Gastroenterology deals with the diseases of the intestines, bile duct, liver and pancreas. It is divided into two studies, medical and surgical. Surgical Gastroenterology is a new specialty and having gained precedence over the past two decades, broadly encompasses the surgery of both the upper gastrointestinal tract and lower GI tract starting from the esophagus, stomach, small bowel, colon, rectum, liver and the pancreas. This specialty became a necessity with rapid progress in diagnostic and interventional Gastroenterology requiring surgeons specially trained in operating the gastro-intestinal tract. Surgical technology has been refined and treatment of benign and cancerous diseases of the digestive tract has evolved alongside it as a super specialty. Rapid advances in the field of surgery namely “Minimal access surgery” or “Key hole surgery” and organ transplantation are very closely associated with abdominal surgery further widening the horizons of surgical Gastroenterology. Advanced surgery on each the organ of the GI tract requires specialized training and skill taught in very few surgical units in the country and abroad.
Specialized training in the field of surgical gastroenterology enhanced understanding of the diseases affecting the GI tract and improved their treatment. Complex operations like total esophagectomy, total gastrectomy, WHIPPLE’S Procedure, liver resections, bowel resections, surgery for portal hypertension are performed by surgical gastroenterologists with ease displaying excellent results. Given below are only some common and routine procedures performed by surgical gastroenterologists:
Gallbladder and bile ducts
Upper GI tract
Small intestine Surgery for tumors, gangrenes and perforations
Colon and rectum
A surgical gastroenterologist undergoes trainings first as a general surgeon and thereafter obtains specialized training in the field of surgical Gastroenterology. Most surgical interventions in surgical gastroenterology are performed with advanced laparoscopic surgery. Surgical Gastroenterologists are also adept at diagnostic and therapeutic endoscopy and most practicing interventional gastroenterologists in India are trained as surgeons.
Dr Patta Radhakrishna is one of the senior most MCh qualified surgical gastroenterologists in India and is trained extensively in two of the most accomplished surgical Gastroenterology units in the country on both sides of the Vindhyas. His experience in surgery for Gastro Intestinal bleeding, hepato biliary surgery, pancreatic surgery, colo rectal surgery, emergency abdominal surgery is immense and his tenure at renowned central institutions like AIIMS, Nizam’s Institute of Medical Sciences (NIMS), Hyderabad, Sree Venkateshwara Institute of Medical Sciences (SVIMS),Tirupathy refined his skills as an accomplished surgical gastroenterologist. He has also been trained well in advanced laparoscopic surgery and has been performing surgeries like Laparoscopic Cholecystectomy, Appendicectomy, Hernia Repair, Heller’s Cardiomyotomy, Fundoplication, Rectopexy, Colonic rescetions, Splenectomy, Hydatid excision for many years now with outstanding results.
Laparoscopic surgery is also called minimally invasive surgery (MIS)
Surgery of the esophagus is conducted for perforation
Surgery on the small intestine is one of the most frequently done
Collection of pus in the liver is a common occurrence
Colorectal surgery is required for disorders of the colon, rectum
Pancreaticoduodenectomy (Whipple Procedure)
Individuals suffering from morbid obesity undergo gastric bypass
Gallbladder stones are an extremely common disorder
Metabolic and bariatric surgery is the treatment of morbid
GI Bleeding is an emergency. Patients present with massive
The portal venous system comprises of the portal vein