The Department of Gastrointestinal Surgery at KIMSHEALTH ranks among the finest hospitals in the country for GI-related care. KIMSHEALTH focuses on delivering top-notch medical care to people dealing with problems in the gastrointestinal tract. Skilled surgeons here specialise in advanced surgical methods to improve the well-being of their patients.

The surgeons at KIMSHEALTH handle GI surgeries targeting cancerous and noncancerous conditions that involve parts of the digestive system like the stomach, oesophagus, intestines, liver, pancreas, appendix, gallbladder and bile ducts.

The surgeons at KIMSHEALTH come together as a team to create detailed treatment plans to address disorders of the GI tract. This teamwork ensures precise diagnoses and offers surgical care when necessary. Along with performing standard surgeries, our doctors are trained in using the most modern and less invasive techniques available today.

People recognise our minimally invasive surgery facility for its advanced facilities and wide range of specialised services. Our research areas contribute to the creation of innovative methods in invasive surgery.

Health problems we manage using gastrointestinal surgery include:

1. Oesophageal Issues

• Gastroesophageal reflux disease (GERD)
• Achalasia cardia
• Cancer of the oesophagus
• Tumours in the gastroesophageal junction

2. Stomach (Gastric) Conditions

• Stomach cancer
• Blockage in the gastric outlet
• Complications from peptic ulcers
• Delayed stomach emptying (Gastroparesis)

3. Liver and Biliary Tract (Hepatobiliary) Conditions

• Cancer in the liver (Primary or metastatic)
• Hydatid liver cysts
• Cancer in the gallbladder
• Congenital choledochal cysts
• Noncancerous liver tumours
• Obstructive jaundice (Yellowing from blocked bile flow)
• Biliary atresia (Blocked or damaged bile ducts in newborns)

4. Disorders of the Pancreas

• Cancer of the pancreas
• Long-term pancreatitis
• Pseudocysts in the pancreas
• Cystic growths in the pancreas
• Complications from acute pancreatitis
• Tumours in the endocrine section of the pancreas

5. Issues in the Small Bowel

• Tumours in the small intestine
• Blockages in the intestine
• Reduced blood flow to the bowel
• Crohn’s disease
• Syndrome of shortened bowel

6. Disorders of the Colon and Rectum

• Colon cancer
• Ulcerative colitis
• Familial adenomatous polyposis or FAP
• Disorders of the anorectal area like fistula, haemorrhoids, and fissures
• Prolapse of the rectum
• Pelvic muscular dysfunction
• Inflammatory bowel disease (IBD)

7. Obesity and Metabolism Issues

• Severe obesity
• Type 2 Diabetes linked to metabolic surgeries

8. Organ Failures or Multiple Organ Problems

• Liver malfunction or failure
• Kidney failure
• Failure of multiple organs

9. General Conditions in the Digestive System and Their Functions

• Mysterious bleeding in the digestive tract
• Ongoing diarrhoea
• Issues with nutrient absorption
• Narrowing of the biliary system
• Problems in the pancreatic or biliary systems

Types of Stomach and Intestinal Surgeries at KIMSHEALTH

1. Advanced Keyhole and Non-invasive GI Surgeries

• Performing laparoscopic D2 gastrectomy
• Doing laparoscopic Whipple procedures
• Carrying out laparoscopic resections for small bowel tumours
• Executing laparoscopic low anterior resections
• Conducting laparoscopic APR also known as Abdominoperineal resection
• Performing laparoscopic total proctocolectomy and creating a pouch
• Conducting laparoscopic right hemicolectomy
• Undertaking laparoscopic distal pancreatectomy
• Carrying out total or partial laparoscopic splenectomy
• Executing laparoscopic lateral pancreatic jejunostomy
• Performing laparoscopic cystogastrostomy and cystojejunostomy
• Doing a laparoscopic left hepatectomy
• Conducting laparoscopic right hepatectomy
• Performing laparoscopic left lateral segmentectomy
• Conducting laparoscopic segmentectomies
• Carrying out laparoscopic radical cholecystectomy
• Removing a choledochal cyst with laparoscopic excision
• Treating liver hydatid cysts using laparoscopic methods
• Performing laparoscopic fundoplication to treat GERD
• Performing laparoscopic Heller's cardiomyotomy

2. Upper GI Surgeries

Noncancerous conditions

• Performing fundoplication to manage GERD
• Heller’s cardiomyotomy procedure
• Creating a gastrojejunostomy
• Doing a pyloroplasty

Cancer-related (Lap/Open)

• Oesophagectomy using video-assisted thoracoscopy for oesophageal cancer
• Thoraco-laparoscopic procedures to treat GE Junction tumours
• D2 gastrectomy operation
• Oesophageal cancer surgery (oesophagectomy)

3. Colorectal Surgeries (Lap/Open)

Noncancerous lesions

• Surgeries for anorectal issues
• Procedures to treat pelvic floor problems
• Resection of parts of the small and large intestine

Cancer removal

• Low anterior resection (LAR)
• Abdominoperineal resection (APR)
• Total proctocolectomy with pouch
• Right hemicolectomy
• Surgeries for colorectal cancer
• HIPEC or Hyperthermic Intraperitoneal Chemotherapy

4. Surgeries for Hepatobiliary (HPB) Issues

For Non-cancer Cases (Laparoscopic or Open)

• Removal of the gallbladder (cholecystectomy)
• Treatment of hydatid cysts
• Excision of choledochal cysts
• Removal of liver segments

To Treat Cancer (Laparoscopic or Open)

• Complete removal of the gallbladder (radical cholecystectomy)
• Partial or complete liver removal (hepatectomy: right, left, or segmented)
• Surgical connection of the liver to the intestine (hepaticojejunostomy)

5. Pancreatic Operations

• Whipple operation (Pancreaticoduodenectomy)
• Removing the tail of the pancreas (Distal pancreatectomy)
• Lateral joining of the pancreas and small intestine (Lateral pancreaticojejunostomy)
• Connecting a cyst to the stomach or small intestine (Cystogastrostomy / Cystojejunostomy)
• Surgical removal of pancreatic tumours

6. Weight-loss Surgeries

• Surgery to treat obesity and metabolism-related problems

7. Diagnostic and Therapeutic Endoscopy Techniques

• Endoscopy for treatment
• Colon examinations (Colonoscopy)
• Oesophagus pressure testing (Oesophageal manometry)
• ERCP to study the bile and pancreatic ducts
• Ultrasound imaging through an endoscope (Endoscopic ultrasonography)
• Endoscopic removal of fluid-filled cysts in the pancreas

8. Transplants and Post-surgery Recovery

• Liver transplants (Adults and Children)
• Kidney transplants
• Pancreas transplants / Combined pancreas and kidney transplants (SPK)
• Multiple organ transplants
• Intestinal transplants and rehabilitation programs

9. GI Support and Critical Procedures

• Continuous veno-venous hemofiltration (CVVH)
• Programs to rehabilitate the intestines

Available Facilities and Tools

The Department has a team of skilled and experienced Surgical Gastroenterologists hepatobiliary & transplant surgeons who handle various surgeries related to Oesophago-gastric, Hepatobiliary, Pancreatic, Intestinal, and Colorectal cancers.

KIMSHEALTH, as a tertiary care hospital, delivers top-notch inpatient and critical care services that include:

• Intensive care unit for critical cases
• Round-the-clock coverage by intensivists
• Blood bank services available round the clock
• Support for all organ-related needs
• Emergency services operating at all hours