Surgical Gastroenterology
Faculty
Services
OPD Schedule
Specialty Clinics
Statistics
Courses & Short term Trainings
Research
Collaboration
Expansion plan
Surgical Gastroenterology
Vision
To be the leaders in the field of Gastro-intestinal, hepato-pancreato-biliary sciences and liver transplantation.
Mission
Our endeavor is to offer clinical and technical skills of highest standards at affordable rates to all strata of the societyalike. The department is already one of the biggest and most experienced in the country in terms of its faculty. Complex abdominal surgeries are being performed with outcomes at par with the current international standards. Minimally invasive (laparoscopic/ robotic) surgery and liver transplantation are two areas of special emphasis for the department. The process of starting liver transplantation is already underway and it will soon see the light of the day. It will be the first center to offer liver transplantation in the state of Uttarakhand and among the select few in the country to do so. The department is already performing complex laparoscopic procedures, it is the preferred approach for most surgeries for non-cancerous as well as cancerous diseases.We intend to become a centre of excellence for laparoscopic surgeries and promote safe laparoscopic surgery training among the surgeons in the adjoining states. Capacity building and training of Surgeons in the adjoining areas will be undertaken to ensure safe surgical practices and timely referral of the needy patients. The department will offer comprehensive care to the patients with digestive diseases by offering integrated services from Surgical and Medical Gastroenterology, dietetics & nutrition, stoma care and patient counselling. Super speciality course (M.Ch) in Surgical Gastroenterology was started in January 2020 with intake of two students in the session. Seats will be offered on bi annual basis so that more and more number of aspirants can be trained in this higher speciality. A number of research projects have been proposed by the departmentand will commence shortly. High quality research and structured resident training program arethe priority of the department.
Faculty
| Photo | Name & Qualifications | Designation | Areas of Interest | Email ID / ORCID ID / Research-gate Page |
|---|
Services
Services Available in the department:
- In-patient department: Surgical Gastroenterology ward is located at level 6 of C 2 block. Total bed strength is 19 which also includes four HDU beds. Ward is manned round the clock by nursing officers and a resident doctor. Faculty rounds are conducted on daily basis, and the patient management is discussed in detail in the departmental meetings so as to offer the best possible care.
- Outpatients department: Located at level 3 in C2 block, room no – 033506. Majority of the patients are referred from the adjoining areas of the state and other states. Complicated problems, either secondary to previous interventions or due to complex nature of the disease constitute the majority of patients coming to the OPD. Each patient is seen, evaluated and counseled in detail by the faculty.
- General OPD: Schedule- day and consultant wise
- Specialty Clinics/ services (Diagnostic and/or Therapeutic) Schedule- day and consultant wise
- Procedures (Diagnostic and/or Therapeutic) offered by the department: The department offers treatment for various diseases related to gastro intestinal tract. Whenever indicated, surgeries are preferably performed by laparoscopy/ robotic techniques so as to expedite the patient recovery and minimize post-operative discomfort. Complex Open/ laparoscopic surgeries are performed by the department on regular basis in OR -22, located at level 6 OT complex. Currently OR runs thrice a week (Monday, Wednesday, Friday) but it will soon be run on daily basis. Surgeries are performed with state of the art medical equipment like HD laparoscopic system, Da Vinci Xi robotic system, advanced vessel sealing devices (Harmonic, Ligasure) and water jet based liver dissector system. These advanced equipment promotes shorter surgical times, less blood loss and helps in achieving the ultimate goal of ‘safe surgery’. Clinical audit is conducted on monthly basis to maintain a standard level of care and improve the system when required.
Following conditions are dealt/procedures are performed in the department, technique (open/ laparoscopic/robotic) of surgery is individualized as per the indication for surgery, medical and social factors.
ESOPHAGUS
| Benign | Malignant |
| Fundoplication for reflux disease | Transthoracic (Thoracoscopy assited) esophagectomy |
| Myotomy for achalasia cardia | Transhiatal esophagectomy |
| Diverticulectomy | |
| Acquired tracheo esophageal fistula repair | |
| Esophageal perforation | |
| Colonic/ gastric pull up for corrosive strictures |
STOMACH
| Benign | Malignant |
| Benign gastric outlet obstruction | Radical partial/ total gastrectomies for cancer |
| Corrosive strictures | Surgeries for GIST/ Neuro endocrine tumors |
PANCREAS AND DUODENUM
| Benign | Malignant |
| Pancreatic necrosectomy | Pancreaticoduodenectomy (whipple’s procedure) |
| Frey’s procedure | Distal pancreatico splenectomy |
| Enucleation/ segmental pancreatectomies for NET’s | Surgical Ampullectomy |
| Post ERCP complications | Total pancreatectomy |
| Pseudocyst drainage (cystogastrostomy/ cystojejunostomy) |
LIVER AND BILIARY SYSTEM
| Benign | Malignant |
| Biliary stone disease | Radical cholecystectomy (Gall bladder cancer) |
| Choledochal cyst | Liver resection for tumors |
| Benign biliary strictures/ Bile duct injury | Extended resections (liver + bile ducts) for cholangiocarcinoma |
| Hepatolithiasis/ recurrent pyogenic cholangitis | |
| Hydatid disease/ other biliary or liver cysts |
PORTAL HYPERTENSION AND SPLEEN
| Shunt surgeries for non cirrhotic portal hypertension | Splenctomy for ITP/Thallessemia/ splenic cysts |
| Splenectomy for hypersplenism/ symptomatic splenomegaly | |
| Gastro esophageal devasularisation | |
SMALL INTESTINE AND APPENDIX
| Benign | Malignant |
| Acute/ chronic mesenteric ischemia | Resection for Cancer/ NET/ GIST |
| Obscure GI bleed | Mucinous tumors of appendix |
| Internal hernia/ intusucception | |
| Crohn’s disease |
COLON AND RECTUM
| Benign | Malignant |
| Restorative proctocolectomy/ total colectomy (IBD/ FAP) | Anterior/ low/ ultra low anterior resection |
| Segmental colectomy | Inter sphincteric resection |
| Surgery for rectal prolapse | Abdomino-perieneal resection |
| Trans anal minimally invasive surgery (TAMIS) |
BARIATRIC AND METABOLIC SURGERY
| Sleeve Gastrectomy | Roux- en- Y Gastric bypass |
OPD Schedule
| Consultants | Day of Week/ Time | Room No. | Other Info |
|---|
Specialty Clinics
| Day of Week/time | Specialty Clinic | Consultant in charge | Consult, if you have following issues |
|---|
Statistics
Courses & Short term Trainings
| Name of the course | Curriculum | Duration of course | Present number of students | Objectives/ brief description of the course |
|---|
Research
Projects (Extramural)
| Title | Site-Investigators | Principal Investigator | Intramural/ Extramural | Collaboration, if any (Department and institute) | Funding Agency | Projects Status |
|---|
Projects (Intramural)
| Title | Site-Investigators | Principal Investigator | Intramural/ Extramural | Collaboration, if any (Department and institute) | Funding Agency | Projects Status |
|---|
Collaboration
| Collaboration for | Collaboration with Department and institute | Services offered/ work undergoing in collaboration |
|---|
Expansion plan
Clinical Services:
- Liver transplant Program
- Bariatric surgery program
- Outreach clinics
Academics and teaching:
- PDF in HPB Surgery