Gastroenterology

Gastroenterology

Gastroenterology

Endoscopic services provided by GI unit at ESH

  • Upper GI Endoscopy ( Esophago-Gastro-Duodenoscopy), with detailed and thorough examination of upper GI tract ( esophagus , stomach and duodenum),high level expertise in using NBI ( narrow band imaging ) to detect early pre-malignant and malignant lesions
  • Colonoscopy, detailed and through examination with extensive experience in detecting, pre cancers and cancerous lesion
  • Advanced therapeutic endoscopic procedures including;
  • 1-EMR ( Endoscopic Mucosal Resection) of large polyploidy lesions, pre-cancerous and cancerous lesions ( early stages), in the colon, Esophagus, and stomach, avoiding patients to undergo major surgical intervention and large operations
  • 2-Placement of esophageal, duodenal and colonic metal stents, to relieve obstruction.
  • 3-CRE Balloon dilatation of strictures in esophagus, stomach, duodenum and colon.
  • 4- Endoscopic management of gastrointestinal tract bleeding, both upper and lower GI tract ( esophagus, gastric, small intestine and colon), including ; adrenaline injection, APC ( Argon Plasma Coagulation), Gold Probe treatment, Endoscopic clips, , Esophageal varices banding, Histo-Acryle Glue injection to gastric varices.
  • Diagnostic and Interventional EUS ( Endoscopic Ultrasound)
  • obtaining samples ( FNA) from lesion in pancreases, liver, Para esophageal and intra-abdominal lymph nodes, submucosal benign and malignant lesion in esophagus, stomach, duodenum and distal colon.
  • Detailed and accurate assessment of pancreatic and biliary system
  • Staging of esophageal, gastric , pancreatic and rectal tumors
  • Advanced Therapeutic ERCP;
  • Extraction of multiple and large common bile duct stones (CBD) stones ( gall stones fallen into the biliary system) using balloon and lithotripsy
  • Plastic and Metal biliary stent insertion to relieve biliary strictures
  • CRE balloon dilation and cytology brushing of biliary strictures
  • Single and Double balloon Enteroscopy for assessment of small intestinal
  • Both diagnostic and Therapeutic
  • Capsule Endoscopy for assessment of small intestine
  • Gastric Baloon for weight reduction

Appropriate Indications for Gastroenterology Referrals

  • Reflux symptoms ( heart burn) ;
  • Uncontrolled with medical therapy ( 4 weeks of PPI therapy)
  • Controlled with PPI therapy, but more than 5 years , plus any two of the following critera
  • BMI > 30
  • male patient
  • white
  • hiatus hernia
  • > 50 years old
  • positive Fhx for esophageal cancer
  • Persistent or recurrent Helicobacter infection
  • New onset dyspepsia in any patient > 50 years old
  • Dysphagia at any age, all types, new onset, progressive, intermittent
  • Non cardiac chest pain
  • chronic cough ( respiratory causes excluded)
  • Abdominal pain, new onset, chronic , intermittent
  • Weight loss
  • patient > 40 year old, with change in bowel habit, shape, caliber, consistency, frequency
  • Diarrhea > 4 weeks ( chronic ), persistent or intermittent
  • fecal consistence
  • Constipation
  • Rectal bleeding ( any), melena
  • positive Fhx for colon cancer
  • positive Fhx for Gastric cancer
  • Anemia
  • Iron deficiency in male patient > 50 years old
  • Vitamin B12 deficiency
  • positive FIT test
  • Overweight

Services Provided at ESH

  • Investigations and management of weight loss, diarrhea, rectal bleeding, un-explained and vague abdominal symptoms
  • Diagnosis and management of Gastro-Esophageal Reflux Disease (GERD), including medical, endoscopic and surgical management
  • Diagnosis and management of esophageal dysmotitly ( e.g diffuse esophageal spasm, achalasia)
  • Medial and surgical treatment for Barrett’s esophagus
  • Diagnosis and management of Peptic Ulcer Disease.
  • Treatment Helico-bacter infection, persistent or recurrent
  • Diagnosis and management of non ulcer dyspepsia
  • diagnosis and management of celiac disease
  • Diagnosis and management of inflammatory bowel disease ( ulcerative colitis, Crohn’s disease), with extensive experience in the use of immunomodulators and biologic therapy
  • Diagnosis and management of function bowel disorders ( e.g Irritable bowel syndrome)
  • Diagnosis and management of acute and chronic liver diseases, including Viral hepatitis ( hepatitis A, hepatitis B, hepatitis C, hepatitis E and hepatitis D), Haemochromatosis, Fatty Liver Disease, NASH ( Non Alcoholic SteatoHepatitis), AIH ( Autoimmune hepatitis), PBC ( Primary Biliary Cirrhosis), Wilson’s disease, alfa-1 antitrypsin deficiency,
  • Management of pre- and post liver transplant care ( UK experience, Queen Elizabeth Liver Transplant Centre)
  • Diagnosis and management of solid and cystic pancreatic lesions, including benign,
  • pre-malignant and malignant lesions, ( IPMN, intrapapillary mucinous neoplasm, serous cyst adenoma, mucinous cyst adenoma, pancreatic neuroendoscrine tumours, pancreatic adenocarcinoma)
  • Assessment , diagnosis and management of biliary diseases, including medical, endoscopic and surgical management ( Gallstones, CBD stones ( choledocholithisis), benign and malignant biliary strictures, PSC ( primary sclerosing cholangitis, cholangicarcinoma, anastomotic biliary strictures)
  • Weight reduction clinics, including medical management, gastric balloon placement, gastric sleeve and gastric bypass surgery
  • Abnormal Liver function test
  • Abnormal pancreatic function test
  • Liver, pancreatic or biliary abnormalities on imaging ( Ultrasound / CT scan)
  • Colon cancer screening candidates
  • Any patient > 40 years old
  • positive Fhx for colo-rectal cancer
  • Hx of IBD ( inflammatory bowel disease, i.e Ulcerative colitis or Crohn’s disease)
  • History of colonic polyps
  • Gastric cancer screening
  • Atrophic gastritis
  • pernicious anemia
  • Hx of gastric polyps
  • positive Fhx for gastric cancer
Book An Appointment

Best Gastro Doctors in Dubai

You can find the best gastro doctors in Dubai in Emirates specialty hospital. Our doctors are very experienced in the Gastroenterology field.

START TYPING AND PRESS ENTER TO SEARCH