ENTEROSCOPY

Enteroscopy

An endoscope is a flexible tube with light and camera at one end. Enteroscopy is an endoscopic procedure used for visualization of small intestine which cannot be seen during conventional upper or lower GI endoscopies. Apart from visualization, diagnostic (taking biopsies) or therapeutic (removal of polyp, achieving hemostasis) procedure can also be performed. Sometimes, some other tests like CT scan, upper GI endoscopy, colonoscopy and/or capsule endoscopy may be performed prior to advising Enteroscopy.
At present, Prime hospital is the only center in Saurashtra-Kutch region to have the facility and expertise to perform enteroscopy.

Our area of clinical expertise include:

Indications
❖ Acute bleeding from digestive tract, when upper GI endoscopy and colonoscopy fail to identify the source of bleed ❖ In evaluation of iron deficiency anemia to find out obscure GI bleed ❖ For diagnosis of small bowel diseases like Crohn’s or Koch’s ❖ For diagnosis of chronic small bowel diarrhea ❖ Malnutrition ❖ Radiation enteritis ❖ Suspected or confirmed small bowel tumors
Pre-procedure preparation:
❖ Stop taking orally from the previous night. Plain water can be taken up to 4 hours prior to the procedure ❖ Sometimes, you need to stop certain blood thinning agents for 5-7 days prior to the procedure depending on the indication. ❖ Do not take anti-diabetic medicine on the day of the procedure
Procedure:

It is done under general anesthesia. It may take 1 to 2.5 hours. The endoscope is passed through oral cavity or sometimes through anal canal and is reached till small intestine to see the desired part of the small intestine (duodenum, jejunum and ileum). Diagnostic or therapeutic procedure is performed by using various accessories which can be passed through the separate channel available in the enteroscope. Once the procedure is over, the patient is brought back into conscious state and shifted to the recovery area. Oral intake can be resumed from 3 to 24 hours� time period depending on the procedure performed.

Complications
❖ Sore throat ❖ Abdominal cramp, bloating, nausea, vomiting ❖ Blood in stool ❖ Rarely, pancreatitis, perforation

DEPT OF MEDICAL GASTROENTEROLOGY

DR. K. K. RAWAL (MD, DM – GASTRO)
DR. AVVAL  K. SADIKOT (MD, DNB-GASTRO)
DR. CHINTAN H. KANSAGRA (MD,DNB – GASTRO)
DR. CHINTAN M. MORI (MD,DNB – GASTRO)