Gastro Sciences

One of the most advanced facilities of its kind in the region, the Centre of Excellence in Gastroenterology & Integrated Liver Care at Aster Medcity offers highly specialised Medical Gastroenterology, Surgical Gastroenterology and Liver Care services for comprehensive management of diseases and disorders of the digestive system in adults and children.

Designed to function like an independent hospital, the Centre has an outpatient division, an inpatient division, a day care unit, a state-of-the-art diagnostic / interventional radiology unit, dedicated surgical and transplant suites, ICUs and a 24-hour emergency wing to handle all medical and surgical emergencies.

The world-class medical team comprising highly-acclaimed Medical Gastroenterologists, Surgical Gastroenterologists, Hepatologists, Hepato Pancreato Biliary & Abdominal Multi-Organ Transplant Surgeons, Gastrointestinal Oncologists, Interventional Radiologists, Nuclear Physicists and Pathologists provides evidence-based, multidisciplinary treatment to patients, with the support of speciality-trained Nurses, Rehabilitation Therapists and Technicians.

Aster Centre of Excellence in Gastroenterology & Integrated Liver Care offers a wide range of diagnostic and therapeutic medical technology to ensure high-precision diagnosis, accurate treatment and the best possible outcomes.

Aster Medcity is the first hospital in the world to perform a simultaneous live-donor liver and kidney transplant on a 20-month old toddler weighing just 7 kilograms and simultaneous liver transplants in one-year old identical twins who suffered liver failure due to accidental poisoning - a first-of-its-kind case in the world.

The Integrated Liver Care Unit at Aster Medcity offers highly-advanced services for comprehensive management of complex liver diseases and hepato pancreato biliary diseases in both adults and children. The outstanding team of Doctors comprising Hepato Pancreato Biliary & Abdominal Multi-Organ Transplant Surgeons, Hepatologists, Pancreato Biliary Endoscopy experts, Hepato Biliary Radiologists/Interventional Radiologists and Liver Transplant Anesthesiologists have a collective experience of more than 2600 liver transplants, 200 pancreas and 4000 complex liver, biliary and pancreatic surgeries.

Aster Medcity is the first hospital in the world to perform a simultaneous live-donor liver and kidney transplant on a 20-month old toddler weighing just 7 kilograms and simultaneous liver transplants in one-year old identical twins who suffered liver failure due to accidental poisoning - a first-of-its-kind case in the world.

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.

Services

We provide comprehensive treatment for all types diseases under one roof. Our highly experienced doctors supported by especially trained clinical staff, ensure the best care for you.

Facilities

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

Minimal Access Robotic Surgery
Aster Medcity, 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.
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 a high-precision da Vinci Surgery Robot.

 

Advanced Features
  • PACS, HIS, and video recording integrated for single monitor control by Surgeons
  • Each Operating Room has 3 cameras and 6 monitors for Doctors to monitor patient parameters and the surgical procedures
  • Operative procedures can be transmitted live to various locations within and outside the Hospital
  • Facilities for interactive sessions during operation through live transmission of the procedure
  • Doctors can join the Surgical team and monitor the patient from any location outside the hospital
  • Da Vinci Surgical Robot for performing minimally invasive Robotic Surgery
  • State-of-the-art engineering techniques to maintain positive pressure within operating rooms along with heap filters to reduce infections
  • Individual air handling unit for each Operating Room
  • Equipped with Isocentric C Arm
  • Advanced facilities to monitor including depth of Anaesthesia, Neuromuscular Monitoring, Transcranial Doppler and 3D Echocardiogram
  • High-end Anaesthesia workstation with precision delivery of Anaesthetic gases
  • Autopilot facility Anaesthesia machines
  • Capability to export information to all ICUs within the hospital
  • Induction bay with facilities for parents to be with children during induction of Anaesthesia
  • As all Operating Rooms here are approximate of the same size, they can accommodate a variety of equipment- surgical, as well as those for ensuring the safety and protection of the patient
  • Stringent Infection Control measures followed under the surveillance of experienced Doctors
     
Anesthesia Team
  • Perioperative anesthetic care
  • Anesthesia for solid organ transplant
  • Invasive monitoring of deep hypothermic circulatory arrest and associated techniques
  • Anesthetic support for SSEP and MEP
  • Anesthesia for infants, neonates, and children
  • Anesthesia for craniofacial reconstructive and cosmetic surgery
  • Labor analgesia and obstetric Anaesthesia
  • Regional anesthetic techniques with ultrasound and PNS
  • Transesophageal echocardiography
  • Fiber optic bronchoscopy
  • Difficult intubation maneuvers
  • Intar aortic balloon support
  • Inotropes vasodilators and vasopressors
  • ECMO and LVAD assistance
  • Neuro monitoring: BIS, NIRS, neuromuscular monitoring, TCD
  • Special anesthetic techniques for awake craniotomies
  • Blood conservative measures
Seamless Team Work

The ORI Fusion Digital Integration system in the Operating Rooms helps create a workflow that’s seamless by enabling virtual participation of Doctors in the procedure, from whichever part of the world they are in at that point in time. As all medical reports and image modalities including the operation procedure can be transmitted live to any location inside or outside the hospital, Doctors can become a part of the Surgery Team on a real-time basis, wherein they can interact with Surgeons in the OR, closely monitor the procedure as well as patient parameters and contribute their expert suggestions.

  • Karl Storz OR1 Fusion Technology
  • Single monitor control enabled through integration of PAC, HIS & Video Recording
  • Live to share all image modalities & medical reports
  • 3 cameras and 6 monitors in every OR.
Waiting Lounge

Aster Medcity understands that the time of surgery is stressful for the family of the Patient as well, which is why the bystander’s waiting lounge has been designed in such a way that it provides a calming, comforting ambiance

Scenic view of the backwaters from the visitor's lounge, Recliner Chairs, Cafeteria

Guest Relation Team who updates the bystanders on patient’s progress at regular intervals and ensures a warm, hospitable atmosphere.

 

Faqs

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

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.

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.

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