Specialities

Specialities  ⁄  Centers of Excellence  ⁄  Gastroenterology  ⁄  Gastro-Conditions

Department of Gastroenterology and Hepatobiliary Sciences & Liver Transplant

Conditions & Treatment

Inflammatory Bowel Disorder

Treatment
The treatment for IBD can either be medical or surgical and in many patients, a combination of both. The course for the treatment would largely depend on its form. The medical approach for patients with IBD is both symptomatic care and mucosal healing.

Oesophageal

Treatments
The treatment for the Oesophageal Cancer depends on the cellular type of cancer, the stages and the general condition of the patient and presence of other diseases. Below are the treatment options available for Oesophageal Cancer:

  • Surgery: When the cancer is only in the Oesophagus and has not spread, surgery will be done. The cancer and part, or all, of the Oesophagus is removed. The surgery may be done using:
    • Open surgery, during which one or two larger incisions are made.
    • Minimally invasive surgery, during which a 2 – 4 small incisions are made in the belly.
  • Esophageal stent may be inserted to keep the Oesophagus patent.
  • A Nasogastric Tube may be necessary to continue feeding while treatment for the tumor is given.
  • Esophagectomy, the removal of a segment of the esophagus can be performed if necessary.
  • Radiation and Chemotherapy: If the patient is too ill to have major surgery or the cancer has spread to other organs, Chemotherapy or Radiation may be used to help reduce symptoms. This is called Palliative Therapy. Either Chemotherapy or Radiation, or both may be used to shrink the tumor and make surgery easier to perform.
  • Photodynamic Therapy: A special drug is injected into the tumor and is then exposed to light. The light activates the medicine that attacks the tumor.

Peptic

Treatments
Below are the treatment options available for Peptic Ulcer:

  • A combination of medications is prescribed to kill the H. Pylori Bacteria, and reduce acid levels in the stomach.
  • Patients on non-steroidal anti-inflammatory drugs (NSAIDs) can also be prescribed a Prostaglandin Analogue (Misoprostol) in order to help prevent peptic ulcers.
  • Most of the bleeding ulcers require endoscopy/ gastroscopy urgently to stop bleeding with cautery, injection, or clipping. In rare cases, where gastroscopy does not stop bleeding, emergency surgery is performed. During surgery, a small bleeding vessel is tied up and the ulcer is ‘oversewn’.

Colon

Treatments
Treatment for Colon Cancer depends on the stage of the cancer. Below are the treatment options available for Colon Cancer:

  • Surgery to remove cancer cells.
  • Chemotherapy is done to kill cancer cells.
  • Radiation therapy is done to obliterate cancerous tissues.
  • Colonic stent.

Acute-chronic Gastritis

Treatments
Below are the treatment options available for Acute-chronic Gastritis:

  • Taking antacids and other drugs to reduce stomach acid.
  • Avoiding hot and spicy foods.
  • Eliminating irritating foods from diet such as lactose from dairy or gluten from wheat.

Dyspepsia

Treatments
Below are the treatment options available for Dyspepsia:

  • • Lifestyle changes.
  • • Changes in eating habits.
  • • No smoking or chewing of tobacco.
  • • Losing weight.

Gallstones

Treatment
If gallstones don’t cause pain or other symptoms, then no treatment is required. In rare cases, doctors may advise surgery for gallstones that cause trouble.