Department Overview

Surgical Gastroenterology is a part of Lisie Institute of Gastroenterology and provides valuable services to treat patients with curative, preventive, rehabilitative, or surgical care. The Department of Surgical Gastroenterology, Lisie Hospital aims at providing the standard of care in surgical gastroenterology and abdominal Organ Transplantation which is affordable to everyone. This department performs treatment mainly focusing on surgery for benign and malignant cancers of the gastrointestinal system. Treatment methods other than surgery such as radiotherapy or treatment with anticancer agents are also emphasized. Department is started in 2016 with one specialized surgeon and now we utilize the services of three specialized surgeons around the clock. Last year around we performed 1100 surgeries (including minor and major).

Diseases/Conditions Treated

•  Liver, Pancreas, and Small Intestine / Multi visceral Transplantation Services.
•  Acute or Chronic Liver failures/Cirrhosis.
•  Liver, Gallbladder and pancreatic cancers.
•  Obstructive Jaundice.
•  Cystic Tumours of Pancreas.
•  Chronic Calcific Pancreatitis.
•  Cholecystitis, Gallbladder stones.
•  Cancer of oesophagus and stomach.
•  Small bowel and large bowel cancers.
•  Splenic cyst / Tumours.
•  Diaphragmatic hernia/eventration, inguinal hernia, and ventral hernias.
•  Ulcerative Colitis, Crohn's disease.
•  Colonic Polyposis.
•  Piles / Fistula / Fissure.
•  Obesity.
•  GERD, Achalasia Cardia.
•  Rectal Prolapse.
•  Type 1 Diabetes mellitus with Renal Failures.
•  Intestinal failure short gut syndromes.

Treatments

• Outpatient Services
• Inpatient Services
• 24 hours Emergency Services
• Operative management
• Follow Up services
• Coloproctology Clinic – Special clinic for anal fistula, hemorrhoids, constipation, fissure
• Stoma Clinic – for patients with intestinal Stoma
• Gastrointestinal Tumour Board (With medical and radiation oncologists - for cancer patients)

Procedures Performed

The organ system-based procedure list is given below. The procedures are performed by open technique or laparoscopy based on the indications.

Facilities Available: (Rooms, Technology, ICUs)

•  4 K LAPAROSCOPY (FIRST IN KERALA)
•  MONO POLAR DIATHERMY
•  BIPOLAR DIATHERMY
•  HARMONIC SCALPEL
•  LIGASURE VESSEL SEALING SYSTEM
•  LAPAROSCOPIC INTRAOPERATIVE ULTRASOUND
•  C-ARM IMAGE INTENSIFIER
•  CELL SAVER
• CUSA, LAPAROSCOPIC CUSA
•  HIPEC FACILITY
•  VAFT

Features

The department is equipped to perform Liver Transplantation, Pancreas Transplantation, and Small Intestine / multi-visceral Transplantation. It deals with disorders of the digestive system which include the oesophagus, stomach, small intestine, appendix, colon, anal canal, pancreas, liver, gall bladder, and retroperitoneum. The coordination of this department with Medical Gastroenterology, Oncology, Radiotherapy, Radiology, General Surgery, Anaesthesia, Pathology, and Microbiology helps in providing multidisciplinary care to the patient. Vascular access surgeries for hemodialysis are also routinely performed in the Unit. The motto of the department is patient-oriented, evidence-based affordable care.

The following procedures are regularly done in our department:

•  LIVE DONOR AND DECEASED DONOR LIVER TRANSPLANTATION
•  PANCREAS TRANSPLANTATION
•  SMALL INTESTINE / MULTI VISCERAL TRANSPLANTATION
•  LAPAROSCOPIC / OPEN CHOLECYSTECTOMY AND LIVER RESECTION
•  LAPAROSCOPIC / OPEN COLORECTAL SURGERY
•  LAPAROSCOPIC / OPEN PANCREATIC RESECTIONS
•  SURGERY FOR CHRONIC PANCREATITIS
•  LAPAROSCOPIC / OPEN HERNIA SURGERIES
•  LAPAROSCOPIC / OPEN SURGERY FOR ESOPHAGEAL AND STOMACH CANCER
•  LAPAROSCOPIC / OPEN SURGERY FOR ULCERATIVE COLITIS AND CROHN'S DISEASE
•  LAPAROSCOPIC SURGERY FOR REFLEX DISEASE & ACHALASIA
•  LAPAROSCOPIC / OPEN SPLENECTOMY
•  THORACOSCOPIC ESOPHAGEAL SURGERY
•  SURGERY FOR PILES/FISTULA/FISSURE
•  HIPEC FOR PSEUDOMYXOMA PERITONEI
•  RADIO FREQUENCY ABLATION FOR LIVER CANCER
•  LAPAROSCOPIC BARIATRIC SURGERY FOR OBESITY
•  VASCULAR ACCESS FOR HAEMODIALYSIS (AVF CREATIONS)