Sir Ganga Ram Hospital, New Delhi, India

Institute Of Liver Gastroenterology & Pancreatico Biliary Sciences

INSTITUTE OF LIVER GASTROENTEROLOGY & PANCREATICO BILIARY SCIENCESas a super-specialty involves management of patients suffering from disorders of digestive system and liver. These patients may be suffering from simple problems like indigestion, bloating, constipation, pain in abdomen, diarrhea, jaundice or difficult problems like blood in the vomiting or stools, liver failure, cirrhosis, ascites, bile duct stones, cancers of gall bladder, pancreas, food pipe, stomach or intestine.

The mission of the INSTITUTE OF LIVER GASTROENTEROLOGY & PANCREATICO BILIARY SCIENCESat Sir Ganga Ram Hospital is:

  1. To provide an exceptionally high level of clinical care and emergency services to the patients suffering from diseases of digestive system and liver,
  2. To provide advanced level of training to the Gastroenterology and Hepatology fellows and trainees,
  3. To do cutting edge clinical and translational research in the field of Gastroenterology and Hepatology, and
  4. To take initiative in increasing awareness among general public in preventive aspects of gastrointestinal and liver diseases.

The INSTITUTE OF LIVER GASTROENTEROLOGY & PANCREATICO BILIARY SCIENCES at Sir Ganga Ram Hospital 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 profile as being amongst the few of the best ones in the country providing fine clinical services, high-quality academic program and highly qualified and committed doctors. The Institute is recognized both nationally and internationally for its expertise and has established itself as a tertiary referral center covering most of North India. The Institute has all the possible instruments comparable to any advanced international center. This makes this department one of most sought after in India for post doctoral courses in Gastroenterology. The Institute is training not only its students who are pursuing Diplomate in National Board course (DNB) but also fellows from abroad. A number of observers from all over India come to observe and learn procedures.

Clinical Services Offered

The services offered by the Institute include:

  1. Advanced gastrointestinal endoscopy services, both diagnostic and therapeutic
    1. Upper GI endosco
    2. Colonoscopy
    3. Sigmodoscopy
    4. Capsule endoscopy
    5. Double balloon endoscopy
    6. Endoscopic variceal ligation
    7. Endoscopic sclerotherapy and glue injection
    8. Argon plasma coagulation
    9. Stenting and dilation for esophageal and colonic strictures (both benign and malignant)
    10. Achalasia cardia endoscopic dilatation
    11. Removal of intestinal polyp (polypectomy)
    12. Foreign body removal
    13. Percutaneous endoscopic gastrostomy (PEG) placement for feeding patients with swallowing difficulty
    14. Naso-jejunal tube placement for feeding of critically ill patients
    15. Piles banding
  2. Advanced biliary and pancreatic endoscopy services
    1. Endoscopi retrograde cholangio-pancreaticography (ERCP)
    2. Lithotripsy for common bile duct (CBD) stones
    3. Spyglass for endoscopic visualization of the bile duct
    4. Stenting for benign and malignant biliary and pancreatic duct strictures
    5. Endoscopic treatment for pancreatic pseudocyst
  3. Advanced Endoscopic Ultrasound (EUS) services
    1. Diagnostic EUS
    2. EUS guided FNAC
    3. EUS guided therapeutic procedures
  4. Manometry and pH-metry services
    1. High resolution esophageal manometry
    2. High resolution rectal manometry
    3. 24-hour ambulatory pH-metry
  5. Fibroscan of Liver
    1. Transient elastography (Fibroscan) of liver for non-invasive diagnosis of liver fibrosis
  6. Advanced liver hemodynamic studies
    1. Hepatic venous pressure gradient (HVPG)
    2. HVPG guided beta-blocker response testing
    3. PA pressure testing
    4. Cardiac output and vascular resistance testing in cirrhosis
  7. Liver biopsy
    1. Percutaneous liver biopsy
    2. Trans-jugular liver biopsy
  8. Treatment for liver cancer
    1. Radio-frequency ablation (RFA)
    2. Trans-arterial chemo-embolization (TACE)
  9. Pre- and post-liver transplantation services
    1. Pre-liver transplant recipient and donor work-up
    2. Post-liver transplant Hepatology services
  10. Stem cell therapy
    1. Autologous stem cell transplantation for patients who cannot undergo liver transplantation

About Outdoor and Indoor services

The Institute provides outdoor services daily (except Sunday). These services include both General and Private OPDs. General OPDs are run twice a week (Tuesday and Friday) from 9:00 to 10:30 AM. All consultants run their private OPDs daily. The Institute has 60-70 patients admitted at any given time and these are taken care of by DNB fellows and consultants. The Institute has its own high dependency unit (HDU), which provides critical care to relatively sicker patients. The Institute caters to emergencies by attending to patients presenting with various GI and liver emergencies. There is round the clock availability of resident and consultants to treat these patients. The Institute is ably supported by the ICU and GI surgery. 

Academic Programme

The Institute runs a detailed academic programme for DNB residents undergoing fellowship in the superspecialty. This programme includes lectures, symposia, case discussion, bedside teaching and endoscopy training. Difficult and problem cases are discussed threadbare to reach proper diagnosis so that patients get the benefit of so many minds working in the Institute. The residents are taught clinical and practical Gastroenterology and Hepatology. They learn both upper and lower GI endoscopies and are introduced to ERCP procedures. They are trained to do liver biopsies. The DNB fellows also do research work under the guidance of the faculty members of the Institute and also in collaboration with other departments/institute of Sir Ganga Ram Hospital.

Conferences and CMEs Organized by the Department

The Institutte is actively involved in organizing conferences for the benefit of fellow colleagues. The most recent conference organized by the Institute was the Mid-Term INASL Meeting, in association with Indian National Association for the Study of Liver (INASL) and Delhi Liver Foundation on “Medical Emergencies in Hepato-Biliary Disease” on 15th and 16th September, 2012 at India Habitat Centre, New Delhi. Recently an endoscopic workshop was organized by the Institute titled “Basic & Advanced Therapeutic Endoscopic Procedure Training Program” on 15th and 16th December, 2012. In addition, the Institute keeps organizing CMEs for general practitioners at various branches of Indian Medical Association (IMAs) to increase their awareness in recent advances in Gastroenterology. Our faculty is invited regularly on various national and international conferences to give talks and lectures and demonstrate the procedures.

Research Activities

The INSTITUTE OF LIVER GASTROENTEROLOGY & PANCREATICO BILIARY SCIENCES of Sir Ganga Ram Hospital is one of the few private hospitals in India which is actively involved in research in the field of gastrointestinal and liver diseases. The various thrust areas include: Cirrhosis of liver, liver diseases in pregnancy, ileocecal diseases, acute and chronic pancreatitis, liver cancer, acute and acute-on-chronic liver failure, viral hepatitis, renal involvement in liver diseases, etc.