Holy Family Hospital & Medical Research Centre
 
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Holy Family Hospital & Medical Research Centre
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Endoscopy
How To Reach Us
Location: First Floor
Timings: Mon to Sat / 7:30 am to 4 pm
Tel No: 30610398 / 499
In-Charge: Joyce D’Souza

The invention of the endoscope redefined the word ‘surgery’ by reducing complex operations to simple day-care procedures. For patients, this meant both diagnosis and treatment of various conditions of the gastrointestinal tract (GI tract) were now less complicated, pain-free, quicker and cheaper.

Our Department of Endoscopy opened in 2003 thereafter thousands of our patients have  benefitted from the experience of our renowned endoscopic specialists and nursing staff.

We use the latest endoscopes to perform a variety of diagnostic therapeutic procedures that reduce complications, recovery time and costs.

What Is An Endoscope?
This modern medical miracle allows the visualisation of the GI tract without any incisions. This is achieved by inserting a narrow and flexible tube down the oesophagus or food pipe to reach various portions of the GI tract.

This tube has a charge-coupled device (CCD) at its tip which transmits images to a TV monitor.  A powerful light source transmits light onto the organ being studied. Endoscopes also have a third channel that allows tiny implements to be inserted for biopsies, ligation of bleeding varices and removal of foreign bodies, etc.

Types of Endoscopes
We use four types of endoscopes to expertly diagnose and treat conditions ranging from bleeding ulcers, removing stones from the common bile duct, inserting stents in blocked bile ducts and treating cancerous tumours. The type of scope used depends on the portion of the GI tract being examined.

    • Gastroscope
    • Colonoscope
    • ERCPscope
    • Bronchoscope (for the lungs)
Diganostic Tests
Our department performs the full range of diagnostic tests using various types of scopes.

Gastroscopy or EGD (Esophageal Gastro-Duodenoscopy)
This procedure enables the visualisation of the upper part of the GI tract – the foodpipe, stomach and duodenum. It is used to diagnose conditions such as oesophageal growths, infection varices, stomach ulcers, duodenal ulcers, gastritis, hiatus hernia, detection of tumours and causes of bleeding.

Colonoscopy: This procedure uses an endoscope to examine rectum and colon (large intestine). It is used to diagnose causes of bleeding, e.g. polyps, ulcerative colitis, haemmorhoids, piles, diverticuli and tumours.

Therapeutic Procedures

Endoscopes are frequently used as a therapeutic tool, allowing physicians to not only look inside the GI tract but also treat various conditions. Some of these conditions are:

1. Sclerotherapy. Used to treat oesophageal varices or bleeding vessels and bleeding duodenal ulcers. Typically, a coagulant or ‘glue’ is injected into the target enlarged veins through an endoscope.

2. Endoscopic Variceal Ligation (EVL): In this condition, veins in the oesophagus are enlarged and ‘rubber bands’ are slipped over the enlarged portion through an endoscope, to constrict the veins.

3. Percutaneous Endoscopic Gastrotomy (PEG): A gastroscope is also used to perform a PEG, where a feeding tube is inserted in the stomach through the abdominal wall. This procedure is performed in the case of stroke patients and other neurological problems which prevent them from chewing and swallowing adequately.

4. A gastroscope is also used to insert a nasojejunal tube in patients with severe pancreatitis.

5. Hemoclips can be placed over bleeding arteries especially in an ulcer.

Colonoscopy

With the use of a colonoscope, polyps can be removed (Polypectomy), bleeding lesions like divrticuli, vascular malformation, varices and ulcers can be treated.

ERCP (Endoscopic Retrograde Cholangiopancreatography)

ERCP is a therapeutic tool used to treat a variety of conditions of the bile ducts and pancreas.  It is popularly used to remove stones in the bile and pancreatic ducts.  An ECRPscope is also used to insert stents into blocked bile and pancreatic ducts.

Bronchoscopy

A bronchoscope is used to examine the delicate airways inside the lungs. It may be inserted either through the mouth or the nose and is done under local anaesthesia. When used as a therapeutic tool, tiny brushes, needles or forceps may be passed through the bronchoscope to take tissue samples for biopsies.

Minor Surgeries

Our department performs a very wide range of minor surgeries including bone marrow aspiration, various types of excisions, removal of sebaceous cysts, cauterisation, circumcision, closed reduction procedures in orthopaedic cases and removal of foreign bodies.

Out-Patient Services
Our department caters to both in-patients and out-patients. Out-patients are taken on appointment only. Appointments are taken over the telephone or in person (see department timings above), at least 24 hours in advance.

Reports
Reports for non-emergency procedures are typically available 24 hrs or 48 hrs later, depending on the nature of the test. You may collect them from the department (see department timings above).
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