Overview
The Sakra Institute of Digestive and HPB (Hepato-pancreato-biliary) sciences has two departments, i.e., Medical and Surgical. At Sakra World Hospital, recognized as the Best Gastroenterology Hospital in Bangalore, we strive to offer patients a comprehensive, multidisciplinary approach to all gastrointestinal, liver, pancreatic, and gallbladder-related problems, with a focus on both medical and surgical gastro care.
The Medical Gastroenterology has a dedicated, qualified, and experienced team that provides clinical evaluation; state of art endoscopy suites with a focus on high-end technology; emphasis on patient safety; disinfection protocols; with high ethical values. We have an excellent supporting team which includes experienced
GI surgeons, Interventional radiologists, GI pathologists, ICU specialists, Anaesthesiologists, and gastroenterologists in Bangalore.
The Department focuses on:
1. Minimally Invasive Advanced Interventional Endoscopy services which deal with:
Removing bile duct stones
Other than the conventional methods of removing bile duct stones (ERCP), our centre has the expertise and facilities to remove the largest of stones in the bile duct by a technology called spyglass and holmium laser. In the absence of these high-end technologies, most of them would require surgery.
Providing Relief of Jaundice by Endoscopy routes for patients with obstruction of the bile duct due to Gall bladder/ Pancreatic/ and Bile duct cancers.
Endoscopic treatment for Pancreatitis like stone removal, stenting, and drainage of fluid collection (Pseudocyst and walled pancreatic necrosis).
Endoscopic removal of early tumours of the stomach/colon by endoscopic mucosal resection; requires high-end technology and skills which are not readily available in most of the centres in our country.
Being the
best gastroenterology hospital in Bangalore, we also provide endoscopic palliation for Gastrointestinal Advanced Cancers (Oesophageal/Stomach/Colon) by Oesophageal/ Antral / Colonic Stenting.
Ours is one of the rare centres which has the expertise to visualize the small intestine by Single Balloon Enteroscopy for patients with gastrointestinal bleeding where the source is not detectable by conventional upper endoscopy and colonoscopy.
We have the latest Endoscopic Ultrasound which helps us to diagnose bile duct and pancreatic stones/tumours and also to find the cause of pancreatitis where conventional imaging would have not delineated the cause. Focused tissue samples from the diseased areas can be taken which is otherwise difficult by conventional methods.
2. Gastrointestinal Physiology Lab
We have a dedicated Gastrointestinal Physiology Lab which performs PH metry, Esophageal, and Anorectalmanometry for patients with refractory or difficult to treat Gastroesophageal Reflux Disease (GERD)/Constipation/ and Fecal incontinence. We also offer biofeedback therapy for constipation and anal incontinence.
3. Liver Unit
We have a focused Liver Unit which mainly focuses on diagnosing the cause of liver problems; optimising the treatment; and for advanced liver disease patients we offer technically demanding procedures like:
- TIPSS for patients with difficult-to-treat ascites (Fluid in the abdomen)
- Hepatic Vein Stenting/IVC Stenting for blockade of blood vessels in the liver.
- TACE/RFA for liver cancers
- Transjugular Liver Biopsy
We have a dedicated team of doctors who have vast experience in managing various liver diseases and also have performed liver transplants earlier. Our centre is awaiting permission to start the liver transplant programme shortly.
4. Endoscopic Treatment of Obesity
Our centre has the expertise for the Endoscopic Treatment of Obesity by placing balloons into the stomach endoscopically for achieving weight loss for a select group of patients.
5. Luminal Clinical
We also have a focused team that deals with Gastrointestinal Luminal problems like inflammatory bowel disease (Ulcerative Colitis and Crohn’s Disease). These patients often require regular follow-up and endoscopic procedures, and in certain difficult-to-treat patients initiating specialised treatment with biologicals.
Services
ESOPHAGEAL DISEASES
Diagnostic services
- Upper GI endoscopy for
- Retrosternal burning sensation and reflux disease
- Difficulty in swallowing
- Endoscopy with NBI for
- Early detection of esophageal cancers
- Manometry for difficulty in swallowing
- Ph Metry for reflux disease
- Endoscopic Ultrasound for
- Evaluation of submucous lesions/ growth
- Assessment of resectability of tumors
Therapeutic services
- Control of GI bleeding – EVL/EST
- Foreign body removal
- Esophageal stricture dilatation
- Esophageal stent placement
- Ballon dilatation for Achalasia
- Peroral Endoscopic Myotomy (POEM) for Achalasia
- EMR/ ESD for early esophageal cancer
STOMACH DISEASES
Diagnostic services
- Upper GI endoscopy for evaluation of
- Endoscopic Ultrasound for
- Evaluation of submucosal lesions
Therapeutic services
- Bleeding ulcer – Injection therapy, Clipping of vessel, and thermal ablation
- Glue injection for gastric varix bleed
- Stent placement for gastric outlet obstruction
- Feeding tube/ PEG tube placement
- Foreign body removal
- APC for GAVE
- EMR/ESD for early gastric cancer
- Balloon placement for treatment of obesity
PANCREATIC BILIARY DISEASES
Diagnostic services
- Endoscopic Ultrasound for
- Detection of small bile duct stones and tumors
- Diagnosis of early Chronic Pancreatitis
- Evaluation of Pancreatic Cancers
- Tissue acquisition from lymph nodes, and pancreatic lesions
- Choledochoscope/Spyglass
- For evaluation of bile duct stricture
- To rule out bile duct cancers
Therapeutic services
ERCP for
- Metal and plastic stent placement for biliary obstruction/ portal biliopathy
- Bile duct stone removal
- Endoscopic management of bile duct inuries
- Pancreatic duct stone removal
- Accessory pancreatic duct sphincterotomy and stenting for Pancreas divisum
- Drainage of pancreatic pseudocyst
- Pancreatic duct stenting for -
- Pancreatic duct stricture
- Pancreatico pleural fistula
- Traumatic pancreatic duct disruption
- Endoscopic necrosectomy
- Endoscopic Ultrasound for
- Drainage of pancreatic pseudocyst
- Celiac ganglion block/neurolysis
SMALL INTESTINAL DISEASES
Enteroscopy for diagnosis and management of small intestinal
COLONIC DISEASES
Diagnostic services
- Colonoscopy for
- Blood in stool
- Long-standing diarrhea
- Colonic obstruction
- Detecting cancers
- Endoscopy with NBI for
- Early detection of colonic cancers
- Manometry for
- Severe constipation (due to pelvic floor dysfunction)
- Fecal incontinence
- Endoscopic Ultrasound for
- Evaluation of anal sphincter defects
Therapeutic services
- Polypectomy for colonic polyps
- Endoscopic mucosal/ submucosal dissection for precancerous lesions and early cancers
- Colonic decompression
- Tumor-related obstruction (endoscopic metal stent placement)
- Non-tumor related ( Volvulus and pseudo-obstruction)
- Colonic/ piles bleeding ( Banding/ injection therapy/ Clip placement)
- Biofeedback for severe constipation and fecal incontinence
SPECIAL OPD SERVICES
- HEPATO PANCREATO BILIARY CLINIC for liver, gall bladder, bile duct, and pancreatic diseases.
- LUMINAL CLINIC for Chronic diarrhea, Ulcerative colitis, Crohn's disease, Swallowing disorders, Dyspepsia, and Reflux disease.
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