Gastrointestinal Surgery and liver Transplantation

Surgical Gastroenterology and Liver Transplantation

The Department of Surgical Gastroenterology and Liver Transplantation offers high end services to patients with gastrointestinal, hepato-biliary and pancreatic diseases. Choithram Hospital and Research Centre is a high volume centre of excellence for complex abdominal and liver surgeries. It is the only department in Madhya Pradesh with a successful liver transplantation programme with local expertise. We routinely performs hepatobiliary surgery, general and advanced laparoscopic surgery, upper GI surgery, bariatric surgery and colorectal surgery.  We have complete range of diagnostic modalities including PET-CT for evaluation of GI cancers. With support from Gastroenterology, Endoscopy, Interventional Radiology, Critical care services and Medical Oncology, a combined team approach is offered for the management of complex hepatobiliary and abdominal cancer surgeries. 

Services

    Liver Transplant Services

  • Liver transplant is a life saving operation that replaces a diseased and poorly functioning liver with either whole or portion of a healthy liver.  Liver transplantation has become a well recognised treatment option for patients suffering from liver failure. At Choithram Hospital and Research Centre, the cadaveric liver transplant programme is successful with minimal cost to the patient. The team of experts at CHRC treats and supports the patients of end stage liver disease including pre-transplant and post-transplant care, as we have liver transplant dedicated team of Surgeons, Hepatologist, Anaesthetist, Intensivist, transplant coordinator and dedicated operation theatre & liver transplant ICU.

    Our department now serves as a regional centre for liver transplantation in the central India, where several successful transplants have been performed. We hope that our initiatives for cadaveric organ donation will take shape in the near future enabling us to transplant more and more patients with end-stage liver disease. It is our aim to perform Living donor liver transplant (LDLT) in upcoming future.

    Before Transplant- Diseased liver

     

    Post Liver Transplant- Healthy liver

  • Surgical Gastroenterology Services

  • Our Department of Surgical Gastroenterology and Liver Transplantation offers open as well as laparoscopic surgeries, not only for common surgical diseases like gall stones, appendicitis or hernias but also offers bariatric surgeries and surgeries for GI cancers like colorectal malignancy, pancreatic, esophageal and gastric malignancies as well.

  • Upper GI Surgeries

    • Video assisted thoracoscopic surgery(VATS) for esophageal cancer and benign diseases 
    • Corrosive stricture- Esophageal replacement surgery,  e.g.- Colonic pull-up, Gastric pull-up
    • Laparoscopic surgeries for Hiatus hernia, GERD, Achalasia cardia and diaphragmatic hernia
    • Laparoscopic and open Radical Gastrectomy 
    • Laparoscopic wedge gastrectomy for Gastric GIST

    VATS Esophagectomy- (Minimal access cancer Surgery)

  • Hepato-Biliary and Pancreatic Surgeries

    • Major hepatic resections for cancers like HCC, cholangiocarcinoma, liver metastasis and benign and infective diseases
    • Radical cholecystectomy for Gall bladder cancer
    • Whipple’s procedure
    • Surgery to treat chronic pancreatitis e.g.- Frey procedure, LPJ etc
    • Pancreatic resections for pancreatic cancer e.g.- Laparoscopic distal pancreatectomy
    • Choledochal cyst excision 
    • Surgeries for  Bile duct injury and Biliary strictures 
    • Laparoscopic cholecytectomy, laparoscopic CBD exploration
    • Laparoscopic splenectomy
    • Laparoscopic cystogastrostomy, Cystojejunostomy for Pseudocyst
    • Surgeries for Portal hypertension e.g.- Proximal splenorenal shunt and devascularisation procedure for EHPVO & NCPF

    Laparoscopic cholecystectomy

  • Small bowel and Colo-rectal Surgeries

    • Small bowel resection
    • Surgery for mesenteric cyst and mass
    • Surgery for Crohn’s disease and abdominal tuberculosis
    • Laparoscopic appendectomy
    • Surgery for ulcerative colitis- One stage/two stage/three stage surgery- Laparoscopic/open Total Proctocolectomy with Ileal pouch anal anstomosis (IPAA) 
    • Laparoscopic and open surgery for colo-rectal cancer e.g.- Lap LAR, Lap APR, Lap hemicolectomy, Lap Sigmoidectomy
    • Cytoreductive surgery and Hyperthermic intra-peritoneal chemotherapy (HIPEC) for Peritoneal carcinomatosis
    • Management and Surgery for Diverticulitis
    • Laparoscopic surgeries for rectal prolapse
    • Perineal procedures for rectal prolapse
    • STARR procedure for ODS and rectal prolapse
    • Surgery for rectovaginal fistula

      Laparoscopic Colorectal Surgery

  • Other Surgical Procedures

    • Large complex ventral hernias and recurrent hernia surgeries eg- Laparoscopic IPOM, Component separation with hernioplasty
    • Laparoscopic surgery (TEP and TAPP) for inguinal hernia
    • Minimal Invasive procedure for Haemorrhoids(MIPH)- for piles
    • Surgery for fistula in ano and fissure in ano
    • Emergency surgery for abdominal trauma and polytrauma, gastrointestinal bleeding,  peritonitis, appendicitis, intestinal obstructions etc
    • Patients with critical illness such as acute pancreatitis, enterocutaneous fistula, gastrointestinal bleeding, perforation peritonitis and those undergoing supra-major operations are managed by a modern Surgical Intensive Care Unit managed by well-trained intensivist

    Laparoscopic hernia Surgery- Mesh repair(TEP)

  • Metabolic Surgery/ Bariatric Surgery

    • Laparoscopic sleeve Gastrectomy
    • Roux-En-Y  gastric bypass
    • Mini gastric bypass

    Bariatric Surgery- Laparoscopic Sleeve Gastrectomy