticobiliary Sciences at SGRH is:

• To provide an exceptionally high level of clinical care and emergency services to patients suffering from diseases of the digestive system and liver,
• To provide advanced level of training to the gastroenterology and hepatology fellows and trainees,
• To do cutting-edge clinical and translational research in the fi eld of gastroenterology and hepatology, and
• To take initiatives in increasing awareness among the general public in the preventive aspects of gastrointestinal and liver diseases.

The Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences at SGRH boasts not only of world-renowned clinicians but also of the most modern technologies used for diagnosis and treating patients of gastrointestinal and liver diseases. This institute is well known for its profi le as being among the best ones in the country for providing fi ne clinical services, a high-quality academic programme and qualifi ed and committed doctors. The institute is recognized both nationally and internationally for its expertise and has established itself as a tertiary referral centre covering most of North India. The department is wellequipped, which makes it one of most sought after in India for post-doctoral courses in gastroenterology. The institute is training not only its students who are pursuing the Diplomate in the National Board (DNB) course but also fellows from abroad. A number of observers from all over India come to observe and learn procedures. The department also offers oesophageal and anorectal manometry training to Gastroenterologists from India and abroad. A multidisciplinary tumour board is also conducted every week to discuss management of patients with various GI malignancies.

The services offered by the institute include:

• Advanced gastrointestinal endoscopy services, both diagnostic and therapeutic: Upper GI endoscopy, colonoscopy, sigmoidoscopy, capsule endoscopy, double balloon endoscopy, endoscopic variceal ligation, endoscopic sclerotherapy and glue injection, argon plasma coagulation, stenting and dilation for oesophageal and colonic strictures (both benign and malignant), achalasia cardia endoscopic dilatation, removal of intestinal polyps (polypectomy), foreign body removal, percutaneous endoscopic gastrostomy (PEG) placement for feeding patients with swallowing diffi culty, naso-jejunal tube placement for feeding of critically ill patients, piles banding
• Advanced biliary and pancreatic endoscopy services: Endoscopic retrograde cholangio-pancreaticography (ERCP), lithotripsy for common bile duct (CBD) stones, spyglass for endoscopic visualization of the bile duct, stenting for benign and malignant biliary and pancreatic duct strictures, endoscopic treatment for pancreatic pseudocyst
• Advanced endoscopic ultrasound (EUS) services: Diagnostic EUS, EUSguided FNAC, EUS-guided therapeutic procedures
• POEM (Peroral Endoscopic Myotomy) is an endoscopic procedure used to treat swallowing disorders, most commonly for Achalasia.
• ‘Third space’ endoscopy, also commonly referred as submucosal endoscopy, is founded on the principle that the deeper layers of the gastrointestinal (GI) tract can be accessed by tunnelling in the submucosal space without compromising the integrity of the overlying mucosa.
• Manometry and pH-metry services: High-resolution oesophageal manometry, high-resolution rectal manometry, 24-hour ambulatory pH metry
• Fibroscan of the liver: Transient elastography (Fibroscan) of the liver for non-invasive diagnosis of liver fi brosis
• Advanced liver haemodynamic studies: Hepatic venous pressure gradient (HVPG), HVPG-guided beta-blocker response testing, PA pressure testing, cardiac output and vascular resistance testing in cirrhosis
• Liver biopsy: Percutaneous liver biopsy, trans-jugular liver biopsy, EUSguided liver biopsy
• Treatment for liver cancer: Radiofrequency ablation (RFA), transarterial chemo-embolization (TACE)
• Pre- and post-liver transplantation services: Pre-liver transplant recipient and donor work-up, post-liver transplant hepatology services
• Stem cell therapy: Autologous stem cell transplantation for patients who cannot undergo liver transplantation.

Address

1st Floor, Old Builiding, Ext: 1132/1133/1134 Helpline no: 2065