Gastroenterology

Gastroenterology is the department that deals with the entire gastro-intestinal tract starting from the esophagus to the rectum. It deals with the diagnosis and treatment of any pathological or physiological abnormalities.
B.P. Poddar Hospital and Medical Research Ltd. has come a long way to provide state-of-the art infrastructure that is unparalleled in Eastern India. We are not only providing a complete list of all Gastroenterological procedures, but we can boast of the latest technologies that provide a class apart diagnosis and treatment to our patients.
We are among the first to introduce 190 Series Endoscope for Gastroscopy, Colonoscopy and Endoscopic retrograde cholangiopancreatography. We are also the frontrunners in introducing Endoscopic Ultrasound and Fibroscan, Capsule Endoscopy, Hydrogen Breath Test and pH Manometry facility at our Center of Excellence.

190 Series Endoscope

190 Series is the latest type of Endoscopes which is a successor of the previous 150 Series line of Endoscope. At B.P. Poddar Hospital, the 190 Series is available with our Gastroscope, Colonoscope and ERCP (Endoscopic retrograde cholangiopancreatography). Here are the features of 190 Series Endoscope that makes it superlative.

Dual Focus

Dual Focus is based upon an innovative two-stage optical system enables the user to switch between two focus settings. With the simple push of a button, the desired observation mode can be selected: “near mode” featuring ground- breaking resolving power for close mucosal observation or “normal mode” for normal observation. Even in “normal mode”, these endoscopes endoscopes feature an advanced level of resolving power compared to previous generations.

Brighter and higher contrast Narrow Band Imaging

NBI (Narrow Band Imaging) offers a significantly increased viewable distance compared to previous generations. The improved contrast combined with this increased brightness means that NBI opens new possibilities in assisting you in lesion detection and characterization.

NBI helps in very early detection of neoplasms and any abnormal growth or ulcers. This can help early initiation of treatment and hence improve the prognosis of the disease.

White Light

White Light

NBI

NBI

Improved image quality

It offer the highest level of endoscopic image quality, ensuring outstanding colour reproduction and even brightness across the whole endoscopic image – decisive in helping you establish a diagnosis. Thanks to improved signal processing, these endoscopic feature significantly reduced levels of halation and noise.

Water Jet

An integrated Water Jet channel not only helps the observor identify the bleeding source during hemostasis but is also helpful during complex therapeutic procedures, by ensuring you always have a clear view of the endoscopic site.

Waterproof One-touch Connector

It feature a brand-new connector design no longer requiring the connection of a video cable. The connector is fully submersible, eliminating the need for a water- resistant cap.

Designed for ease-of-use

Ergonomically designed control section for enhanced colonoscope maneuverability, with easy-to-access controls and user-programmable switches.

Fibroscan

Transient Elastography which we popularly know as Fibroscan, is a specialized ultrasound specifically designed for the liver. Liver is one of the major organs of the body which had numerous functions. Due to our various lifestyle disorders and other factors, fats can get deposited around the liver. Over the years, this deposition can increase that can damage the liver leading to fibrosis and ultimately if treatment is started from the right time, it can progress to cirrhosis which is an irreversible process. This ultimately leads to liver failure or liver cancer.

Fibroscan is an advanced procedure that can detect the level of fat deposition in the liver. It can also detect if there is any Fibrosis. Fibrosis is basically scar tissue formation that caused the liver to harden.

Fibroscan is a totally painless and non-invasive procedure. Just like ultrasound, a small probe is placed over the skin near the liver. The person does not feel any pain. The entire procedure takes only 10-15 minutes. In the report, two specific parameters are demonstrated- UAP (Ultrasound Attenuation Parameter) which lets us know the level of Fatty Liver and LSM (Liver Stiffness Measurement) which provides the degree of Fibrosis.

Fibroscan has many benefits over conventional ultrasound procedure as it provides a detailed and quantitative report of the status of Liver. There is minimal risk in the procedure and therefore this can be a part of the routine and preventive examination.

Capsule Endoscopy

After pioneering in Endoscopy with the inclusion of the latest 190 Series of Gastroscope, Colonoscope and ERCP, we are revolutionizing the way we look at Endoscopy. We know that the Small Intestine is the most difficult to reach places through conventional endoscopes. Also, striving towards excellence through continuous improvement in technology and patient convenience, Capsule Endoscopy is an invaluable addition to our umbrella of complete Gastroenterology care.

In Capsule Endoscopy, the person just needs to swallow the device which is the size of capsule. As the capsule travels through the entire GI tract, it automatically takes pictures and transmits the pictures to an external device. This external device can be attached to a belt worn around the wrist. In the entire process, the person has no role to play. The capsule will pass out with the stool of the person and he/she need not collect it and provide the capsule to us. Only the device needs to be provided, through which, we will provide a detailed analysis and report to the person that will help diagnose any abnormality.

Capsule Endoscopy

Endoscopic Ultrasound

Endoscopic Ultrasound is a highly specialized Endoscopic Procedure that utilizes the use of Endoscope to reach to the area of concern and conduct an Ultrasonogoraphy at that place. Endoscopic Ultrasound comes with a specialized side mounted camera. This helps in precise and accurate diagnosis in areas which is otherwise very difficult to reach or detect using other procedures.

Endoscopic Ultrasound provides a detailed picture of the 5 layers in the wall of the Gastrointestinal Tract. It is therefore invaluable in detecting difficult to diagnose neoplastic growth even at the very early stage. Endoscopic Ultrasound can not only detect neoplastic growth, but is also helps in staging of cancer and detect if there is any metastasis of the cancer.

EUS or Endoscopic Ultrasound is also helpful in detailed examination of the Gallbladder, Pancreas and the surrounding areas which is otherwise difficult to diagnose or detect using other diagnostic parameters.

Apart from Diagnostics, Endoscopic Ultrasound can also be used for therapeutic purpose. One of the major uses of EUS is to collect Biopsy samples using Fine Needle Aspiration.

Hydrogen Breath Test

Hydrogen Breath Test in one of the new additions in the detection of Small Intestinal Bacterial Overgrowth or Lactose/Fructose Intolerance that takes convenience and compliance to next level. It is a very simple test can be conducted with ease and convenience.

In this procedure, the person is provided with sugar solution which he/she is requested to drink and asked to blow into a device. Based on how the person digests the sugar, there is changes in the amount of Hydrogen that is excreted in the breath. As the person blows into the device, this level of Hydrogen is detected, through which Doctor can diagnose if the person is suffering from Small Intestinal Bacterial Overgrowth or Lactose or Fructose Intolerance.

Esophageal Manometry and 24 Hours pH Impedance

Esophageal manometry (muh-NOM-uh-tree) is a test that shows whether your esophagus is working properly. The esophagus is a long, muscular tube that connects your throat to your stomach. When you swallow, your esophagus contracts and pushes food into your stomach. Esophageal manometry measures the contractions. The test also measures the force and coordination of esophageal muscles as they move food to your stomach.

During esophageal manometry, a thin, flexible tube (catheter) that contains pressure sensors is passed through your nose, down your esophagus and into your stomach. Esophageal manometry can be helpful in diagnosing certain disorders that can affect your esophagus.

Esophageal Manometry is often followed by a 24 Hr pH Impedance Test. Esophageal 24-hour pH/impedance reflux monitoring measures the amount of reflux (both acidic and non-acidic) in your esophagus during a 24-hour period, and assesses whether your symptoms are correlated with the reflux.

This test will involve the placement of a catheter (about the size and flexibility of a smartphone power cord) through your nasal passage, and then swallowed into your esophagus with drinks of water. The other end of the catheter will be taped to your cheek, wrapped over your ear, and attached to a small data recorder that you will wear at waist level, held by a strap over your shoulder. You will be able to swallow, talk, and breathe without any difficulty during the test.

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