Technology At Institute For Digestive & Liver Diseases

At BLK Hospital, our comprehensive care for our patients goes beyond the diagnosis and treatment approaches. We aim to ensure that each and every patient under our care provided with the full continuum of healthcare services. Our experts use latest and advanced technology comprises of offerings important for a faster and healthier recovery cycle.

Transjugular Intrahepatic Porto-Systemic Stenting (TIPSS) - It is a minimally invasive process which is used to create new connections between two blood vessels in the patient’s liver, suffering from severe liver problems. The doctor places the stent with the help of the catheter (a flexible tube), to connect the patient’s portal vein to one of the hepatic veins. 

Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) - An interventional radiologist uses this technique to treat patient associated with conditions of gastric varices, particularly those with prominent infra-diaphragmatic portosystemic venous shunts (e.g. gastro-renal and gastro-caval shunts).

Transcatheter Arterial Chemoembolization (TACE) - It is a minimally invasive procedure performed to blocks or slows down the blood supply to tissues or an organ having a tumour. It is performed under interventional radiology to restrict the growth of cancer cells using chemotherapy drugs to the tumour, which is called chemoembolization. The drug blocks the hepatic artery to treat liver cancer.

Transarterial Radioembolization (TARE) - It is a minimally invasive procedure that treats liver cancer by using a combination of embolization and radiation therapy. It works by blocking the supply of blood to the cancer cells and delivers a high dose of radiation to the tumour while sparing normal tissue. The procedure involves the use of intra-arterial injection of a radiolabeled embolising agent to treat end-stage liver cancer.

Endoscopic Metal Stenting- It is one of the most common palliative treatments for biliary obstruction in people with unresectable pancreatic cancer. Doctors are using it for decades to relieve the patient with severe jaundice. A metallic stent is placed into the wall of the bile duct to relieve the patient from the gastrointestinal conditions of the 

  • Oesophagus
  • Gastroduodenal
  • Biliary ducts 
  • Colon

Interventional Radiology Tumour Ablation -Radiofrequency Ablation (RFA)- It is a form of treatment of both primary and metastatic hepatic tumours that involve the use of image guidance to place a needle through the skin into a liver tumour. The radiofrequency waves are then pass through this needle (with the probe increase the temperature) within tumour tissue which results in the destruction of the tumour.

Narrow Band Imaging - It is an advanced imaging system that uses optic digital methods to enhance endoscopic images and improves the visualisation of the microvascular pattern and mucosal surface architecture. It is used is an important adjunctive tool to white-light endoscopy and helps in improving the detection of lesions in the digestive tract. 

Endoscopic Retrograde Cholangiopancreatography (ERCP)- It is a specialised technique used to study and treat problems of the liver, pancreas and occasionally of the gallbladder such as blockages (strictures), stones and other problems. It is performed using sedative that is injected into the veins. Since the complexity and length of the procedure are more as compared to other endoscopic procedures therefore, the level of sedation is deeper. 

Cholangioscopy (Spyglass)- It is a noninvasive endoscopic method used for both direct visual diagnostic evaluation and simultaneous therapeutic intervention of the bile ducts for:

  • Bile duct stones
  • Pancreatic duct stones 
  • Benign tumours
  • Malignant tumours  

The spyglass direct visual diagnostic is always used in conjunction with endoscopic retrograde cholangiopancreatography (ERCP).

Endoscopic Cystogastrostomy- It is a relatively new and less-invasive method which is recommended for conditions related to pancreatic pseudocysts. It involves the use of endoscopic ultrasound (EUS) guidance and fluoroscopy to create an opening between a pancreatic pseudocyst and the stomach from the cyst is drained into the stomach. However, to facilitate drainage from the pseudocyst a doctor uses Plastic stents to perform the transmural drainage.

Endoscopic Necrosectomy-It is a transluminal endoscopic minimally invasive procedure that has emerged as a safe and effective modality of treatment for a complication of pancreatic necrosis after acute pancreatitis. It is a new technique that involves removing dead tissue from the human body.

Endoscopic Submucosal Dissection (ESD)- It is an outpatient procedure to remove deep tumours from the gastrointestinal (GI) tract using flexible, tube-like imaging tools called endoscopes. ESD is used to treat:

  • Barrett’s oesophagus
  • Early-stage cancerous tumours (with minimal or no risk of cancer spreading) of:
    • Oesophagus
    • Stomach 
    • Colon
  • Colon polyps
  • Staging of cancer (determining the cancer level) 

Endoscopic Mucosal Resection (EMR)- It is a less invasive procedure to remove early-stage cancer and precancerous growths from the lining of the digestive tract. It is performed using an endoscope with a camera on its top. EMR is used to treat:

  • Barrett’s oesophagus
  • Early-stage cancerous tumours (with minimal or no risk of cancer spreading) of:
    • Oesophagus
    • Stomach 
    • Colon
    • Small intestine (duodenum)
  • Noncancerous growths of the uterus (leiomyomas)
  • Colon polyps
  • Staging of cancer (determining the cancer level) 

 Endoscopic Variceal Ligation (EVL)-It is the advanced way of treating oesophageal varices (enlarged veins in the oesophagus, the tube connecting the throat to the stomach), endoscopically. It helps in preventing spontaneous rupture of oesophagal veins (varices) that can lead to cause severe bleeding if left untreated.

Ulcer Endotherapy- It is a therapeutic procedure that involves the use of an endoscope to localise the intervention of Ulcer inside the digestive tract. It is performed to provide relief to the patient with chronic pancreatitis (CP) and is used as a bridge to surgery or to assess potential response to pancreatic surgery.

Molecular Adsorbent Recirculating System (MARS)- It is one of the most widely developed systems for elective removal of albumin-bound toxins from the blood. It enables detoxification of the liver and kidney simultaneously, thereby helping in improving the overall clinical condition of the patient with end-stage liver disease.
 

 

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