Gastro Sciences

Elevating the boundaries of Gastro care.

Aster’s Medical Gastroenterology Centre possesses modern state-of-the-art equipment backed by advanced intensive care units. Equipped with a high-tech diagnosis facility to provide excellent diagnostics of diseases of the digestive and hepatobiliary systems in children and adults, our gastroenterology specialists offer expert care in a complete range of Gastroenterology. 

Gastroenterology specialists at Aster Hospitals provide global clinical services in the prevention, diagnosis, and treatment of diseases of the digestive tract and liver. Our gastroenterologists investigate and manage complex and chronic gastrointestinal, pancreatic, liver, and biliary disorders. 

The centre ensures that the most modern infrastructure supported by world-class technology is made available for our physicians to assist them in their pursuit of excellence in medical care. 

Aster Hospitals is known for its multidisciplinary collaborations that pair India’s leading experts to provide world-class and effective gastro care.

Available Hospitals

We provide excellent care, right from diagnosis to the treatment and beyond at our world-class hospitals

Our Specialities

Through our 25+ specialities, we provide in-depth expertise in the spectrum of advance medical and surgical interventions. Our specialties are integrated to provide a seamless experience.

Facilities

Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.

Endoscopy

Endoscopy

a. Facilities
Endoscopy suites with dedicated recovery area.
High definition endoscopy and endoscopic ultrasound system.
Dedicated high resolution fluoroscopy unit.
Digital spyglass and laser system.
Paediatric endoscopy, colonoscopy, ERCP
Automated endoscope disinfection and reprocessing unit.

b. Diagnostic endoscopy
Including magnification NBI for early cancer
Enteroscopy, EHS and paediatric endoscopy

c. Therapeutic endoscopy
For bleeding, foreign body impaction, bile duct stones and treatment of early cancer

Diagnostics for Gastro Science

UGI Endoscopy
Colonoscopy
Endoscopic Retrograde Cholangiopancreatography (ERCP)
Enteroscopy
Liver Biopsy
Endoscopic Ultrasonography (EUS)
Sigmoidoscopy
Side Viewing Endoscopy

Endoscopic Ultrasound EUS

Endoscopic Ultrasound EUS
For CBD stones, mediastinal node, pancreatic biliary cancer cytology and biopsy

Diagnostics

Upper GI and Lower GI Endoscopy (Diagnostic & Therapeutic)
ERCP
Capsule Endoscopy
Double Balloon Enteroscopy
Endoscopic Ultrasound- Diagnostic & Therapeutic
Oesophageal and Anorectal Manometry
24 hr GI Bleed Care
Liver Clinic- for patients with Liver & Gall Bladder diseases
IBD Clinic- Special care for ulcerative colitis &Crohn’s diseases

Minimal Access Robotic Surgery

Aster Hospitals, for the first time in Kerala, introduces Robotic Surgery with da Vinci Robot- a highly advanced surgical Robot that performs minimally invasive surgeries with utmost precision. What can be called the next level in surgery, the da Vinci Robot has multi-limbed surgical robot with tiny wrists that bend in all directions, offering precision, dexterity and fine manipulation beyond that of human hand. The Surgeon performs minimally invasive surgeries by manipulating three robotic arms and a video camera that are inserted through small skin incisions, while seated in front of a computer console with 3D video screen and controls. The option of Robotic surgery is available in the Urology, Cardiothoracic, Gynaecology, Oncology, Gastroenterology, Bariatric and Paediatric Surgery Departments at Aster Medcity.

Technology

Some of the best technologies in the hospital includes:
Kerala’s third Da Vinci surgery robot
Highly advanced infection control HEPA filters to remove air borne particles
Highly advanced diagnostic equipment to detect and diagnose various liver conditions.

Operation Theatres

ORI Fusion Digital Integrated Operation Theatres With 22 Operating Rooms that are on par with some of the largest in the world, Aster Medcity, for the first time South India, introduces ORI Fusion Digital Integrated Operation Theatres using Karlstorz OR1 Fusion - Asia Pacific’s first complete digital integration system.
The integration enables real-time sharing of images, videos and medical reports, which not only facilitates virtual participation from any location in the world, but also helps the rest of the surgical team to monitor the patient closely during the operative procedure, much to the benefit and safety of the patient undergoing the surgery.
Aster Medcity is also the first surgical facility in the state to offer Robotic Surgery using high-precision da Vinci Surgery Robot.

GI Speciality Clinics

The unit provides round-the clock clinical services (outpatient, inpatient and emergency) in managing GI and liver diseases, in both adult and paediatric.

Multidisciplinary care

Multidisciplinary care
The department of gastroenterology is an integral part of the multi-disciplinary teams which includes GI and oncosurgery, GI and interventional radiology, Hepatopancreaticobiliary care, liver transplant and GI pathology which are involved in the management of complex gastroenterology conditions.

Breath Testing

Breath Testing
Hydrogen and urea breath test

Manometry and PH

Manometry and PH
Oesophageal, anorectal, pH-impedance and biofeedback.

Faqs

Want to find out more about the treatment? The answer to your questions can be found below.

Why Aster MIMS for a Liver Transplant?

The experts work collaboratively, taking extra care of each patient’s medical condition to provide advanced care centered towards treatment and better quality of living. The hospital is equipped with superior industrial technology that offers robotics-assisted surgery for various liver conditions. In order to provide round-the-clock care, the hospital is equipped with active 24-hour services, and has upgraded facilities to treat all sorts of liver conditions, including chronic liver diseases and intensive care facilities for acute liver failure.

Success rate in Liver Transplant

It is very important for the patient to receive timely care and treatment in the case of liver diseases. A transplant can transform a life, but it is imperative to get it done at the right place to ensure chance of survival. At Aster MIMS, the doctors are highly qualified, and superbly trained in the latest treatment techniques to replace the diseased liver with a healthy one. Through procedures that impart proper care and diagnosis during the liver transplant surgeries, the patient can lead a normal life, as the liver is a unique organ in the human body capable of regeneration.

How obesity can be identified?

The ideal way to measure obesity is by calculating Body mass index (BMI) of a person. BMI is defined as a person's weight in kilograms divided by the square of his height in meters (kg/m2). Increased BMI shows high body fatness.

Do Genetic reasons cause obesity?

Genetic predisposition is one of the reasons for obesity, it is a well-known and currently proven fact. Around 43% of the general population is susceptible to become obese due to genetic factors.

Is obesity curable?

Obesity is a progressive and relapsing chronic disease which can be either prevented or reduced by losing weight by following a healthy dietary pattern and regular regimen of exercise.

What is bariatric surgery?

It is a surgical intervention to promote weight loss by making changes to your digestive system. Decreasing the size of the stomach creates a feeling of fullness when you eat.

When to opt for bariatric surgery, am I the ideal candidate?

Bariatric procedures are suggested to you if other weight management measures are failed and you suffer from obesity related health conditions

When should I be able to do exercise after bariatric surgery?

About 150 minutes of weekly exercises are suggested after the procedure, moderate activities like walking and jogging can be done depending on the individual’s health condition.

When would I be able to return to work after bariatric surgery?

Usually, it may take up to one to two weeks to return to work, depending on the type of procedure that you undergo.

What are the symptoms of liver cancer?

Most of the time the Signs and symptoms of liver cancer do not show up until the later stages, but sometimes the signs and symptoms may show up in the beginning stage.

Listed below are the common symptoms of liver cancer of hepatic cancer:

You may notice unplanned Weight loss, lack of appetite, nausea or vomiting and a feeling of fullness after having a small meal.
Enlarged liver & spleen, pain in the right shoulder blade, abdominal pain and swelling
Itching and Yellowing of the skin and eyes (jaundice)
People with hepatic cancer may experience fever, enlarged veins on the belly that can be seen through the skin, and abnormal bruising or bleeding.
Some signs and symptoms of hepatic cancer include increased blood calcium levels (hypercalcemia), Low blood sugar levels (hypoglycaemia) and high cholesterol levels

What are the main risk factors affecting liver cancer Treatment?

There are many factors which affects the liver cancer treatment which includes

Certain liver conditions:
- Non-alcoholic fatty liver
- Liver cirrhosis developed due to Chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
Diabetes: Poorly managed type 2 diabetes can make fatty liver and could make the liver cancer worse.

How liver cancer is diagnosed?

Liver cancer is diagnosed by performing following tests and procedures;

It is not possible to diagnose hepatic cancer by doing normal blood tests. A specific blood test is done to find levels of alfa-fetoprotein in serum (AFP). Increased levels of AFP indicate presence of liver cancer. Sometimes the doctor may suggest imaging studies such as a CT or MRI scan. Liver biopsy is another method used to identify malignant or benign tumour. It is done is by removing tissue from liver and examining under the microscope, liver biopsy can be done along with CT scan. Another method to identify liver cancer is by doing laparoscopy, in this procedure the surgeon assesses the signs of hepatocellular carcinoma by inserting a flexible tube with a camera and light at the tip (laparoscope) by making a small incision in the abdomen.

History of Aster Liver Transplants

Ever since then, the hospital has been judicious in adding better facilities to ensure timely care to its patients. The highly skilled team of medical professionals at the hospital performs transplants of foreign patients, while the aim of the process itself is to provide better quality of life. The surgeons follow state-of-the-art techniques in replacing the diseased organ with a healthy one. By making use of sophisticated diagnostic techniques they ensure that the surgery is productive, and the patient gets back to health with minimal hospital stay expenses.

What is Obesity?

Obesity is a complex disease characterized by abnormal or excessive accumulation of fat in body that may impair health. People who have obesity are prone to develop heart disease, diabetes, high blood pressure and cancer.

What are the causes of Obesity?

The primary cause of obesity is the energy imbalance between calories consumed and calories expended. Overweightness is commonly caused by over eating and sedentary lifestyle. For instance, if you consume high amounts of energy, particularly fat and sugars, but do not burn off the energy through exercise and physical activity, much of the surplus energy will be stored by the body as fat.

Factors that can lead to obesity are,

Increased intake of energy-dense foods that are high in fat and sugars
Decrease in physical activity due to the increasingly sedentary nature of work
Environmental and societal changes associated with development
Lack of supportive policies in health, agriculture, environment, food processing and education
Diseases – Hypothyroidism, Chronic stress, Insomnia & Hypersomnia
Eating Disorders
Smoking cessation
Drugs

What are the diseases associated with obesity?

There are several ailments associated with overweightness, an obese person has more chance to develop other disease conditions such as,

Cardiovascular diseases - Ischemic Heart Disease and Stroke
Hypertension
Insulin Resistance & Diabetes Mellitus
Dyslipidaemia
Obstructive Sleep Apnoea & Hypoventilation Syndrome
Nonalcoholic fatty liver disease - NASH – CLD
Gallbladder disorders
PCOS & Infertility
Musculoskeletal disorders - Osteoarthritis
Cancers - Endometrium, Breast, Kidney, Liver, Prostate, Esophagus, Colon.
Psychological disorders.
The risk for these diseases increases with increase in BMI.

What are the treatments available for obesity?

The aim of the obesity treatment is to maintain a healthy Body mass index (BMI) to prevent many other diseases associated with obesity. Following a healthy dietary pattern and regular physical activity helps in sustaining overall health.

Is bariatric procedure safe?

Yes, it is relatively safe procedure with the help of cutting-edge modern technology and experienced medical team at Aster Medcity, Kochi

Are there any side effects of undergoing bariatric surgery?

The side effects of bariatric surgery are relatively lesser compared to the health issues that you suffer from obesity. Some side effects may include general weakness, malnutrition, temporally hair loss. You can overcome these issues by following the guidelines from dietitian and doctor.

What are the diets to be followed after bariatric surgery?

Your dietitian will help you to follow an ideal dietary plan. Usually the diet includes foods rich in protein, vitamins, minerals, also it is important to manage the fluid intake to keep hydrated.

What are the types of liver cancer (Hepatocellular carcinoma)?

There are mainly five types of liver cancer based upon the type of cell in the liver.

Hepatocellular carcinoma (HCC)
Hepatocellular carcinoma (HCC) is a common type of primary liver cancer which affects the main liver cells called hepatocytes. People with cirrhosis and men are more prone to get Hepatocellular Carcinoma.

Fibrolamellar carcinoma
Fibrolamellar carcinoma is rare liver cancer, it comes as a subtype of Hepatocellular carcinoma and usually seen in healthy teens and adults under 40 years old. Interestingly, people diagnosed as Fibrolamellar carcinoma is not usually associated with liver cirrhosis or Hepatitis B or C infection.

Cholangiocarcinoma (bile duct cancer)
Cholangiocarcinoma is a rare liver cancer of the bile ducts, also categorized under primary liver cancer. The carcinoma begins in the section of ducts inside the liver is called intrahepatic cholangiocarcinoma.

Angiosarcoma
Angiosarcoma a type of rare liver cancer affects the blood vessels of the liver; it is commonly seen in the elderly population. Angiosarcoma is also known as soft tissue sarcoma or haemangiosarcoma.

Hepatoblastoma:
Hepatoblastoma is a kind of rare primary liver cancer that mainly affects children under 3 years old.

What causes liver cancer?

In some scenarios the cause of liver cancer is identified, for instance chronic hepatitis infection damages the DNA in the liver cells and cause liver cancer. Sometimes liver cancer occurs in patients with no underlying health conditions and it's not clear what causes it.

What are the prevention methods for liver cancer?

When it comes to prevention of liver cancer, it is really important to maintain a healthy lifestyle by doing regular exercise and following a balanced diet. Also, avoid hepatitis infection and exposure to cancer-causing substances such as aflatoxins, a toxin found on agricultural crops such as maize.

How liver cancer is treated?

Treatment of liver cancer depends upon various factors, it includes the extent of the liver cancer, patients age, health conditions and personal preferences.

Surgery: In liver surgery, the liver cancer cells and small portion of healthy liver tissue is removed to promote liver health.

Liver transplant surgery: In liver transplant surgery the diseased liver of patient is replaced by whole or partial healthy liver from another person.

Heating cancer cells. This is a minimally invasive procedure; the cancerous cells are ablated by using heat generated from medium frequency electric current.

Freezing cancer cells: liquid nitrogen is used to freeze the cancer cells with the help of a surgical instrument (cryoprobe)

Alcohol injection: In this method alcohol is directly injected to the tumour to treat liver cancer.

Injecting Chemotherapy drugs: Injecting chemotherapy drugs directly to the liver is known as chemoembolization, it can be done as stand-alone treatment or in combination with ablation or surgery.

Blogs

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