The Department of Gastrointestinal Surgery at CK Birla Hospital is among the best in offering world-class, multidimensional care for various gastroenterological diseases. From complex GI Oncology and Hepato-Pancreato-Biliary (HPB) Surgery to the vast array of Minimally Invasive and Robotic surgeries - we aim to provide the highest levels of clinical utility.
The Department of Gastrointestinal Surgery at the CK Birla Hospital, Delhi offers tertiary-level surgical care to patients with gastroenterological diseases including cutting-edge contemporary care for cancers of the oesophagus, stomach, colon, pancreas, gallbladder, and liver. The team led by Dr Neeraj Goel (MS, MCh) delivers comprehensive treatment for many complex abdominal operations using their advanced clinical expertise and a multidisciplinary approach.
Surgical treatment has a role in cholecystectomy by management of symptomatic gallstone disease and medical therapy with ursodeoxycholic acids others. ERCP is performed to clear bile duct stones or to put stents Surgical resection or liver transplantation may be necessary for biliary strictures and cancers. This means you may have a less invasive procedure called laparoscopic surgery. Treatment of primary biliary cirrhosis and sclerosing cholangitis involves lifestyle changes and medications to treat chronic conditions.
Liver disease treatment depends on the cause. Treatment of hepatitis involves use of antivirals/ immunosuppressives. Management of cirrhosis involves avoidance of alcohol, antiviral therapy and managing complications. Heart transplantation for end-stage heart and lung disease may be considered, while liver transplantation is a curative treatment for both end-stage liver disease as well as certain cancers. Fatty liver is managed by losing weight; treating NAFLD with exercise Although hepatocellular carcinoma is the second most common cause of cancer-related deaths worldwide, long-term disease-free survival is possible when tumours undergo curative treatments.
Treatment involves lifestyle changes and PPIs; surgery is appropriate in severe cases. Management involves surgical resection, chemotherapy, and radiation for esophageal cancer. Treatment of gastric ulcers with antibiotics and PPIs whereas gastric cancer can be surgically treated but some may require chemotherapy and radiation. Endoscopic procedures are considered minimally invasive and are used for early-stage cancers and benign conditions.
Laparoscopic surgery is also called minimally invasive surgery or keyhole surgery. In comparison to traditional open surgeries, laparoscopy is a modern technique for performing abdominal and pelvic surgeries. Laparoscopic procedures include making tiny incisions (as small as 0.5 cm) with the help of a camera. The recovery after these minimally invasive procedures is faster. The oncologic safety of the procedures is also well established.
Benefits include improved accuracy, smaller incisions, decreased blood loss, less pain and faster recovery using robotic-assisted surgery. It allows surgeons to work with greater precision and clear sightlines, resulting in better outcomes and faster recovery times.
The following preparation is involved in GI HPB surgery including various pre-operative investigations, stopping some of the medications, maintaining a particular diet and fasting prior to surgery. They should also organize post-operative care and adhere to specific instructions from their surgeon in order to increase the likelihood of a successful surgery.
Recovery after GI HPB surgery varies but generally includes hospital stay for monitoring, pain management, gradual return to eating, and activity restrictions. Full recovery can take weeks to months, with follow-up appointments to monitor progress and address any complications.
Treatment plans for HPB disorders are developed based on the specific diagnosis, disease stage, patient health, and preferences. A multidisciplinary team, including surgeons, oncologists, and gastroenterologists, collaborates to tailor a plan that may include surgery, medication, lifestyle changes, and follow-up care.
