General gastroenterologists deal with a wide range of stomach and digestion-related diseases. They have the skills to handle hard-to-diagnose cases and offer proper care. Our team of digestive health experts works together to find, treat and prevent problems in the digestive system. This includes issues with the pancreas, stomach, liver, gallbladder, oesophagus, small intestine and colon. Meet Our Experts include: Gastroenterologists to handle and provide care for problems in the digestive system. Hepatologists focusing on problems tied to the liver, gallbladder, and bile ducts. Nurse practitioners to assist with patient care and treatment plans. Physician assistants to support medical teams in managing patient health. Our department blends top-tier technology with skilled expertise to offer advanced solutions. We focus on invasive options to address complex digestive health challenges, with key highlights including: POEM (Peroral Endoscopic Myotomy): Doctors use this less-invasive method to treat achalasia and problems related to oesophagus movement. Patients heal quicker and see great results. ESD (Endoscopic Submucosal Dissection): This technique allows precise removal of early gastrointestinal cancers while avoiding surgery helping to keep the organs working as they should. EndoVAC Therapy: Specialists rely on this vacuum-based method to close leaks and fix perforations in the GI tract. It has brought major changes to handling emergencies in gastrointestinal care. SpyGlass Cholangioscopy: This tool lets doctors see and treat bile duct issues . It provides clearer imaging and better treatment options than before. STER (Submucosal Tunnelling Endoscopic Resection): Doctors now use this advanced method to take out subepithelial tumours in the stomach and oesophagus with less invasive procedures. Capsule Endoscopy: Patients swallow a small capsule camera allowing full examination of the small intestine. It helps identify hidden GI bleeding and Crohn's disease. Celiac Plexus Neurolysis (Celiac Injection): This procedure provides focused pain relief to those dealing with pancreatic cancer or long-term pancreatitis aiming to enhance their daily comfort.

Treatment and Procedures KIMSHEALTH Gastroenterologists rely on advanced endoscopy techniques to carry out thousands of invasive procedures every year.

1. Diagnostic Procedures A. Endoscopic Diagnostic Tests: Upper GI Endoscopy (OGD) Colonoscopy Sigmoidoscopy Capsule Endoscopy Radial Endoscopic Ultrasound (EUS) 24-Hour pH Manometry Test to Measure Oesophageal Pressure (Oesophageal Manometry) Colonic Transit Study
2. Therapeutic Endoscopic Procedures A. Treatment of Polyps and Tumours: Colonoscopic Polyp Removal Removing Polyp with OGD Technique EMR or Endoscopic Mucosal Resection Endoscopic Submucosal Dissection (ESD) Technique Submucosal Tunnelling Endoscopic Removal (STER) B. Variceal Bleeding and Its Control: Sclerotherapy through Endoscopy Using Cyanoacrylate Glue Injection during Endoscopic Sclerotherapy Endoscopic Variceal Ligation Method Argon Plasma Coagulation via OGD Procedure EUS-guided Gastric Variceal Bleed Treatment Linked to Portal Hypertension C. Procedures for Dilation and Decompression: Balloon Stretching of the Oesophagus Colonoscopy with dilatation Oesophagus Expansion using OGD OGD Combined with Widening and SEMS Placement Colonoscopy for relieving blockage OGD or Achalasia Stretching Performing Peroral Endoscopic Myotomy (POEM) D. Managing Foreign Objects and Stents: Using OGD to remove foreign items Removing Gastrointestinal Stents Inserting Metal Stents in the Colon Putting Stents in the Oesophagus Enteral Stent Placement OGD with Placement of Intragastric Balloon PEG Tube Insertion Fitting a Nasojejunal Feeding Tube Procedures Linked to ERCP ERCP Technique Overview ERCP with Sphincterotomy Alongside Stone Extraction and Stent Insertion ERCP Paired with SpyGlass System Exploration ERCP Method Using Biliary Metal Stent Installation EUS-guided Procedures EUS-guided Process to Drain Bile Ducts Using EUS to Drain Pseudocysts EUS Approach to Address Pancreatic Tumour Issues EUS-guided Technique to Manage Gastric Variceal Bleeds from Portal Hypertension EUS Process to Perform Hepatogastrostomy Liver Biopsy Performed Through EUS Methods Specialised or Combined Techniques Colonoscopy with APC OGD paired with Dilation and SEMS Procedure Argon Plasma Coagulation (APC)

Conditions Treated Doctors specialising in gastroenterology and hepatology at KIMSHEALTH Clinic have significant experience caring for people with various conditions that affect the pancreas, liver, gallbladder, stomach, colon, small intestine and oesophagus. To provide the best care, these specialists partner with a team from other fields to figure out the treatment that fits your specific needs. Doctors specialising in gastroenterology and hepatology handle and treat a wide range of health problems, not limited to the ones listed below. Some services might not be available at every KIMSHEALTH location, so it’s a good idea to confirm when booking your appointment. Tools and Equipment in the Department The department uses important tools and machines for diagnosing and treating conditions. Here is a list of what they have: OGD Scope Colonoscope ERCP Scope Rectal EUS Radial Scope EUS Linear Scope Paediatric Colonoscope Single-channel scope for treatments Double-channel scope for treatments Paediatric OGD Scope pH Manometry Spyglass Rectal Manometry

Paediatric Gastro Services The Paediatric Gastroenterology Division at KIMSHEALTH Trivandrum focuses on diagnosing and treating digestive issues in children and teens. Kids often experience gastrointestinal problems that are not only different from adults in symptoms but also in the types of diseases they face. KIMSHEALTH provides a full range of diagnostic and endoscopic services like high-resolution endoscopy & colonoscopy, capsule endoscopy, motility studies, MRI enterography and CT scans for young patients. They use advanced methods and modern treatment equipment like endoscopic treatment tools, radiofrequency ablation, and minimally invasive surgical instruments for major gastric surgeries. Their team brings together specialists from departments including but not limited to paediatrics, surgery, radiology and pathology to tackle complex cases.

Paediatric hepatology & paediatric liver transplant

The KIMSHEALTH Children's Paediatric Liver Transplant & Hepatology Department helps kids with liver diseases. A dedicated team of specialists supports both the child and their family from the initial referral stage, through the transplant process when needed, and continues providing care afterwards to ensure long-term health. The reasons behind needing a liver transplant might differ, but all cases rely on focused teamwork from experts in various fields. Our team includes skilled hepatologists who treat every type of liver disease whether surgery or a transplant is needed or not. If surgery becomes necessary our transplant surgeons bring years of experience and specialise in treating children and infants. When a young child or baby requires a liver transplant, you can feel reassured knowing we have one of the top teams in the nation. To address nutritional challenges like vitamin shortages and malnutrition in liver disease patients, we also have a dedicated group of dietitians. Since liver issues are often long-term, they can change how a child or their family handles challenges. Dealing with these issues can be tough, so we bring in our transplant-focused psychologists to assist.

Special Clinic Fatty Liver Clinic Our Fatty Liver Clinic offers state-of-the-art diagnostic services to accurately assess liver health: Comprehensive liver function assessment Advanced imaging studies including FibroScan and ultrasonography Metabolic parameter evaluation Personalised risk assessment