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GASTROENTEROLOGY & HEPATOLOGY

At Pinnacle Hospitals, our Gastroenterology & Hepatology department provides advanced, patient- focused care for digestive and liver disorders, using cutting-edge diagnostics, minimally invasive treatments, and expert teams to improve health and quality of life.

Advanced Diagnostic & Therapeutic Services:
  • High-End Endoscopic Procedures:
    Includes endoscopic clipping, band ligation, ulcer injection, polypectomy, argon plasma coagulation, stricture dilatation, metal stent placement, PEG tube placement, and other minimally invasive interventions for GI conditions.
  • ERCP (Endoscopic Retrograde Cholangiopancreatography):
    Used for bile and pancreatic duct stone removal, ductal stenting, and sphincterotomy—key for treating biliary and pancreatic disorders.
  • Endoscopic Ultrasound (EUS):
    First in Northern Coastal Andhra & Odisha to feature the EU-ME2 system—enabling early diagnosis of GI cancers, pancreatitis, bile duct obstructions, and performing FNAC of tumours and lymph nodes, cystogastrostomy, bile duct drainage, and celiac plexus neurolysis.
  • SpyGlass Cholangioscopy:
    An advanced cholangioscopic procedure offering direct visualisation of the bile ducts. It aids in diagnosing and treating complex biliary and pancreatic conditions, often reducing the need for invasive surgery.
    Advanced Therapeutic Procedures

    Our Gastroenterology & Hepatology department uses advanced endoscopic technology for precise, minimally invasive diagnosis and treatment, reducing the need for major surgery.

    • Endoscopic Clipping:
      Used to stop bleeding from ulcers or lesions in the digestive tract.
    • Band Ligation & Ulcer Injection:
      Effective treatments for bleeding ulcers and esophageal varices.
    • Polypectomy:
      Removal of polyps from the gastrointestinal tract to prevent cancer.
    • Argon Plasma Coagulation (APC):
      A non-contact thermal method used to control bleeding and ablate abnormal tissue.
    • Stricture Dilation:
      Widening of narrowed sections in the digestive tract to improve passage of food or bile.
    • Metal Stent Placement: 
      Insertion of expandable metal stents to relieve blockages in the esophagus, bile ducts, or intestines.
    • PEG Tube Placement:
      Percutaneous Endoscopic Gastrostomy tube placement for long-term nutritional support.
    • High-End Minimally Invasive Endoscopic Therapy:
      Utilizing the latest endoscopic techniques for precise and less invasive treatments.
    ERCP (Endoscopic Retrograde Cholangiopancreatography)

    ERCP is a sophisticated endoscopic procedure that combines endoscopy and X-ray imaging to diagnose and treat problems of the bile and pancreatic ducts.

    • Bile Duct and Pancreatic Duct Stone Removal:
      Effectively removing gallstones or pancreatic stones that cause blockages.
    • Bile and Pancreatic Duct Stenting:
      Placing stents to open blocked or narrowed ducts, ensuring proper drainage.
    • Sphincterotomy:
      Making a small incision in the sphincter of Oddi to facilitate stone removal or improve bile flow.
    Endoscopic Ultrasound (EUS)

    Pinnacle Hospitals is proud to be the first in Northern Coastal Andhra and Odisha to be equipped with the EU-ME2 (Endoscopic Ultrasound Machine). This advanced technology significantly aids in the early and precise diagnosis of various gastrointestinal conditions, offering detailed imaging and interventional capabilities:

    • Early Diagnosis of Gastrointestinal Cancers:
      Provides highly detailed images to detect and stage cancers of the GI tract, pancreas, and bile ducts at an early stage.
    • Pancreatitis:
      Helps in accurately diagnosing the cause and extent of pancreatitis.
    • Bile Duct Obstruction:
      Identifies the cause and location of blockages in the bile ducts.
    • FNAC of Tumors & Lymph Nodes:
      Enables precise image-guided fine needle aspiration (FNAC) for biopsy of tumors and lymph nodes, crucial for accurate diagnosis.
    • Cystogastrostomy:
      Formation of an opening between a pancreatic pseudocyst and the stomach for drainage.
    • Drainage of Bile Ducts:
      Therapeutic intervention to drain obstructed bile ducts.
    • Celiac Plexus Block/Neurolysis:
      EUS-guided injections for pain management in conditions like chronic pancreatitis and pancreatic cancer.
    Spyglass Cholangioscopy

    SpyGlass Cholangioscopy represents a significant advancement in the field of medicine, allowing our doctors to directly visualize the inside of your bile ducts using a very thin, flexible instrument called a cholangioscope. This cutting-edge technology helps in dealing with complex biliary problems, often enabling us to avoid intricate surgical procedures and offer simpler, more direct solutions. It is invaluable for both diagnosing and treating various conditions affecting the liver, bile ducts, and pancreas.

    • Endoscopic Clipping: 
      Management of gastrointestinal bleeding and mucosal defects.
    • Band Ligation & Ulcer Injection:
      Effective treatment for varices and bleeding ulcers.
    • Polypectomy:
      Safe removal of polyps from the digestive tract.
    • Argon Plasma Coagulation:
      Non-contact technique for treating bleeding lesions.
    • Stricture Dilatation:
      Non-surgical widening of narrowed segments in the GI tract.
    • Metal Stent Placement:
      Relief of obstructions in the bile duct, esophagus, or colon.
    • PEG Tube Placement:
      Nutritional support for patients unable to swallow.
    • High-End Minimally Invasive Endoscopic Therapy:
      Advanced interventions with minimal discomfort and rapid recovery.
    Specialised Endoscopic Services
    ERCP (Endoscopic Retrograde Cholangiopancreatography)

    Our experts perform ERCP for the diagnosis and treatment of bile duct and pancreatic duct disorders, including:

    • Stone removal
    • Stenting of bile and pancreatic ducts
    • Sphincterotomy and other therapeutic interventions
    Endoscopic Ultrasound (EUS)

    Pinnacle Hospitals is proud to be the first in Northern Coastal Andhra and Odisha to offer the advanced EU-ME2 Endoscopic Ultrasound system. EUS enables early and accurate diagnosis of:

    • Gastrointestinal cancers
    • Pancreatitis
    • Bile duct obstruction
    • Tumours and lymph nodes (with FNAC)
    • Cystogastrostomy and drainage procedures
    • Celiac plexus block and neurolysis for pain management
    Our Subspecialties
    • Bariatric Endoscopy: 
      Minimally invasive endoscopic solutions for weight management, obesity, and related metabolic disorders.
    • Pancreas:
      Specialised care for pancreatitis, pancreatic cancer, cysts, and related conditions.
    • Luminal Gastroenterology:
      Diagnosis and treatment of oesophagus, stomach, small intestine, and colon disorders.
    • Hepatology:
      Comprehensive management of liver diseases, including hepatitis, cirrhosis, and liver failure.
    • Third Space Endoscopy:
      Advanced minimally invasive procedures for complex GI conditions like achalasia, tumours, and Zenker’s diverticulum.