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

PhotoName & QualificationsDesignationAreas of InterestEmail 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

Statistics

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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