Gastroenterologists in Nagpur

Dr. Abhiram Paranjape,, MD (Medicine), DM, DNB (Gastroenterology) is In-charge of the Department. Department provides outpatient consultation as well as inpatient facilities for treatment of diseases of Liver and Digestive Diseases. Department is well supported by Surgical,Intensive Care, Radiology and Pathology Services to handle complicated cases needing multi-disciplinary team approach. Department also provides diagnostic and therapeutic Upper and Lower Gastro-Intestinal Endoscopy Services.

The division is functional since the inception of the new building in 1986 and has grown since then. The mission is to provide a comprehensive gastroenterology service with the help of modern technology and a humane touch. The gastroenterology section has been ranked amongst top 10 departments in the country consistently.

Medical Gastroenterology and Hepatology

The department deals with various medical problems in gastroenterology in the outpatient, inpatient, and emergency services setting. The doctors have expertise in the management of the full spectrum of gastrointestinal, liver and pancreatico-biliary diseases. This includes, but is not restricted to, disorders like inflammatory bowel disease, irritable bowel syndrome, malabsorption syndrome, gastrointestinal bleed, chronic diarrhea, constipation, peptic ulcer, reflux disease, acute liver failure, chronic liver disease (viral, alcoholic and others), portal hypertension, bilio-pancreatic disorders and malignancies.

Pediatric Gastroenterology

This is a subspecialty in medical gastroenterology that deals with children suffering from various disorders like chronic constipation, Hirschsprung's disease, malabsorption syndrome, acute viral hepatitis, inborn errors of metabolism, Wilson's disease, pediatric inflammatory bowel diseases.

Interventional Gastroenterology

We have a well-equipped endoscopy department where diagnostic, therapeutic as well as emergency procedures in gastroenterology are performed. We also perform procedures like percutaneous and transjugular liver biopsy, HVPG monitoring and TIPSS placement. The procedures most commonly performed include

UGI Endoscopy:

Examination of the upper gastrointestinal tract using a flexible video-endoscope.

Diagnostic - for disorders like acid-peptic disease, H. pylori infection, gastro-esophageal reflux disease, cancers of the esophagus and stomach.

Therapeutic - for management of emergencies like variceal bleeding (procedures like sclerotherapy, varicealbanding), endoscopic therapy for bleeding peptic ulcer by injection, application of hemoclips or thermal current, placement of percutaneous endoscopic gastrostomy (PEG) tube or jejunostomy as a feeding device for neurologically impaired individuals or those who are unable to swallow. We also perform endotherapy for early cancers and place stents for palliation of obstructive malignant lesions.

Colonoscopy :

Examination of the lower gastrointestinal tract using a flexible video-endoscope.

Diagnostic - for disorders like polyps, cancers, strictures, bleeding sites, diverticuli.

Therapeutic - for management of colonic obstruction with stenting, endotherapy for lower gastrointestinal bleeding, and polypectomy.

ERCP (Endoscopic retrograde cholangiopancreatography):

This procedure involves treating various bilio-pancreatic disorders. These include obstructive jaundice caused by common bile duct stones (extraction of the stones) or relieving obstruction in bilio-pancreatic cancers by placement of plastic or metal stents. ERCP also aids in obtaining tumor tissue cytology / biopsy from the bile duct to confirm the diagnosis in suspected cases of malignancy. We also treat chronic pancreatitis and perform pseudocyst drainage in acute or chronic pancreatitis by placing plastic stents

EUS - Endoscopic ultrasonography:

This procedure involves performing ultrasound examination with a probe attached at the tip of an endoscope. It allows detailed visualization of the walls of the esophagus, stomach, duodenum, as well as the pancreas, bile duct, other adjacent organs, lymph nodes and blood vessels. This allows quicker and definitive diagnosis of various diseases, staging of cancers, and thus aids in management. EUS is also helpful in procuring tissue for examination. It aids in difficult biliary and pancreatic therapeutic endoscopic procedures.

Dr.AbhiramParanjape

M.D ,D.M,D.N.B (Gastroenterology)

CONSULTANT Gastroenterologist