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Medical Gastroenterology

Best Gastroenterology Teatment Kochi.

VPS Lakeshore holds one of the most comprehensive and efficient GI Centres in India, associating with Hepatology, GI Surgery and GI Radiology, to provide the best diagnosis and therapy of Luminal Gastroenterology, Hepatology and Pancreatobiliary diseases. The department has advanced facilities in GI Pathology, GI Oncology, Esophageal Motility and Molecular Biology.


1st Centre in Kerala, to have offered the Spyglass Cholangiopancreatoscopy, POEM, and ENS Guided coiling procedure, Lakeshore Endoscopy Unit has gained accreditation from SGEI (Society for Gastrointestinal Endoscopy in India) as one of the first Advanced Endoscopy Centre in India.   


The department is known for its broad experience of having handled nearly 10,000 cases of therapeutic ERCP.

Key Highlights


  • Advanced Endoscopic Centre
  • Endosonography
  • Division of Hepatology & Molecular Biology Services
  • Small Bowel Evaluation
    • Capsule Endoscopy


    Dr. Roy. J. Mukkada

    Senior Consultant & Head of Medical Gastroenterology, Interventional Endoscopist & Endocrinologist

    Qualification

    MD (Gen. Medicine), DNB (Gastro), MNAMS

    Experience

      • 20 years of experience in the field of Gastroenterology.
      • Has undergone advanced therapeutic endoscopy and EUS training from institute of Paoli Calmettes, Marseille, France under Dr. Marc Giovanni, Academic Medical Council - Amsterdam under Dr. Paul Fockens, University of Alabama under Dr. Shyam Varadarajulu, Medical University of South Carolina under Dr. Peter Cotton. He has undergone training of POEM (Per Oral Endoscopic Myotomy) and ESD (Endoscopic Submucosal Dissection) at Fudan University, Shanghai, China under Pro. Zhou. 

    Other Information

    Services :

    Endoscopic Centre

    • Spyglass DS Cholangiopancreatoscopy.

    • Radiofrequency Ablation (RFA) for cholangiocarcinoma.

    • Third Space Endoscopy procedures such as Per-Oral Endoscopic Myotomy [POEM] for Achalasia Cardia.

    • Submucosal Tunnelling endoscopic resection (STER), where submucosal lesions like GIST (Gastrointestinal stromal tumors) are removed endoscopically avoiding major surgery.

    • Diagnostic & Therapeutic Gastrointestinal Endoscopy of the esophagus, stomach, small bowel and colon including routine procedures such as Endoscopic Band ligation, Sclerotherapy, Polypectomy, and GI Bleeding interventions.

    • Endoscopic Retrograde Cholangiopancreatography (ERCP) for biliary and pancreatic disease (avoids major operations by endoscopic methods) including Biliary and pancreatic stent placement and Self-expanding Metal stent placement for Advanced Cholangiocarcinoma.

    • Endoscopic gallbladder drainage for Acute Cholecystitis in inoperable cases or as a bridge to surgery.

    • ESWL for shattering pancreatic and bile duct stones.

    • Laser Lithotripsy for bile duct and pancreatic duct stones.

    • Argon Plasma Coagulator to control all bleeding lesions and to treat early cancers.

    • Gold Probe for bleeding lesions.

    • Endoscopic Palliation for Gastro-Intestinal Cancer including Oesophageal, Duodenal and colonic Self-expanding Stent placements.

    • Endoscopic Mucosal resection (EMR) and Endoscopic Submucosal Resection(ESD) for Superficial tumors of the GI Tract.

    • Interventional GI Radiology including Transjugular Intrahepatic Portosystemic Shunting (TIPS), Inferior Vena Cava Stenting, Angiographic Embolisation of liver cancer(TARE), RFA for Liver Cancer, Microwave ablation and Angiographic Interventions in GI bleed.

    Endosonography

    • Endosonography for Diagnostic and Therapeutic indications of Pancreas and Bile duct including Celiac plexus block and transesophageal mediastinal interventions.

    • EUS guided Biliary Drainage.

    • EUS Guided Pseudocyst Drainage.

    • EUS Guided Pancreatic Tumour Treatment (Radiofrequency ablation of Pancreatic Tumors).

    • EUS (Endoscopic Ultrasound) guided coiling for Gastric Variceal Bleed for Portal Hypertension (Introduced in Kerala for the first time).

    Division of Hepatology & Molecular Biology

    • Handles patients with Chronic Liver disease such as cirrhosis of liver and Hepatitis including Hepatitis B and Hepatitis C.

    • Multiple trials (free treatment) currently in progress for Hepatitis and Inflammatory Bowel Disease.

    • Whole Exome Sequencing analysis and PCR for HBV DNA and HCV RNA Quantitative studies done.

    • Management of Portal Hypertension and Variceal Bleeding.

    • Management of Fatty Liver, Alcoholic Liver Disease, Pediatric Liver Disease, and Nonalcoholic Steatohepatitis.

    • Management of Drug-Induced Liver Injury.

    • Management of Acute Liver Failure and Hepatic Encephalopathy.

    • Identifying and shortlisting of patients for liver transplantation.

    • Post-transplant Management.

    Small Bowel Evaluation

    • Small bowel evaluation using Double Balloon Enteroscopy in South India, with an experience of over 1000 cases.

    • Capsule Endoscopy- for non-invasive evaluation of small bowel with a small pill which contains a camera capable of recording thousands of images as the pill goes down the intestine.

    • Conducts a Breath test, for Helicobacter Pylori and Small Bowel bacterial overgrowth.

    • Mechanical Spiral Endoscopy treatment of small bowel will be added shortly.

    Academic

    • 3 year DNB Training program in Gastroenterology and Gastrointestinal Surgery (post-doctoral) with thesis submission accredited by the National Board of Education, New Delhi.

    • Endoscopy Technician Training Program (2 years).

    • Wednesday Gastroenterology round table discussion with GI Surgery, Radiology, and Pathology departments.

    • Routine Clinical Presentations and seminars every week with Journal clubs and discussions on difficult cases.

    • Tumor board with Oncologists and Onco surgeons every week.

    Dr. Roy. J. Mukkada

    Senior Consultant & Head of Medical Gastroenterology, Interventional Endoscopist & Endocrinologist

    News & events

    01

    Aug

    അമ്മിഞ്ഞപ്പാൽ എന്ന സ്നേഹാമൃതം

    അമ്മിഞ്ഞപ്പാൽ എന്ന സ്നേഹാമൃതം - Dr. Smitha Joy, Dept of Obstetrics and Gynaecology

    03

    Aug

    The Next Phase

    A writeup on Diabetics by Dr Joseph.K. Joseph

    28

    Jul

    Hepatitis screening camp at VPS Lakeshore Hospital

    VPS Lakeshore Hospital, Kochi will organize a Hepatitis screening camp from August 01-07, 2019

    16

    Nov

    Get to know the diseases that affect the backbone

    Get to know the diseases that affect the backbone

    16

    Jun

    Lakeshore's Helping Hand for the Woman from Lakshadweep

    Lakeshore's Helping Hand for the Woman from Lakshadweep

    25

    Jun

    Automatic Patient Registration

    Automatic Patient Registration started at Lakeshore

    07

    May

    Achieving Good Asthma Control

    A writeup on achieving Good Asthma Control by Dr. Rahul Antony Simon

    03

    Apr

    IHNS Inauguration News

    IHNS Inauguration News