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Endoscopic Non-Ablative Radiofrequency (NARF) Treatment for Sphincter Disorders:
Sphincter disorders, especially of the entry (esophageal) and exit (anal) sphincters are the commonest, causing various disease symptoms, but with limited treatment options, both medical and surgical, and varied success rates.
Gastroesophageal reflux disease (GERD)
GERD, also known as acid reflux, is a condition where stomach contents flow back up into the food pipe (esophagus) after eating, resulting in either symptoms or complications. Symptoms include the taste of acid or bile in the back of the mouth, heartburn, bad breath, chest pain, vomiting, breathing problems, and wearing away of the teeth. Complications consist of esophagitis, esophageal strictures, and Barrett's esophagus (a precancerous condition). Treatment is typically via lifestyle changes and medications. Lifestyle changes include not lying down for three hours after eating, weight loss, eliminating certain foods, and stopping smoking. Medications include antacid, H2 receptor blockers, proton pump inhibitors, and prokinetics. Some patients will be subjected to surgical management with Laparoscopic Fundoplication, which involves making incisions in the torso and wrapping part of the stomach around the base of the esophagus, which is the gold standard for efficacy. Though surgery posts its own risks and post-operative issues, there was no other option around until recently, when Stretta therapy was introduced.
The trans-oral Stretta catheter system uses a proprietary application of RF energy that is low-power (5 Watts) and generates low temperatures (65°C to 85°C) during a series of 14 one-minute cycles which remodel the lower esophageal sphincter (LES) muscle and gastric cardia. Clinical studies demonstrate that Stretta RF treatment results in considerable reductions in tissue compliance and transient LES relaxations, as well as increased LES wall thickness due to muscle growth.
Adult Hepatology and Gastroenterology services
Endoscopic procedures for the care of liver patients are performed by well qualified and trained gastroenterologists. Complex endoscopic procedures like band ligation for bleeding varices in a cirrhotic, ERCP for a variety of biliary problems, sclerotherapy for control of ulcer bleeding etc are done. We also have capsule endoscopy and liver dialysis system (MARS) under the ambit of Hepatoenterology.
Fatty liver clinic
Apollo Hospitals now offers a novel and unique facility, the Apollo Fatty Liver Clinic. This clinic will offer a comprehensive assessment, counseling and therapy for patients with fatty liver. Special packages will be available and patients can seek advice from a liver specialist, dietician and will also be counseled on lifestyle changes, exercise, weight loss etc. Tailored diet charts and exercise programs will be arranged according to each individual's requirement. Patients are also registered for regular follow up to monitor their progress, and will be linked with other specialists like Diabetologist and Cardiologist as necessary.
Non-Alcoholic Fatty Liver Disease (NAFLD) is a condition where fat builds up in the liver even without alcohol take. When more than 5% - 10% percent of the liver's weight is made up of fat, it is called a fatty liver (Steatosis).
Endoscopy is a nonsurgical procedure performed in order to look into a person's digestive tract. Using an endoscope, a flexible tube with a light and camera attached to it, we can view pictures of the digestive tract on a TV monitor.
During an Upper GI Endoscopy, an endoscope is easily passed through the mouth and throat and into the esophagus, allowing the doctor to view the esophagus, stomach, and upper part of the small intestine.
Similarly, endoscopes can be passed into the large intestine (colon) through the rectum to examine this area of the intestine. This procedure is called sigmoidoscopy or colonoscopy depending on how far up the colon is examined.
A special form of endoscopy procedure called Endoscopic Retrograde Cholangiopancreatography, or ERCP, allows pictures of the pancreas, gallbladder, and related structures to be taken.
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