Medical Gastro Enterology

Speciality OPD services:(10am to 12noon)

• Monday: Hepatobiliary clinic
• Tuesday: Nutrition clinic
• Wednesday: Pancreatic clinic
• Thursday: Motility & IBD clinic
• Friday: Constipation clinic

Location of MGE Ward : Tower 2 , 4th Floor

• Male ward (241): 25 beds
• Female ward(245): 15 beds
• Pay ward

MGE Male Ward

MGE Female Ward

• Two units on alternate days conducting diagnostic and therapeutic( elective and emergency) procedures
• MGE1(Tue/Thu/Sat)
• MGE2(Mon/Wed/Fri)

• Upper GI scopy
• Lower GI scopy
• Side view scopy
• Contrast study: Dynamic Videofluoroscopy
• Capsule endoscopy
• High Resolution Manometry(Esophageal) for evaluation of Motility disorders.
• Transient Elastography (Fibroscan) on first and third Mondays

• UGI bleeds(Variceal and non variceal bleed)
• Foreign body removal
• Esophageal Dilatation for post corrosive strictures, palliation of malignant dysphagia, CP web, Achalasia cardia
• Nutritional access by NG, NJ and PEG tubes
• GI malignancy: Esophageal and pyloric stents
• Biopsy and Polypectomy
• Pancreatic Pseudocyst drainage

• Polypectomy
• APC for radiation proctitis
• Lower GI bleeds
• Foreign body removal
• Enteral stent

• Stone retrieval by sphincterotomy, balloon trawling
• CBD plastic stent placement for choledocholithiasis, biliary strictures
• CBD self expanding metallic stent for malignant stricture
• Sphincteroplasty
• Stent placement for postoperative bile duct leak
• Rendezvous Procedure

• Minor papilla sphincterotomy for pancreas divisum
• Transpapillary drainage for pseudocyst of pancreas
• Stent placement for pancreatic duct leak
• Pancreatic duct stone retrieval and stent placement
• Stent placement for pancreatic duct stricture

Success story 1

A large number of foreign bodies were recovered endoscopically from an individual who used to swallow them routinely and finally presented with dysphagia. A total of 40 foreign bodies were recovered, which mostly were metallic. Things recovered included keys, sim card, magnet, blades etc.

Success story 2

Routine weekly High-Resolution Manometry-both oesophageal and anorectal, have helped dozens of patients suffering from various oesophageal motility disorders like Achalasia cardia, DES, and anorectal problems like pelvic floor dyssynergia, anal sphincter insufficiency to correctly obtain a diagnosis and get adequate surgical or conservative treatment.

Success story 3

Emergency ERCP and biliary and/or pancreatic stenting for conditions like choledocholithiasis, malignant biliary strictures, etc. have saved hundreds of people belonging to the lower socioeconomic strata in various regions of Tamil Nadu, who otherwise wouldn’t have access to this advanced procedure, thus reducing the mortality and morbidity.

Success story 4

Emergency ERCP with CBD Stenting was done on an antenatal mother at 36 weeks of pregnancy, who had a distal CBD calculus with severe abdominal symptoms. This procedure requires expertise and careful planning as high risk of pancreatitis post-ERCP exists, which can jeopardise a safe delivery. In this patient, the procedure was uneventful and patient was discharged with no fresh complaints.

Success story 5

Dieulafoy Lesion in duodenum was noted in a patient presenting with upper GI bleed symptoms, which was endoscopically treated by an array of endoscopic modalities to arrest the bleeding. This is an extremely rare entity, which when untreated can lead to massive blood loss and subsequent complications. This patient was discharged on day 5 after assuring no further bleeding from the site.

Success story 6

45-year-old female with a history of corrosive ingestion underwent FJ tube placement 6 months ago found migrated distally into ascending colon was removed with colonoscopy under vision with rat tooth forceps. Her hospital stay was uneventful after the procedure.

Success story 7

A 26-year-old woman with type 1 diabetes and hypothyroidism had chronic diarrhea. She was mistakenly treated for tuberculosis outside, which led to DILI. Further testing revealed she had primary biliary cholangitis and concomitant inflammatory bowel disease. This rare combination highlights the importance of reviewing diagnoses. The case shows that initial assessments can be incorrect, and thorough investigation is crucial.