SURGICAL GASTRO ENTEROLOGY

About

The Surgical Gastroenterology unit offers a comprehensive and multi-disciplinary approach to Esophageal, Gastrointestinal, Hepato-Pancreatico-Biliary, Colorectal, Retroperitoneal and Splenic diseases. The surgical team headed by Dr.Arunkumar.ML performs state of the art surgeries including cancer surgeries – both open and advanced laparoscopic. The operation theatre complex is modular, well equipped with the latest and best of the class equipments and instruments for both open and laparoscopic surgeries. The unit, which also runs a satellite unit at GG Hospital in the heart of Trivandrum city, provides timely and hassle-free expert care for patients with a healing touch.

Contact

Phone: 0472 3041000; 0472 3041234

Email: gastro@sgmc.in

For Appointments   0472 2976000

8AM to 4PM: 0472 3041000,  Extn 1122 (SGE -OPD)

Services offered

  1. Out-Patient Department
  2. Liver Clinic
  3. Biliary Clinic
  4. Pancreas Clinic
  5. Obesity Clinic and Bariatric Surgery
  6. Coloproctology Clinic
  7. Stoma Clinic
  8. Postoperative ICU
  9. Multidisciplinary ICU (MDICU)

Surgeries performed

  1. Esophagectomy – Transhiatal and Thoracoscopic
  2. Laparoscopic Esophageal myotomy for Achalasia and Fundoplication for GERD

  3. Laparoscopic surgeries for Hiatus hernia

  4. Laparoscopic Median Arcuate Ligament release for Celiac Artery Stenosis

  5. Gastrectomy and Gastric Bypass procedures

  6. Laparoscopic surgeries for Gastro Intestinal Stromal Tumors (GIST)

  7. Bariatric surgery (Laparoscopic Sleeve Gastrectomy, RYGB)

  8. Laparoscopic Cholecystectomy

  9. Extended Cholecystectomy and Liver resections for Gall Bladder cancer

  10. Bilio enteric drainage procedures (Hepatico Jejunostomy, Choledocho Duodenostomy)

  11. Management of Post cholecystectomy bile duct injuries, biliary sepsis, biliary strictures

  12. Choledochal cyst excision

  13. Complex liver resections, including vascular resections for Hilar Cholangiocarcinoma

  14. Liver resections (Open & Laparoscopic) for liver tumors

  15. Laparoscopic deroofing of symptomatic liver cysts

  16. Surgeries for Hydatid cysts

  17. Surgeries for Liver stones (Hepatolithiasis)

  18. Surgery for Liver, Biliary tract, Pancreatic and Duodenal trauma

  19. Chronic Pancreatitis – Frey’s Pancreatic head coring and drainage procedure, Duodenum Preserving Pancreatic head resections

  20. Laparoscopic Cysto-gastrostomy & Cysto-jejunostomy for Pancreatic Pseudocysts

  21. Pancreatic tumors – Pancreatico Duodenectomy (Whipple’s Procedure), Distal Pancreatectomy & Central Pancreatectomy including Portal Vein resections

  22. Laparoscopic Enucleation and formal resections for Neuro Endocrine Tumors (NET) of Pancreas

  23. Laparoscopic Spleen Preserving Distal Pancreatectomy

  24. Pancreatic Necrosectomy – Minimally Invasive and Retroperitoneoscopic necrosectomy (VARD)

  25. Laparoscopic Splenectomy

  26. Laparoscopic surgeries for Adrenal Tumors (including Pheochromocytoma)

  27. Excision of complex Retroperitoneal Tumors

  28. Shunt surgery for Extra Hepatic Portal Vein Obstruction (Spleno Renal shunt)

  29. Laparoscopic Pouch Surgeries for Inflammatory Bowel Disease (Ulcerative colitis and Crohn’s disease)

  30. Intestinal surgeries – Open and Laparoscopic (Laparoscopic small bowel resection)

  31. Laparoscopic Appendicectomy

  32. Feeding Jejunostomy

  33. Complex pelvic surgeries including Pelvic Lymphadenectomy

  34. Laparoscopic Colonic resections – (Right Hemicolectomy, Left Hemicolectomy, Sigmoidectomy and Total Colectomy)

  35. Laparoscopic surgeries for Colonic Polyposis and Intestinal Polyps (IPAA)

  36. Sphincter saving surgeries for Rectal cancer (Laparoscopic ultra low anterior resection and Inter-Sphincteric Resection)

  37. Laparoscopic Abdominoperineal Resection (APR) for Rectal cancer

  38. Transanal excision for Rectal Polyps

  39. Laparoscopic Rectopexy for Rectal Prolapse

  40. Stapler Hemorrhoidopexy for Piles

  41. Surgeries for anal fistula (including complex Anal Fistulas, Seton placement)

  42. Limberg flap for Pilonidal Sinus

  43. Laparoscopic Hernia surgeries – Epigastric, Umbilical, Incisional and Inguinal Hernioplasty (TEP/TAPP)

  44. Complex resections of Retroperitoneal tumors

  45. Multivisceral resections for cancers

  46. Surgeries for Mesenteric Ischemia including Mesenteric Revascularization

  47. All Emergency Gastrointestinal surgeries including surgeries for blunt and penetrating abdominal injuries and visceral perforation peritonitis

TEAM OF DOCTORS

IMG_5282

 

Dr.ARUNKUMAR.ML

MBBS.MS.DNB.MCh.DNB (SGE).MRCSEd.PDF(HPB).FMAS

Fellowships in Liver Transplant

ASSOCIATE PROFESSOR

Education and Training

  1. MBBS – Medical College Trivandrum, University of Kerala (1998)
  2. MS (General Surgery) – Medical College Trivandrum, University of Kerala (2003)

  3. DNB (General Surgery) – Medical College Trivandrum, National Board of Examinations, New Delhi (2004)

  4. MCh (Surgical Gastroenterology)- Medical College Trivandrum, University of Kerala (2008)

  5. DNB (Surgical Gastroenterology) – Medical College Trivandrum, National Board of Examinations, New Delhi (2009)

  6. MRCSEd – The Royal College of Surgeons of Edinburgh, UK (2008)

  7. PDF in Pancreatico Biliary Surgery – Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh (2009)

  8. Fellowship in Liver Transplant and HPB Surgery – Centre for Liver and Biliary Sciences, Indraprastha Apollo Hospital, New Delhi (2011)

  9. Visiting Fellow in Liver & Pancreas Transplantation, Penn Transplant Institute, University of Pennsylvania, Philadelphia, United States (2012)

Academic experience

  1. Registrar in Surgical Gastroenterology, Lakeshore Hospital and Research Centre, Kochi (Jan – March 2004)
  2. Senior Resident in Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow (Jan – June 2005)

  3. Senior Resident in Surgical Gastroenterology, Medical College, Trivandrum (Aug-Sep 2008; Jan – Nov 2010)

  4. Consultant Surgical Gastroenterologist, PRS Hospital, Trivandrum (Oct – Dec 2008)

  5. Consultant HPB Surgeon, SUT Royal Hospital, Trivandrum (Nov 2010 – Jan 2011)

  6. Junior Consultant in GI and Liver Transplant, Center for Liver and Biliary Surgery, Indraprastha Apollo Hospitals, New Delhi (Feb 2011 – Feb 2012)

  7. Visiting Fellow in Liver & Pancreas Transplantation, Penn Transplant Institute, University of Pennsylvania, Philadelphia, United States (Mar- May 2012)

  8. Consultant Hepato Biliary, Pancreatic & Liver Transplant Surgeon, Kerala Institute of Medical Sciences, Trivandrum (June 2012 – May 2013)

  9. Consultant in GI and Liver Transplant, Center for Liver and Biliary Surgery, Indraprastha Apollo Hospitals, New Delhi (July – Sep 2013)

  10. Associate Professor, Surgical Gastroenterology and HPB Surgery, Sree Gokulam Medical College & Research Foundation, Venjaramood, Thiruvananthapuram, Kerala (Oct 2013 onwards)

  11. Chief Consultant, Surgical Gastroenterology and HPB Surgery, GG Hospital Trivandrum (Feb 2016 onwards)

Academic activities

  1. Invited speaker and chairperson at various scientific forums
  2. Presented papers in national and international conferences

  3.  2 National and 4 international journal publications and 6 conference abstracts

  4.  3 text book chapters including “Pearls in Surgery” (Prof.VK Kapoor); Manual of Surgery (Dr.S.R Bhat)

  5. Editorial board member and Reviewer of international scientific journals

Academic affiliations

  1. Association of Surgeons of India
  2. Indian Association of Surgical Gastroenterology

  3. Association of Minimal Access Surgeons of India

  4. International Hepato-Pancreato-Biliary Association (IHPBA Indian Chapter)

  5. Indian Hernia Society

  6. Association of Surgical Gastroenterologists of Kerala (ASGK)

  7. Royal College of Surgeons of Edinburgh

Areas of interest

  1. Surgical conditions of Liver, Biliary Tract, Pancreas, Spleen, Adrenal and Retroperitoneum
  2. Advanced laparoscopic Surgical Procedures

  3. GI and HPB cancer surgery

  4. Liver Transplant

  5. Bariatric Surgery

  6. Complex and Reoperative Pelvic surgeries

  7. Multivisceral resections

drnousif

Dr.NOUSHIF.M

MBBS.MS.MCh.FMAS.

Fellowship in Liver Transplant and HPB Surgery

ASSISTANT PROFESSOR

Education and Training

  1. MBBS – Calicut Medical College, Calicut University, Kerala (2006)
  2. MS (General Surgery) – Thiruvananthapuram Medical College, Kerala University (2010)

  3. MCh (Surgical Gastroenterology) – King Georges Medical University, Lucknow, UP (2014)

  4. Fellowship in Liver Transplant and HPB Surgery – Centre for Liver and Biliary Sciences, Indraprastha Apollo Hospital, New Delhi (2015)

Academic experience

  1. Senior Resident in General Surgery, Calicut Medical College, Kerala (2010-2011)

  2. Senior Resident, Surgical Gastroenterology, King Georges Medical University, Lucknow, UP (2011-2014)

  3. Fellowship in Minimal Access Surgery, FMAS (AMASI), BHU (2014)

  4. Senior Fellow in Liver Transplant and Hepato Pancreato Biliary Surgery, Centre for Liver and Biliary Sciences, Indraprastha Apollo Hospital, New Delhi (2014 – 2015)

  5. Associate Consultant, Surgical Gastroenterology and HPB Surgery, GG Hospital Trivandrum (Feb 2016 onwards)

  6. Assistant Professor, Department of Surgical Gastroenterology and HPB Surgery, Sree Gokulam Medical College and Research Foundation, Trivandrum (2015 onwards)

Academic activities:

  1. Invited speaker and chairperson at various scientific forums

  2. Presented papers in national and international conferences

  3. 2 National and 4 international journal publications and 6 conference abstracts

  4. 3 text book chapters including “Pearls in Surgery” (Prof.VK Kapoor); Manual of Surgery (Dr.S.R Bhat)

  5. Editorial board member and Reviewer of international scientific journals

Academic affiliations:

  1. Association of Surgeons of India

  2. Indian Association of Surgical Gastroenterology

  3. Association of Minimal Access Surgeons of India

  4. International Hepato-Pancreato-Biliary Association (IHPBA Indian Chapter)

  5. Indian Hernia Society

  6. Association of Surgical Gastroenterologists of Kerala (ASGK)

  7. Royal College of Surgeons of Edinburgh

Academic activities:

  1. Presented papers in national and international conferences

  2. 5 National and 17 international publications in indexed journals and 15 conference abstracts

  3. 1 text book chapter in Textbook of Surgical Gastroenterology (Prof.PK Mishra)

  4. Editorial board member and Reviewer of international scientific journals

Academic affiliations:

  1. Association of Surgeons of India

  2. Association of Minimal Access Surgeons of India

  3. International Hepato-Pancreato-Biliary association (IHPBA Indian Chapter)

  4. Indian Association of Surgical Gastroenterology

  5. Indian Association of Gastrointestinal Endo Surgeons

  6. The Pan Arab Liver Transplant Society – International member

  7. Association of Surgical Gastroenterologists of Kerala (ASGK)

  8. Indian Association of Surgical Oncology

Areas of interest:

  1. Liver, Biliary tract and Pancreatic Surgical disorders

  2. GI and HPB Onco Surgery

  3. Advanced laparoscopic surgeries

  4. Liver Transplant

  5. Multivisceral resections and reoperative abdominal surgeries

MULTIDISCIPLINARY SERVICES

MEDICAL GASTROENTEROLOGY

  1. Luminal Gastroenterology and Hepatology

  2. Upper GI endoscopy

  3. Sigmoidoscopy

  4. Colonoscopy

  5. Endoscopic Variceal Banding

  6. Endoscopic Glue injection for bleeding

  7. Endoscopic Foreign body removal

  8. Endoscopic polypectomy

  9. CRE wire guided balloon dilatation

  10. Achalasia balloon dilatation

  11. Argon Plasma Coagulation

  12. Esophageal stenting

  13. Side Viewing Endoscopy

  14. ERCP and Biliary Stenting

  15. PEG Tube Insertion

GASTRO RADIOLOGY

  1. High-end Abdominal Sonology (Ultrasound)

  2. Liver and Transplant Doppler

  3. Ultrasound guided procedures and Biopsies
  4. Computed Tomography (128 slice CT)

  5. CT Volumetry

  6. CT angiography

  7. Ultrasound and CT guided Cholecystostomy

  8. CT guided procedures and biopsy of hepatic, pancreatic and abdominal tumors

  9. Aspiration of Pancreatic and other fluid collections

  10. Image guided Percutaneous Drainage Catheters (PCD) Insertion

  11. Fluoroscopy and Contrast Studies

  12. MRI and MRCP (1.5 Tesla)

GASTRO INTERVENTIONAL RADIOLOGY

  1. All Gastro & Hepatobiliary Interventional Radiological procedures including

  2. TACE (Trans Arterial Chemo Embolisation)

  3. Percutaneous Transhepatic Biliary Drainage (PTBD) / Stenting

  4. Image guided biopsy and drainages

  5. Percutaneous angioembolisation for gastrointestinal bleeding

  6. Angioplasty and stenting

  7. BRTO (Ballooon occluded Retrograde Transvenous Obliteration for gastric varices

  8. Hepatic vein/ IVC angioplasty for Budd Chiari Syndrome
  9. TIPS – Transjugular Intrahepatic Portosystemic Shunt

  10. Percutaneous embolisation of Pseudoaneurysms

CRITICAL CARE

  1. Liver intensive care for Acute liver failure

  2. Critical care for Acute on Chronic Liver Failure (ACLF)

  3. Postoperative Intensive Support

  4. Multidisciplinary Critical Care Unit (MDICU)

  5. Medical Intensive Care Unit

GASTRO PATHOLOGY

  1. Cytology

  2. Frozen Section

  3. Histopathology

  4. Immuno Histo Chemistry (IHC)