Diagnosis and management of

• Acid Peptic Disease (APD) including acute and chronic heart burn, chronic indigestion, severe abdominal pain
• Gastro-esophageal reflux disease (GERD)
• Inability to swallow (Dysphagia)
• Irritable bowel syndrome (IBS)
• Jaundice and liver diseases
• Gall stones
• Inflammatory bowel disease (IBD) like Ulcerative colitis or Crohn's diseases
• Pancreatic diseases and diseases of the liver (Pancreatitis, Pancreatic stones, Hepatitis, Obstructive jaundice, Portal hypertension)
• Cancers of the GI tract

Diagnosis and management, through High Definition Gastroscopy

• Dyspeptic symptoms of the upper GI tract or
• Suspicion of acid peptic disease / H-pylori related gastritis.
• Symptoms of GERD, Dysphagia, Odynophagia or Hematemesis.

Colonoscopy for symptoms related to lower GI tract

• Ulcerative colitis
• Crohn's disease
• To confirm the diagnosis of IBS
• To diagnose colonic polyps, diverticulii, cancers
• To evaluate bleeding from lower GI tract 
• Suspicion of a colonic growth

Capsule Endoscopy for detection of

• Small bowel pathologies like obscure GI bleeding or
• To detect other small bowel pathologies like ulcers, erosions, tumors, TB

Balloon Enteroscopy  is done if there is a strong suspicion of abnormality in the small bowel and a biopsy or therapy is required. By performing a Per-oral and Per-anal Balloon enteroscopy, entire small bowel can be scanned and treated by endoscope.

Cancer Detection and Staging with precision using diagnostic and interventional Endoscopic Ultrasonography (EUS)

-thereby enabling selection of proper mode of treatment. Very useful for cancers of the pancreas, bile ducts, gall bladder,stomach and esophagus.

For conditions like enlarged lymph nodes in the chest or abdomen due to TB or cancer, fluid collections in the chest or abdomen, which would traditionally require surgical treatment, this technique is a far better option that avoids open surgery.
To detect Bile duct stones, detect microlithiasis in the gall bladder, pick up pancreas divisum, detect masses in the Mediastinum, detect nature of submucosal tumors

Interventional EUS for acquiring Fine needle aspiration (FNAC) from pancreatic cancers, mediastinal masses, bile duct cancers, gall bladder cancers, peri-gastric or peri-colonic masses.

Therapeutic EUS for assisting biliary or pancreatic cannulation in case of a failed ERCP or performing a direct EUS guided drainage of the biliary and pancreatic system.; and for drainage of pancreatic pseudocysts.

Digital Chromo Endoscopy examination to pick up cancerous changes in the esophageal, gastric or colonic mucosa and then take targeted biopsies from it. With this technique, cancers of the upper GI tract can be picked up in the early stage when they are amenable for cure.

Interventional endoscopy for

• Esophageal dilatation for benign organic esophageal obstruction
• Dilatation /Per Oral Endoscopic Myotomy(POEM) for Achalasia Cardia
• Metallic stent placement for advanced esophageal cancers
• Endoscopic excision of early esophageal, stomach or colonic cancers by EMR / ESD
• Endotherapy of esophageal and gastric variceal bleeding
• Percutaneous endoscopic gastrostomy
• Removal of esophageal or gastric polyps
• Pyloric dilatation for Gastric outlet obstruction
• Placing metallic stents for advanced malignant duodenal blocks

The routinely performed interventional ERCP procedures are:     

• Removal of simple and difficult CBD stones    
• Biliary stenting for Bile leaks
• Plastic and Metal stent placement for malignant bile duct blocks
• Pancreatic stone removal 
• Cholangioscopy for diagnosis of bile duct cancers and laser lithotripsy (fragmentation of bile duct stones)                              
• Pancreatic stenting for pancreas divisum and pancreatic leaks
• Endotherapy for pancreatic pseudocysts
• Advanced malignant duodenal and colonic blocks

ESWL
Non surgical management of pancreatic stones using Lithotripsy (ESWL) machine, using a combination of stone pulverization with ESWL and then ERCP for ductal clearance.