Small Bowel Bleeding Gastroenterology

Gastroenterlogists should confirm Small Bowel Bleeding after examining the performance of a normal upper and lower endoscopy of the patients.

Second look examination using upper endoscopy, push enteroscopy and colonoscopy can be performed if indicated before small bowel evaluation.

Stomach doctors suggests after examination of small bowel bleeding, Video capsule endoscopy should be considered. Deep enteroscopy can be carried out when endoscopic evaluation and therapy are required.

Video capsule endoscopy should be performed before deep enteroscopy if there is no contraindication.

When there is acute overt hemorrhage in the unstable patient, angiography should be performed emergently.

Hepatitis B Gastroenterology

Patients who all are undergoing immounosuppresive drug therapy should be recommended with Antiviral prophylaxis. Gastroenterology Hospitals suggests that the treatment for Hepatitis B should be continued for at least 6 months after discontinuation of immunosuppressive therapy.

Patients who all are undergoing immunosuppresive drug therapy but at low risk for Hepatitis B reactivation, Gastroenterologist suggests not to have antiviral prophylaxis regularly.

Treatment should be continued for 6 months after discontinuation of immunosuppressive therapy.

Lynch Syndrome Gastroenterology

The patients whose not having a personal history of colorectal or another cancer but with a family history suggestive of Lynch syndrome, risk prediction models should be offered rather than proceeding directly with germ-line genetic testing.

Colorectal Cancer Patients should be tested with either immunohistochemistry or for microsatellite instability to identify potential cases of Lynch syndrome versus doing no testing for Lynch syndrome.

Rather than going directly to germ-line genetic testing, Second stage Colorectal cancer patients should be performed BRAF Mutation annd MLH1 promoter.

Aspirin should be offered for cancer prevention in patients with Lynch Syndrome.

Barrett Esophagus Gastroenterology

In patients with nondysplastic BE and no dysplasia on endoscopic mucosal resection, the gastroenterologist recommends against endoscopic ablative therapies because of the low risk of progression to esophageal adenocarcinoma. The Stomach Doctors recommends surveillance only every 3-5 year.

The patients having high grade dysplasia whose lesions were completely resected, endoscopic mucosal resection should be followed by endoscopic ablative therapy to decrease the risk of recurrent dysplasia. The diagnosis of high grade dysplasia should be confirmed by the pathologist experienced in Barrett associated neoplasia.

All stomach doctors who practice endoscopic ablative procedures should also offer endoscopic mucosal resection, which is typically required before application of radiofrequency ablation.

Park is one of the best Gastroenterology hospital in India which provide treatments for all gastric diseases and stomach pain. Stomach doctors offer one of the finest treatments for their patients with “A” grade facilities provided by Park Gastroenterology hospital. Gastroenterologist at Park hospital recommends key treatments to the patients who are diagnosed with above mentioned diseases. Park Gastroenterology hospital have presence in Faridabad, Panipat, Gurgaon, Karnal and Delhi.