Dr. Disha Syal
MS, DNB (Surgical Gastroenterologist)
(Surgical Gastroenterology)

Gastroenterology

Surgical Gastroenterology has made phenomenal advances and has created a niche for itself.

The common gastrointestinal operations continue to be part of the domain of the general surgeons, who operate over a much wider spectrum. However, several gastrointestinal operations are complicated and need a sophisticated and precise approach, which can be provided by a team of gastrointestinal surgeons, confining themselves to this area of expertise.

At SGL Hospital, we have a superspeciality Department of Surgical Gastroenterology providing exclusive and comprehensive services to patients with complicated diseases of pancreas, biliary tract, gastrointestinal tract, liver and spleen.

Advanced GI Surgical procedures offered at the department include:

Pancreas:

Pancreatic Surgery is the main thrust area of this department. The various procedures being performed are:
Necrosectomy, peritoneal drainage and procedures for acute pancreatitis.
Surgery for pseudocysts both open and laparoscopic.
Both drainage and resectional procedures for chronic pancreatitis like lateral pancreato-jejunostomy, Frey’s and other pancreatic head preserving procedures.
Whipple’s procedure and other resectional procedures for periampullary and pancreatic tumours are being done routinely.

Biliary tract:

Surgery for benign and malignant surgical obstructive jaundice including biliary strictures, CBD stones. Choledochal cyst.
Carcinoma of the gall bladder, pancreas and the bile duct.
Our experienced interventional and therapeutic endoscopies provide us with the expertise for ERCP and advanced therapeutic interventions like papillotomy, CBD stone removal and large variety of short and long term stents.

Surgery for ulcerative colitis and complicated gastrointestinal problems:

Pouch and ileoanal procedures have changed the outlook for ulcerative colitis and now patients can get rid of the disease by surgery with intact anal passage. They do not need a permanent ileostomy.
Complicated intestinal problems like multiple surgeries, intestinal fistulae etc. are being managed by an expert team.

Surgery for GI Cancers:

We have specialized Gastro-oncology surgery services. All latest facilities of advanced radiotherapy and chemotherapy are available under one roof. We have regular ‘tumour boards’ where specialists (medical & surgical oncologist, radiotherapists, pathologists and radiologists) sit together and chalk out a tailor made management plan for the individual patient. All advanced surgeries for GI cancers are being offered.
Surgery for Cancer of the oesophagus, stomach, small and large intestine.
Colorectal cancers.
Hepatobiliary and pancreatic cancers.

Surgery for Liver and Portal hypertension:

Surgery for benign and malignant tumours i.e. hepatic resections.
Portasystemic vascular shunt procedures like splenectomy and lieno-renal shunt and other shunt procedures.
Oesophago gastric devascularisation for cirrhotic patients.
Procedures for intractable Ascites.
Liver transplant – cadaveric and live related.

Surgery for GI Haemorrhage:

This area needs an integrated approach with other departments such as Medical gastroenterology, Radiology and Nuclear Medicine to identify the cause of obscure GI Bleed. The medical and the surgical team works together to provide optimal treatment to a GI bleed patient. All latest technology like capsule endoscopy, double balloon enteroscopy, CT and MR enteroclysis are available.

Laparoscopic Surgery:

Laparoscopic cholecystectomy, appendectomy and other advanced laparoscopic procedures are being performed routinely. Advanced laparoscopic surgery like colorectal surgery, GI cancer surgery and bariatric surgery are being done.
These major and complicated procedures are possible only due to state of the art operation theatres with all modern amenities and critical care ICUs equipped with the latest monitoring and therapeutic gazettes and a huge infra-structure, with the expertise of devoted medical and paramedical personnel.

Reoperative Surgery:

-Post Operative Fecal Fistulae
-Surgery for Post Cholecystectomy
Biliary & Luminal Complications & Biliary Strictures / Fistulae / Biliary Peritonitis

Intervention Gastro-Radiology:

1. Percutaneous US & CT Guided drainage of Intra-Abdominal & GI Organ (Liver / Pancreas / Pelvic) abscesses & fluid collections
2. Percutaneous Trans-Hepatic Biliary Drainage & Stenting

Stoma Clinic:

Dedicated Care of Ileostomy & Colostomy

Surgical Critical Care:

Dedicated Care of Ileosoctomy in Colostomy Surgical Critrial care.
1. ICU and Invasive & Non Invasive monitors, Ventilators, ABG with In ICU X-Ray, Ultrasound & Echocardiography
2. 24 Hours back up of Radiology (CT - US), Pathology (Lab Assays) & Blood Bank ( Colrole Blood & Components)

USP:

* (Medical) 'Care with Corupassion'
* Minimal pain & discomfort to the Patient (all intervention procedures done under adequate sedation or propofol Infusions)
* Continued effort to keep the Morbidity & Mortality of critically ill Patients under Check.

Surgical & Intervention Gastroenterology -

The mission of our department of Surgical & Intervention Gastroenterology is the understanding, prevention, diagnosis and treatment of diseases of the digestive tract and liver through the integration of novel models of healthcare delivery with innovative programs in clinical and basic research.
Our patients are cared for by teams of surgeons with broad expertise in all Surgical & Intervention forms of gastroenterological and hepatobiliary diseases. Superspecialities of exceptional endoscopic skills are available for all state of the art diagnostic and therapeutic procedures who have backgrounds from major Indian and overseas institutions. Innovation and implementation of recent development is the aim and to provide best to the patient. ICU with best of the facilities care provides the world class emergency and intensive service which often determines the final outcome in seriously ill patients. Integration and co-operation of other department provides a total care absolutely essential for today's medical excellence.

Clinical Services

Upper GI Endoscopy

Sclerotherapy and band ligation of varices
Oesophageal dilations, Foreign body Retrievals
Ballon treatment for Achalasia cardia
Prosthesis Placement
Per-cutaneous endoscopic gastrostomy

Colonoscopy

Colorectal Nepoplasia

ERCP (Endoscopic Retrograde Cholangio Pancreatography)

Extraction of stone from CBD
Stenting of CBD and pancreatic ducts

Pediatric UGI & Colonoscopy

* ERCP & Colonoscopy done under Sedation