Dr. Sunil T
NA- Gastrointestinal
Gastrointestinal
Overview & Features
The Department of Surgical Gastroenterology, Lisie Hospital aims at providing the standard of care in surgical gastroenterology which is affordable to every one. It deals with disorders of the digestive system which includes the esophagus, stomach, small intestine, appendix, colon, anal canal, pancreas, liver, gall bladder and retroperitoneum. The coordination of this department with Medical Gastroenterology, Oncology, Radiotherapy, Radiology, General Surgery, Anesthesia, Pathology and Microbiology helps in providing multidisciplinary care to the patient. The motto of the department is patient oriented, evidence based care.
Diseases/Conditions Treated
BILIARY TRACT
Laparoscopic cholecystectomy
Open cholecystectomy
CBD exploration
Choledochoduodenostomy
Hepatico jejunostomy for biliary stricture
Choledochal cyst excision
Extended cholecystectomy for carcinoma gallbladder
Liver resections for Cholangiocarcinoma
PANCREAS
Pancreatic necrosectomy for acute pancreatitis
Frey's procedure for chronic pancreatitis
Lateral pancreaticojejunostomy for chronic pancreatitis
Cystogastrostomy
Cystojejunostomy
Whipple's procedure for pancreatic cancer
Central pancreatectomy
Distal pancreatectomy
Surgery for pancreatic trauma
SPLEEN
Laparoscopic splenectomy
Open splenectomy
Surgery for splenic trauma
LIVER
Surgery for hydatid cyst
Deroofing of liver cyst
Hepatectomy for liver tumors
Debridement of liver abscess
Surgery for liver trauma
PORTAL HYPERTENSION
Proximal splenorenal shunt
Distal splenorenal shunt
Side to side splenorenal shunt
Mesocaval shunt
Devascularisation
Splenectomy
ESOPHAGUS
Emergency management of corrosive esophageal injury
Feeding jejunostomy for dysphagia
Retrosternal gastric pull up for esophageal stricture
Colonic bypass for corrosive esophageal stricture
Eshophagectomy (open, thoracoscopic) for esophageal cancer
Fundoplication for reflux esophagitis
Laparoscopic Heller's cardiomyotomy for achalasia cardia
STOMACH AND DUODENUM
Surgery for gastric perforation
Surgery for duodenal perforation
Surgery for complications of ulcer disease
Surgery for bleeding from stomach or duodenum
Surgery for injury to the stomach and duodenum
Surgery for corrosive stricture of stomach
Total gastrectomy with lymphadenectomy for carcinoma stomach
Proximal gastrectomy for lymphadenectomy carcinoma of the proximal stomach/GEJ
Distal subtotal gastrectomy lymphadenectomy for carcinoma stomach
Palliative gastric bypass
Classical pancreaticoduodenectomy for duodenal cancer
SMALL BOWEL
Surgery for small bowel perforation
Surgery for small bowel obstruction
Laparoscopic ileocaecal resection for tubercular stricture
Stricturoplasty for tubercular stricture
Small bowel resection for tumor
Ileostomy closure
Surgery for enterocutaneous fistula
Surgery for bleeding from small bowel
Surgery for small bowel gangrene
APPENDIX
Laparoscopic appendectomy
COLON, RECTUM AND ANAL CANAL
Restorative proctocolectomy, ileal pouch anal anastomosis for ulcerative colitis
Subtotal colectomy for constipation
Mesh rectopexy for rectal prolapse
Suture rectopexy for rectal prolapse
Thiersch wiring for rectal prolapse in debilitated patients
Resection rectopexy for rectal prolapse
Delrome's procedure for rectal prolapse
STARR procedure for obstructed defecation syndrome
Fistulectomy for fistula in ano
Seton placement for fistula in ano
Seton removal
Mucosal advancement flap for fistula in ano
LIFT procedure for fistula in ano
Open haemorrhoidectomy
Stapled hemorrhoidopexy (MIPH)
Anal sphincteroplasty for sphincter injury
Colostomy closure
Ischiorectal abscess incision and drainage for perianal abscess
Lateral internal sphincterotomy for fissure in ano
Recto vaginal fistula repair
Abdominoperineal resection for rectal cancer
Low anterior resection for rectal cancer
Ultra low anterior resection for rectal cancer
Anterior resection for rectal cancer
Right hemicolectomy for carcinoma colon
Extended right hemicolectomy for carcinoma colon
Left hemicolectomy for carcinoma colon
Subtotal colectomy for carcinoma colon
Sigmoidectomy for carcinoma colon
Pelvic exenteration for locally advanced rectal cancer
Hartmann's procedure
Biopsy of anal canal growth
Trans anal excision of rectal tumor
Segmental colectomy
Loop sigmoid colostomy for obstruction
Loop transverse colostomy for obstruction
Restoration of continuity
Hartmann's reversal
Anal dilatation for anal stenosis
Surgery for post rectal cancer surgery stricture
MISCELLANEOUS
Retro peritoneal tumor excision
Treatments
Outpatient Services
Inpatient Services
Emergency Services
Operative management
Follow Up services
Coloproctology Clinic – Special clinic for anal fistula, hemorrhoids, constipation, fissure
Stoma Clinic – for patients with intestinal Stoma
Gastrointestinal Tumor Board (With medical and radiation oncologists - for cancer patients)
Procedures Performed
The organ system based procedure list is given below. The procedures are performed by open technique or laparoscopy based on the indications.
Facilities Available:(Rooms, Technology, ICUs)
4 K Laparoscopy (first in Kerala)
Mono polar Diathermy
Bipolar Diathermy
Harmonic Scalpel
CUSA
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