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Medical Gastroenterology

Best Gastroenterology Treatment 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

    Director of GI Endoscopy, Senior Consultant & Head of Medical Gastroenterology

    Qualification

    MD (Gen. Medicine), DNB (Gastro), MNAMS, FASGE, FRCP(UK).

    Experience

        • Expert in Advanced Pancreato Biliary Endoscopy.
          • Rich experience of more than 10000 of Therapeutic ERCP.
          • Endoscopic Gall bladder drainage for Acute Cholecystitis.
          • Radiofrequency Ablation for Cholangiocarcinoma.
          •  Spyglass DS 2 Digital Cholangioscopy (The 1st in Kerala in 2012).
        • Proven expertise in Interventional EUS.
          • Pioneer in Interventional EUS in the state with experience of more than 5000 EUS.
          • EUS guided Choledochoduodenostomy (Bile duct drainage) using Hot Axios LAMS(Lumen Apposing Metal Stent) 1st time in India.
          • Expertise in Third Space Endoscopy - Endoscopic Submucosal Dissection (ESD) and Submucosal Tunnelling endoscopic resection (STER) for Superficial Gastrointestinal tumors.
          • 1st to perform Per-Oral Endoscopic Myotomy (POEM) in Kerala (2013).
          • Endoscopic Gallbladder drainage for Acute Cholecystitis Pioneer in Third Space Endoscopy.
          • EUS (Endoscopic Ultrasound) Guided angiotherapy such as coiling and/Cyanoacrylate for gastric, Duodenal and Rectal variceal Bleed.
          • EUS Guided RFA (Radio Frequency Ablation) for pancreatic neuroendocrine tumors such as Insulinoma.
          • EUS Guided Biliary Drainage.
          • EUS Guided Radio Frequency Ablation (RFA) for Cholangiocarcinoma.
        • Advanced Therapeutic Endoscopy Training.
          • Institute of Paoli calmettes, Marseille, France under Dr. Marc Giovannini -EUS.
          • Academic Medical Centre, Amsterdam under Dr. Paul Focken -EUS/ERCP.
          • University of Alabama under Dr. Shyam Varadarajulu -EUS.
          • Medical University of South Carolina under Dr. Peter cotton-ERCP.
          • Fudan University, Shanghai, China under Pro. Zhou. -POEM and ESD.

    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

    Director of GI Endoscopy, Senior Consultant & Head of Medical Gastroenterology

    News & events

    24

    Jul

    വൃക്ക മാറ്റിവയ്ക്കുന്നത് മൂന്നാം തവണ; 47കാരന് വിപിഎസ് ലേക്‌ഷോറിൽ പുതുജീവൻ

    പെരുമ്പാവൂർ സ്വദേശി തോമസ് മാത്യുവിന് (47) 2003ൽ, 29-ആം വയസ്സിലാണ് ആദ്യം വൃക്കമാറ്റിവച്ചത്. പിന്നീട് മൂന്ന് വർഷത്തിന് ശേഷം വീണ്ടും മാറ്റിവയ്‌ക്കേണ്ടിവന്നു.

    11

    Jul

    39 Year Old Pregnant Woman beats Covid-19 and Pneumonia at VPS Lakeshore

    Kiran who was admitted to the Covid treatment centre back in May, later suffered from post-covid pneumonia that was quite hard to tackle particularly during the pregnancy period.

    15

    Jul

    World Hepatitis Day 2021: VPS Lakeshore Offers Free Hepatitis Checkup

    VPS Lakeshore has come up with a special Hepatitis Day Screening Package inclusive of Liver Function Test, Hemogram, HBsAG, Anti-HCV, and Anti-HBS Titre.

    20

    Jun

    VPS Lakeshore Incorporates Sputnik V Vaccine

    Lakeshore gained access to Sputnik right in the middle of these times which witnessed a common scarcity for the vaccine.

    17

    Jul

    Webinar by Institute of Head and Neck Sciences

    Webinar on Current Concepts in Mandibular Resection, Reconstruction and Prosthetic Rehabilitation.

    01

    Jun

    The Most Advanced Cath Lab in Kerala - VPS Lakeshore

    VPS Lakeshore introduces the most advanced cath lab in Kerala, an exclusive space to perform minimally invasive investigations and procedures.

    01

    Jun

    Survival of a post-Covid symptomatic patient by VA ECMO

    A post-Covid viral myocarditis patient is saved at a critical situation by the team of VPS Lakeshore Hospital, Kochi.

    25

    May

    VPS offered jobs to trapped healthcare workers in UAE!

    കോവിഡ്-19 ന്റെ പശ്ചാത്തലത്തിൽ ജോലി വാഗ്‌ദാനങ്ങളാൽ പറ്റിക്കപ്പെടുകയും ജോലിക്കുവേണ്ടി ബുദ്ധിമുട്ടുന്നതുമായ നിരവധി നഴ്സുമാർക്ക് ജോലിനൽകി വി.പി.എസ്.