Gastrointestinal bleeding management at Mar Sleeva Medicity Palai in Kottayam, Kerala covers bleeding from the upper and lower digestive tract, including variceal bleeding in liver disease and obscure bleeding from the small bowel. Endoscopic treatment can locate and treat the bleeding source in the same procedure, supported by an endoscopy unit that operates with ICU level settings.
Variceal bleeding is treated with endoscopic variceal ligation, and gastric varices with EUS guided coiling and glue injection. Where the source cannot be found on standard endoscopy, capsule endoscopy and enteroscopy allow the small bowel to be examined. When endoscopic control is not achieved, interventional radiology provides embolization, with critical care support throughout.
The Department of Gastro Sciences provides comprehensive care for gastrointestinal, liver and pancreatic conditions, with advanced endoscopy, colonoscopy and hepatology services
Emergency endoscopy to locate and treat bleeding from the oesophagus, stomach and duodenum.
Colonoscopy assessment and treatment of bleeding from the colon and rectum.
Banding of oesophageal varices to stop bleeding and prevent it returning.
Targeted sealing of gastric varices under endoscopic ultrasound guidance.
Capsule imaging of the small bowel when the source of bleeding is not found on standard endoscopy.
Deep endoscopic examination of the small intestine, allowing bleeding points to be reached and treated directly.
Image guided blocking of the bleeding vessel when endoscopic treatment does not achieve control.
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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.