Bile duct disease at Mar Sleeva Medicity Palai in Kottayam, Kerala is treated through a combination of advanced endoscopy, interventional radiology and surgical gastroenterology. ERCP combines endoscopy with fluoroscopic imaging and is primarily used to treat bile duct stones, strictures and selected causes of biliary obstruction.
Endoscopic ultrasound gives detailed images of the bile ducts and pancreas and allows tissue sampling by fine needle aspiration where a mass needs to be characterised. Where an endoscopic route is not possible, interventional radiology provides image guided biliary drainage, and the surgical team provides pancreatobiliary surgery. Cases are assessed through the HPB Clinic, where endoscopic, radiological and surgical opinion come together.
The Department of Gastro Sciences provides comprehensive care for gastrointestinal, liver and pancreatic conditions, with advanced endoscopy, colonoscopy and hepatology services
Endoscopic treatment of bile duct stones, strictures and blockages, combining endoscopy with fluoroscopic imaging for precise intervention.
Detailed imaging of the bile ducts, pancreas and surrounding structures from inside the digestive tract.
Tissue sampling of biliary and pancreatic lesions under endoscopic ultrasound guidance, avoiding open surgery.
Placement of a stent to relieve blockage of the bile duct, including blockage caused by a tumour.
Image guided drainage of an obstructed biliary system where an endoscopic approach is not suitable.
Surgical treatment of biliary conditions that require operation, by open and laparoscopic approach.
Focused assessment of complex liver, pancreatic and biliary disorders, with advanced diagnostics and surgical decision making.
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The department manages the full spectrum of gastrointestinal, hepatic, pancreatic and biliary conditions. This includes acid reflux disease, peptic ulcers, inflammatory bowel disease (Crohn’s disease and ulcerative colitis), irritable bowel syndrome, liver diseases, pancreatitis, gastrointestinal bleeding, gastrointestinal cancers and all conditions requiring diagnostic or therapeutic endoscopy.
Capsule endoscopy involves swallowing a small, vitamin sized capsule containing a tiny camera. As it passes through the digestive tract, it captures thousands of images of the small bowel, an area that is difficult to reach with conventional endoscopy. It is used to evaluate conditions such as obscure gastrointestinal bleeding, Crohn’s disease and small bowel tumours.
Most endoscopic procedures are performed under conscious sedation or short general anaesthesia, so patients typically experience minimal discomfort. The gastroenterology team at Mar Sleeva Medicity Palai ensures patient comfort and safety with ICU level monitoring during and after the procedure.
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Critical medical care for people who have life-threatening injuries and illnesses.