How to get to Department of Gastroenterology?
The Department of Gastroenterology at Noble Hospital is on the First Floor, approachable from the North side stairwell (that is from the casualty entrance). Our Appointments Desk is operative from 9 am till 8.30 pm. Regular duty hours for Endoscopy are between 9 am to 4 pm. Emergency services are available on call.
Meeting the Doctor:
Consultations are available in the morning (9.30 am – 12 noon) as well as evening (5.00 pm – 8.00 pm) hours. As patients are required to come fasting for investigations in Gastroenterology; we prefer to call new outpatients beyond 11 am. We are aware that some patients have hours of work from 11 am through 9 pm; we make an effort to accommodate such persons as is possible.
Appointments & time for Consultation:
We accept telephonic appointments (66 28 5000 – 5108); and are particular about Keeping time, as well as Giving time. New patients need about 20 – 30 minutes if seen for the first time; and about 15 minutes for follow-up visits. Special services in Gastroenterology (like Liver disease, chronic diarrheas like Inflammatory Bowel Disease, etc) need more time through each consultation; as fresh cases or follow-up.
What conditions are attended to in Gastroenterology?
You could seek consultation either based on your symptoms, or if you know you have a diagnosed condition that is well taken care of by a Gastroenterologist.
Symptoms such as the following will always find a conclusive treatment plan with us:
- Burning pain in the chest
- Nausea & vomiting
- Dyspepsia (usually referred as “acidity”, “gas” & “bloating”
- Symptoms related to difficulty in swallowing
- Jaundice & all kinds of Hepatitis
- Unexplained weight loss
- Collection of fluid in the abdomen (called ascites, by your doctor)
- Acute (sudden short term) as well as chronic diarrheas
- Bleeding in the stools
- Digestive symptoms related to Obesity and Weight Gain
- Medical problems related to alcohol use, abuse & dependency
- Screening for cancers of the digestive tracts ofr persons with a family history
Often, physicians refer specific already-diagnosed issues for expert opinion of a Gastroenterologist. Some of these are
- Gastro Esophageal Reflux Disease (GERD)
- Ulcer Dyspepsias
- Acute Hepatitis of all forms
- Specialized treatment to cure Hepatitis B & C
- Liver Cirrhosis
- Cancers of the digestive tract (Like colon cancer, pancreatic cancer, cancer of the food pipe & stomach, etc
- Inflammatory Bowel Disease (like Ulcerative Colitis & Crohn’s disease)
- Irritable Bowel Syndrome
Endoscopy refers to the passing of flexible plastic endoscopes through the mouth (“Gastroscopy”) or anus (“Colonoscopy”) to view, take samples (biopsies) and treat the accessible parts of the gut. ERCP involves passage of a flexible endoscope through the mouth into the bile ducts that drain the liver using instruments that are sophisticated and contain certain optical fibers or electronic wires enabling the doctor to see the interior of the body. In this way, ulcers, polyps (growths) or cancers can be diagnosed, as well as a variety of other digestive ailments.
At Noble Hospital, we have an extremely efficient high volume Endosopy unit which has, since inception in July 2007; recorded a consistent incremental annual growth of 13-15% per year. This has been possible due to our practice of efficient Management Principles for Work Flow.
We have also in place, periodically updated Clinical Pathways for ALL endoscopic procedures, which will assure you uniform care, whoever be it dealing with your case on a given day. We are proud of the fact that we are punctual and courteous. We are sensitive to the needs of the elderly as well as specially enabled persons. We train our staff using validated protocols for having the cleanest sterile Endoscopy services.
Procedures done in the Department:
The following therapeutic (& special) endoscopic procedures are offered in the Department
- Biopsies (taking samples of digestive organs to look for microscopic evidence of disease)
- Sclerotherapy (injection to stop bleeding from ruptured veins & ulcers)
- Dilatation (widening the passage for safe passage of food; if narrowed down)
- Polyp removal (polyps are small growths found incidentally, but are removed as they may later turn to cancer)
- ERCP with procedures for relief of obstructive jaundice & pancreatic pain.
Cases with complicated digestive disease:
The Department of Gastroenterology, networking with other specialties like Intensive Care, Oncology, Nephrology, Surgery, Internal Medicine, etc. manages patients with serious problems like
- Acute Pancreatitis,
- Liver Failure,
- Bleeding for ulcers, even in the setting of cardiac or renal disease
- Medical management of Ulcerative Colitis aimed to save patients from surgical removal of the colon
Quality Control & Training:
The Department has an atmosphere which encourages its staff in Evidence Based Medicine. We believe that if our staff is up-to-date with the Current status of treatment in the world today, anyone will be able to answer your questions regarding your medical problem. We thus have a training program in which
Nursing assistants undergo a structured and supervised SOP based training in the handling of equipment; they participate in Treatment Protocols that are based on current standards of the best hospitals in the country. They are encouraged to incorporate newer knowledge as well as innovations to help make care easier as well as cost effective.
Assistant doctors undergo protocol based learning so you are get care with the same skill each time.
As we are proud of our growth figure in absolute numbers as far as procedures is concerned, we are also proud of the fact the cost of “being fast” is not paid by “remaining incomplete”. When you are being treated in a Department which values Knowledge Management, you can be assured your treatment will always be contemporary.
Patients leave satisfied with the quality of care & completeness of advice they get regarding their condition.
You can demand from us, the current status of management of your condition; but also, you couldspecifically ask for more data on our Department’s track record with your diagnosis, so you areassured of our safety as well as results.