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Medical Gastroenterology



Medical Gastroenterology



The department of Medical Gastroenterology conducts OPD , endoscopies and procedures in 3 centers which are affiliated to Government Kilpauk Medical College –

1. Government Peripheral HopitalAnnanagar( DDHD – Department of Digestive Health and diseases )

2. Government Kilpauk Medical College Hospital

3. Government Royapettah Hospital

Department of Digestive Health and Diseases (Department of Medical Gastroenterology) has been functioning in Govt peripheral hospital, Annanagar, since 6th august 1986, vide G.O. MS. No. 1277. DM Higher Speciality course in Medical Gastroenterology was started in this hospital in the year 1999 with two seats This course is the first DM course in the medical history of KMC, Chennai. This course has had the recognition and clearance by the Ministry of Health, Government of India, and Medical council of India, Government of Tamil Nādu and the Tamilnadu Dr. MGR Medical University, Chennai.


At present the annual PG intake is 6 seats per year The department has a male and female ward of 30 beds each ( Total 60 beds ) , with an ICU facility with 6 beds having ventilators and essential critical care equipments.


It caters to an average OPD census of 40000 patients per year , conducts, daily OPDs from Monday to Saturday, and an average IP census of 7000 per year . It caters to high end gastro care by acting as a tertiary referral centre to hospitals across Tamil Nadu and even neighbouring states like Andhra Pradesh.


The department has an Endoscopy suite , library , Operation theatre, Labarotary , Auditorium ( capacity of 100 members with audio visual aid ) ,Clinical demonstration room, XRAY , Ultrasound and duty rooms for Residents . The department carries out around 6000 Upper Gastrointestinal Endoscopies yearly and 1500 colonoscopies yearly and a wide variety of therapeutic endoscopic interventions.


The department also conducts monthly CME , with lectures of eminent speakers with active participation of medical gastroenterology residents from various colleges in Chennai . As part of teaching programmes , regular academics are being conducted as per as NMC norms – including clinical case discussions , topic presentations , journal clubs , guideline presentation.


In Government Kilpauk Medical College Hospital , thrice weekly OPDs are run and diagnostic and therapeutic endoscopies are carried out . There are 2 wards ( male and female with a bed strength of 30 beds ) .


In Governement Royappettah Hospital twice weekly OPDs are run and therapeutic and diagnostic upper and lower gastrointestinal endoscopies are carried out .



FACILITIES OFFERED BY THE DEPARTMENT

Diagnostic procedures

1 Oesophago gastroduodenoscopy
2 Colonoscopy
3 Side viewing scopy
4 Endoscopic Ultrasound
5 Pediatric Endoscope
6 Enteroscopy
7 Liver biopsy
8 Ultrasound abdomen
9 Barium studies
10 Fibroscan
11 Electrogastrography
12 Esophageal And Ano -rectal manometry


Therapeutic Procedures

1 Endoscopic Sclerotherapy
2 Endoscopic variceal ligation (Banding)
3 Adrenaline / Hemoclip  for bleeding ulcers
4 Oesophageal dilatation for benign , corrosive and malignant strictures.
5 Balloon dilation for Achalasia Cardia
6 NG tube insertion
7 Naso jejunal tube insertion
8 Glue Injection
9 Oesophageal stenting for cancer oesophagus
10 Endoscopic Polypectomy
11 Foreign body( coins, pins, button batteries, denture etc) removal
12 Endoscopic management of ulcer bleed
13 Liver Abscess aspiration
14 Therapeutic paracentesis of ascites
15 PEG ( percutaneous endoscopic gastrostomy)
16 PTBD ( percutaneous transhepatic biliary drainage)
17 Pyloric SEMS placement for GOO
18 APC (Argon Plasma Coagulation)
19 POEM (Peroral Endoscopic Myotomy)

ERCP procedures ( endoscopic retrograde cholangiopancreatography)

1 CBD (common bile duct) stone extraction
2 Stenting of bile duct for benign and malignant biliary obstruction
3 Pancreatic stenting and pancreatic stone removal.
4 Treatment for biliary ascariasis
5 Endoscopic cystogastrostomy for pancreatic pseudocyst


ESOPHAGEAL AND COLONIC MANOMETRY

OPD SERVICES :

●   LIVER OPD- MONDAY
●  LUMINAL OPD (GENERAL GASTROENTEROLOGY)
●  PANCRETIC OPD-
●  VIRAL HEPATITIS OPD
●  IBD OPD
●  GI AND LIVER ONCOLOGY OPD
●  ENDOSCOPY SEVICES – ALL DAYS

The Department has been conducting original research work both independent and in collaboration with recognized National scientific bodies and associations.


A. In collaboration with TNISG state body our institute has participated in the following studies:

1.Inflammatory bowel diseases in Tamil Nadu: A survey of demographics , clinical profile , and practices


2.Roedenticide ingestion is an important cause of acute hepatotoxicity in Tamil Nadu, southern India


B. Inter departmental studies:

1. NAFLD Activity score and Histopathology – A Clincopathological Correlation – along with Department of Pathology


2. Prevalence of Occult Hepatitis B infection among cancer patients in a Tertiary care centre-along with department of medical oncology


3. Epidemiology and Clinical Profile of Inflammatory Bowel Disease patients in a Tertiary care centre-along with department of pathology


C. National Viral Hepatitis Programme

D. ICMR – GI Cancer Epidemiological profile

E. INASL – Drug Hepatotoxicity

F. CMC VELLORE -Observership training for DM residents

G.RELA HOSPITAS - Observership training in transplant hepatology for DM residents.



DEPARTMENT LIST
NO NAME DESIGNATION RECENT PASSPORT SIZE PHOTO (SOFT COPY)
1 Dr.Malarvizhi, MD., DM HOD & Professor
2 Dr.Ramkumar, MD., DM CSMO and Professor
3 Dr.Chezhian, MD., DM Associate Professor
4 Dr.JayakumarJayakrishnan, MD.,DM., Associate Professor
5 Dr.VaishnaviPriyaa , MD.,DM., AssociateProfessor
6 Dr.Akilandeshwari., MD.,DM., Assistant Professor
7 Dr.Anand, MD.,DM., Assistant Professor
8 Dr.Arun, MD.,DM., Assistant Professor
9 Dr. Vishnupriya, MD.,DM., Assistant Professor
10 Dr Jaison James Senior Resident
11 Dr KartikaiSelvi Senior Resident
12 Dr NischalModak Senior Resident
13 Dr Pradeep Sathya Senior Resident
14 Dr Shakti Srinivas Senior Resident
15 Dr.Sachin James Senior Resident
16 Dr.Adeep Aslam Senior Resident
17 Dr.Nimish George Jacob Senior Resident
18 Dr.RijoSabu Senior Resident
19 Dr.Srinanthini KR Senior Resident
20 Dr.Stephen Alexander Senior Resident
21 Dr. Vysakh Sankar Senior Resident
22 Dr. Harrison Gabriel Senior Resident
23 Dr. Lohith Senior Resident
24 Dr. Sai Praneeth Senior Resident
25 Dr. Rajesh Senior Resident
26 Dr. Vignesh Senior Resident


ACHIEVEMENTS AND AWARDS:

1. Only Government Peripheral Hospital In Tamil Nādu  to start a Super speciality department in Gastroenterology in Tamil Nādu 1986 ,

2. First Super speciality DM course of Government Kilpauk Medical College started in the year 1999.

3. Dr. Malarvizhi –Best Doctor Award for meritorious service KMC -2009
-Best Doctors Award MMC -2019

4. Dr. Ramkumar- State Award for Best Doctor
(Tamil Nādu Health and Family Welfare)

5. Dr.Akilandeswari – Best doctor Award ,RGGH 2019 ,
Dr.Vidyanathan Award of Excellence-GPH Anna nagar Aug 2021.

6. Dr.C.VaishnaviPriyaa –INASL -APASL contribution to Delegate topic Drug- ATT hepatotoxicity Dr.HrashadDevarbhavi– Spectrum from Tertiary care centre.
Dr.Vidyanathan Award of Excellence- GPH Anna nagar Aug 2021

7. Dr. Anand:
●  MRCP GLASCOW March2023
●  ESEGH – European Society Examination of GastroHepatology
●  ENDOCON 2015- Certificate of Merit- Difficult Endoscopy Situation- video forum- retrieval of entagled  CBD stone basket
●  .First Prize – Poster presentation – Trichy ISG Trichy TN chapter
●  Best Doctor Award – Republic Day – GRH – 2019
●  DrVidhyanathan Award of excellence- GPH 2021

8. Dr AvinashBoojala – Certificate Of Gold Medal For Sir George Fredrick Stanley Gold Medal Exam In Medical Gastroenterology Conducted on 17th March 2022.

9. Dr UMASHANKAR :Dr M.G.R UNIVERSITY MGE UNIVERSITY EXAM 2022 TOPPER – Dr UMASHANKAR
Certificate of Gold Medal For Sir George Fredrick Stanley Gold Medal Exam In Medical Gastroenterology Conducted on 9th March 2022.

10. Dr AMAL VELSE:
●  2nd prize in poster presentation in TNISGCON 2023 TRICHY- NON VARICEAL BLEED IN CLD.
●  3rd prize in oral presentation in TNISGCON 2023 TRICHY- PRIMARY ESOPHAGEAL MALIGNANT MELANOMA .
●  Certificate of Gold Medal For Sir George Fredrick Stanley Gold Medal Exam In Medical Gastroenterology Conducted on  March 2023

11. Dr. NISCHAL MODAK :
3rd Prize in oral presentation in TNISGCON 2023 TRICHY- Primary Malignant Melanoma of Esophagus.
3rd Prize in TNISGCON midterm- Courtallam Quiz

12. Dr . Sachin James
First prize in TNISGCON midterm PONDICHERRY QUIZ
First prize in TNISGCON 2024 MADURAI QUIZ.
First Prize in TNISGCON midterm - Courtallam Quiz

13. Dr. Jaison James
First prize in TNISGCON midterm PONDICHERRY QUIZ
Third prize in TNISGCON 2024 MADURAI QUIZ
First Prize in TNISGCON midterm -Courtallam Quiz


14. Dr .Vysakh S
Second Prize in TNISGCON midterm Courtallam Quiz


15.Dr. Adeep Aslam
Third Prize in TNISGCON midterm Courtallam Quiz



Publications from the department during last 3 years:

1. Estimation of eGFR using creatinine and cystatin c based equation in decompenstated chronic liver disease and normal serum creatinine SrividyaManjunath ,Kani sheikh Mohammad ,A R Akilandeshwari ,IJSR;volume 9 June 2020

2. Clinical profile and management of left colonic and anorectal strictures- A single centerstudy.K V Vivek Kumar, Dr Jayakumar Jayakrishnan, A Aravind ,KsunilIJSR:volume 9 June 2020

3. Post ERCP Acute pancreatitis and risk factors in tertiary care center.ShahDarshakJ,AAravind,aanand,IJSR volume 9 July 2020

4. Noninvasive Markers as predictors of oesophageal varices in cirrhosis jjeby , A Aravind, aanand ,IJSR volume 9 May 2020

5. Cardiovascular abnormalities in Liver cirrhosis- our centerexperience ,RAnand, Kani sheikh Mohammad ,N Arun IJSR volume 9 June 2020

6. Endoscopic findings in patients presenting with dysphagia. Manoj Kumar C, Kani Shaikh ohamed IJSR Volume – 10 August  2021

7. Clinical profile and colonoscopic findings in adult patients presented with chronic diarrhea. Denis Koshy, Kani Shaikh Mohamed IJSR Volume – 10 JULY   2021

8. Clinico-etiologic profile of patients undergoing ercp for obstructive jaundice secondary to malignancy .PawadshettarShivakumar, ,Kani Shaikh Mohamed IJSR Volume – 10 JULY   2021

9. Endoscopic profile of upper gastrointestinal bleeding in a tertiary care centre. Pavan Kumar V Kani Shaikh Mohamed IJSR Volume – 10 August – 2021

10. Efficacy of intralesional triamcinolone injection  in the management of refractory esophageal stricture. LavanyaNKani Shaikh Mohamed IJSR  2022

11. Liver function test in intensive care unit. A prospective study. Kartik Reddy B Kani Shaikh Mohamed IJSR Volume – July 2022

12. Assessment of Liver Function and Its Correlation with Inflammatory Markers and Severity of Disease during COVID-19 Second Wave in a Tertiary Care Centre.ArunDhotra , A. Anand, Kani Shaikh, A. R. Akilandeshwari and N. Arun. Asian Journal of Medicine and Health.March 2022

13. A study on clinical profile of patients with ulcerative colitis and association of neutrophil-lymphocyte ratio with disease severity ArunDhotra*, Kani Shaikh, Anand A., Akilandeshawari A. R., Arun N.IJMR May 2022

14. Helicobacter Pylori in diabetic vs prediabeticdyspepsic patients

15. Dr Anand Dr Akshay IJSR :

16. Non variceal upper gastrointestinal bleed in cirrhosis Dr Prem Kumar  Dr Amal – IJSR

17. Prevalence and risk factors of bone mineral density in patients with inflammatory bowel disease Dr Jayakumar Dr Mayank – IJSR

18. Clinical profile of Neuroendocrine Tumors Dr Akilandeshwari Dr Sanjay John – IJSR

19. Clinical profile and treatment outcome of abdominal tuberculosis. Dr Arun Dr vishnupriya – IJSR



ONGOING RESEARCH ACTIVITY

Sl no Topic Teacher Student
1 Clinical and biochemical profile of tuberculosis in patients with liver cirrhosis Prof Premkumar Dr Kartika  
2 Correlation of NAFLD with severity of atherosclerosis Dr Anand Dr Nischal
3 Prevalence of Non alcoholic fatty pancreas and its risk factors –our center experience Dr Jayakumar Jayakrishnan Dr Pradeep
4 Lipid profile in acute pancreatitis .a cross sectional study Dr AkilandeshwarI Dr Sakthi
5 Clinical ,Imaging and endoscopic profile of patients with abdominal tuberculosis in tertiary care center Dr Arun Dr Sachin
6 Assessing Short term survival in patients with cirrhosis of liver and Acute Kidney Injury Dr Jayakumar Dr  Akilandeshwari Dr Adeep Aslam
7 Correlation between Clinical Profile , Serum Transaminase , Fibroscan and Ultrasound grading inPatients with Fatty liver in a Tertiary care center Dr Sumathi Dr Malarvizhi Dr Nimish George Jacob
8 Prevalence of Occult Hepatitis B infection among cancer patients in a Tertiary care center Dr Malarvizhi Dr Anand Dr RijoSabu
9 Epidemiology and Clinical Profile of Inflammatory Bowel Disease patients in a Tertiary care center Dr Sumathi Dr Arun DrVysakh
10 An analytical study to determine pattern of Electrogastrography in patients with Functional Dyspepsiaattending Tertiary care hospital in Chennai  Dr Malarvizhi Dr Arun Dr Stephen Alexander
11 Clinical and anorectal Manometry profile of patients with Functional Constipation Dr Malarvizhi Dr Akilandeshwari Dr Srinanthini
12 NAFLD Activity Score and Histopathology – ClinIco pathological correlation  ( ICMRStudy) Dr Malarvizhi Dr Srinanthini


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