Abdomen was termed as the "Pandora's box" for one did not know as to what was going on inside. The advent of fibreoptic endoscopy revolutionized the way the gastrointestinal tract could be viewed live. Organs that can be visualized by endoscopy include the esophagus, stomach, duodenum, colon, pancreas, and gallbladder. The pancreas and gallbladder can only be seen by a combination of highly specialized endoscopic techniques performed by gastroenterologists using x-ray guidance.
The term endoscopy refers to the inspection of the digestive tract (esophagus, stomach, duodenum, colon) by a fibreoptic flexible instument attached to a cold light source. In another variation of the technology, video endoscopes utilize a video chip and strobe light so as to capture an image which is then displayed on a video monitor. This allows careful visual inspection of the entire lining surface of the organ being examined. This is most frequently performed in order to diagnose luminal GI disease presenting with abdominal pain, heartburn and bleeding. Common lesions diagnosed with upper GI endoscopy include ulcers, esophagitis and cancer. Inspection of the lower digestive tract is called colonoscopy. This is most frequently utilized to diagnose colitis, polyps (small growths within the colon that may become cancerous over time) and cancers. Apart from its diagnostic value endoscopy is also used as a therapeutic modality especially in treatment of GI bleeding. Colonoscopy and upper endoscopy may also be suggested in order to perform laser therapy, dilation of strictures (narrowings) within the esophagus, and the removal of colon polyps or precancerous growths.
One further examination is called Endoscopic Retrograde CholangioPancreatography, or ERCP. This highly technical procedure is used to remove gallstones stuck between the gallbladder and intestines, as well as to aid in the diagnosis of many diseases of the pancreas. This procedure is performed with the help of sequential x-rays.
Generally all these endoscopic procedures are performed with light sedation, so that there is minimal discomfort. The preparation for these examinations has improved tremendously, and is no longer difficult. Endoscopy is safe and easy to perform in the hands of trained gastroenterologists and many a times obviates the need for a surgical procedure.
Dr. Sharat C. Misra
MD, DM (Gastroenterology)
Consultant in Gastroenterology & Liver Diseases
The Authorities at the hospital were very accommodating with all the assistance required in order to fulfil the procedure successfully. We felt we were looked after carefully and very well by the doctors, nurses and there assistance.
We would definitely keep in touch and hope such wonderful memories are cherished even of the cause was not good.
Good Wishes to everyone.
A couple of years back when my uncle Dr D K Tandon was diagnosed with Dementia, we were looking for a decent place where he can be taken care of. We chanced upon Vardaan Senior Citizen centre. I spoke to Dr Rekha Khandelwal and found her to be quite empathetic & considerate in her approach. My uncle is staying in Vardaan for last couple of years and we are grateful to Dr Rekha and her staff for taking care of my uncle.
My mother, Manorama Devi, was a patient of Parkinson’s disease and paralysis. We were managing her at home but due to complications of the illness and lack of trained caregivers I had to shift her to Vardaan Senior Citizens Home. Vardaan is truly home away from home and the entire staff under the able guidance of both Dr Rekha Khandelwal and Dr Rajiv Khandelwal works tirelessly to make the senior citizens feel at home.
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