Gastroenterology


Clinical Milestones

Pioneering Digestive Sciences in Coimbatore

KG Hospital's Gastroenterology department has led the introduction of advanced endoscopic techniques to the Coimbatore region — bringing tertiary-level GI care closer to patients across Tamil Nadu.

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1
Regional First
First Therapeutic ERCP in Coimbatore
KG Hospital pioneered therapeutic ERCP for bile duct stone extraction in Coimbatore — eliminating the need for open bile duct surgery and transforming biliary disease management across the region.
2
Advanced
EUS-Guided Biopsy & Therapeutic Drainage
Endoscopic ultrasound with fine-needle aspiration (EUS-FNA) for pancreatic mass biopsy and therapeutic drainage — precision tissue diagnosis without invasive surgical biopsy procedures.
3
Programme
Dedicated IBD Clinic with Biologic Therapy
Structured IBD clinic for Crohn's disease and ulcerative colitis — biologic therapy (infliximab, adalimumab, vedolizumab) infusion service, IBD nurse coordinator, and faecal calprotectin monitoring.
4
Screening
Organised Colorectal Cancer Screening Programme
One of Coimbatore's first structured colorectal cancer screening programmes — colonoscopy from age 45, with polypectomy in the same session to prevent adenoma-to-cancer progression.
5
Emergency
24/7 Emergency Endoscopy for GI Bleeding
Round-the-clock emergency endoscopy for upper and lower GI bleeding — thermal therapy, clips, and variceal band ligation available immediately, often preventing the need for emergency surgery.
Endoscopy & GI Procedures

Our Procedures in Detail

3 dedicated procedure rooms, HD endoscopes with NBI, ERCP fluoroscopy suite, EUS system, capsule endoscopy, and FibroScan — all within one NABH-accredited endoscopy unit.

Upper GI endoscopy (OGD) is the gold standard for diagnosing conditions of the oesophagus, stomach, and duodenum. HD flexible endoscopes with Narrow Band Imaging (NBI) detect early cancers, Barrett's oesophagus, and mucosal abnormalities. Biopsies for H. pylori, Barrett's, celiac disease, or gastric cancer can be taken in the same session.

Indications: heartburn, swallowing difficulty, upper abdominal pain, GI bleeding, anaemia, weight loss
NBI for early cancer and Barrett's oesophagus detection — beyond standard white-light endoscopy
Biopsies for H. pylori, Barrett's, celiac disease, gastric cancer — same session
Procedure: 15–20 minutes. Comfortable sedation. Discharge within 1–2 hours.
⚠️ Urgent Endoscopy Warning Signs
  • Vomiting blood (haematemesis) — Emergency, call 0422-4042121
  • Black, tarry stools (melaena) — emergency
  • Progressive swallowing difficulty (dysphagia)
  • Significant unintentional weight loss
  • Persistent vomiting beyond 72 hours

Colonoscopy examines the entire large intestine — the most effective test for colorectal cancer screening, IBD diagnosis, diverticular disease, and lower GI bleeding. Adenomatous polyps found during colonoscopy are removed in the same session (polypectomy), preventing cancer before it starts. No second procedure, no repeat sedation.

Recommended from age 45 for colorectal cancer screening in average-risk adults
Polypectomy in the same session — hot snare, cold snare, EMR for large polyps
Haemostasis for lower GI bleeding using clips or argon plasma coagulation
Comfortable IV sedation — no general anaesthesia required
🎗️ Colorectal Cancer — Screening Saves Lives

Colorectal cancer is the 3rd most common cancer in urban Indian men. 90% of cases are preventable if adenomatous polyps are removed at colonoscopy before malignant transformation. Screening colonoscopy every 10 years from age 45 is recommended for average-risk adults.

ERCP combines endoscopy with real-time X-ray (fluoroscopy) to access and treat the bile and pancreatic ducts without surgery. KG Hospital pioneered therapeutic ERCP in the Coimbatore region — our interventional endoscopists perform 500+ ERCPs annually, removing bile duct stones, placing biliary stents, and treating obstructive jaundice that formerly required open surgery.

Bile duct stone extraction (EST + balloon sweep) — avoids open bile duct surgery
Biliary stent placement for strictures, obstructive jaundice, cholangiocarcinoma
Sphincterotomy for biliary and pancreatic duct access and drainage
Pancreatic pseudocyst drainage and pancreatic duct stenting for chronic pancreatitis
🥇 ERCP at KG Hospital — Key Facts
  • First centre in Coimbatore to perform therapeutic ERCP
  • 2,500+ therapeutic ERCPs performed to date
  • Day-care ERCP available for suitable candidates
  • Dedicated fluoroscopy suite within endoscopy unit
  • Rendezvous ERCP for difficult bile duct access cases

Capsule endoscopy involves swallowing a vitamin-sized wireless camera that captures 50,000+ images as it travels through the entire small bowel. This painless, non-invasive test visualises the 6 metres of small intestine that standard endoscopes cannot reach — essential for obscure GI bleeding, small bowel Crohn's disease, and small bowel tumours.

Indications: obscure GI bleeding, suspected Crohn's, small bowel tumours, refractory celiac
No anaesthesia, no scope — swallow capsule and go about your day
8-hour wireless recording reviewed with AI-assisted lesion marking
Among the first centres in Tamil Nadu to adopt capsule endoscopy
💊 How Capsule Endoscopy Works
  • Swallow the camera capsule (size of a vitamin) with water
  • Sensor belt records 50,000+ images wirelessly over 8 hours
  • Capsule passes naturally — no retrieval required
  • Detailed gastroenterologist report within 48 hours

KG Hospital's hepatology team manages the full spectrum of liver diseases — from early fatty liver requiring lifestyle modification, to advanced cirrhosis with complication management and 6-monthly hepatocellular carcinoma surveillance. Hepatitis C is now curable with 12-week direct-acting antiviral (DAA) therapy with 95%+ cure rates.

FibroScan (transient elastography) for non-invasive liver fibrosis and steatosis grading
Hepatitis C — curative DAA therapy (sofosbuvir, daclatasvir) over 12 weeks
Variceal band ligation for oesophageal varices in portal hypertension
6-monthly HCC surveillance (USG + AFP) for all cirrhosis patients
🫁 Fatty Liver — India's Silent Epidemic

NAFLD (fatty liver) affects 38% of Indian adults — the most common liver disease in India. Untreated, 25% of NASH cases progress to cirrhosis over 10–20 years. Early detection and 5–7% weight loss can completely reverse early fatty liver disease before fibrosis develops.

GI Department Numbers

Gastroenterology at KG Hospital

8,000+
Endoscopy Procedures Performed Annually
Annual Volume
2,500+
Therapeutic ERCPs — Lifetime Departmental Volume
ERCP Pioneer
30+
Years of Gastroenterology Excellence in Coimbatore
Est. 1992
3
Dedicated Endoscopy Procedure Rooms with HD Equipment
Infrastructure
24/7
Emergency Endoscopy for Upper & Lower GI Bleeding
Always Ready
Endoscopy Technology

State-of-the-Art GI Equipment

Our endoscopy unit is equipped with the latest HD endoscopes, dedicated fluoroscopy for ERCP, EUS systems, AI-assisted capsule endoscopy, and FibroScan for non-invasive liver assessment.

HD Endoscopy
🔭
01

High-Definition Video Endoscopes + NBI

Latest-generation HD video endoscopes with Narrow Band Imaging (NBI) — detecting early cancers, Barrett's oesophagus, and mucosal abnormalities invisible to standard endoscopes. Magnification endoscopy for detailed pit-pattern assessment.

NBI + HD
ERCP Suite
☢️
02

Dedicated ERCP Fluoroscopy Suite

Integrated C-arm fluoroscopy within the endoscopy unit — real-time X-ray guidance during ERCP for bile duct stone extraction, stent placement, and pancreatic duct procedures performed safely and precisely.

Fluoroscopy Suite
EUS System
📡
03

Endoscopic Ultrasound (EUS) System

Radial and linear array echoendoscopes for comprehensive EUS — real-time ultrasound imaging from inside the GI tract for pancreatic, biliary, and mediastinal assessment and FNA biopsy guidance.

EUS-FNA
Fibroscan
📊
04

FibroScan (Transient Elastography)

Non-invasive liver stiffness measurement for assessing fibrosis and fat content — replacing the need for liver biopsy in most NAFLD/NASH and hepatitis patients. Quantitative result in minutes, no needle required.

Non-Invasive
Capsule Endoscopy
💊
05

AI-Assisted Capsule Endoscopy System

Wireless capsule camera with AI-assisted lesion marking — 50,000+ frames reviewed with automated flagging of potential abnormalities, reducing reporting time and improving detection of subtle small bowel lesions.

AI-Assisted
GI Pathology
🧪
06

GI Pathology & Rapid Urease Test (CLO)

On-site rapid urease test (CLO test) for H. pylori diagnosis during endoscopy — same-procedure results in 1 hour. Histopathology for biopsies reported within 48–72 hours by dedicated GI pathologists.

Same-Day CLO
Meet Our Team

Gastroenterology Specialists

Gastroenterologists specialising in digestive and liver health at KG Hospital.

ERCP combines endoscopy and X-ray fluoroscopy to diagnose and treat bile duct and pancreatic duct conditions — bile duct stones, biliary strictures, obstructive jaundice, and pancreatic duct leaks. At KG Hospital, ERCP is performed under sedation as a day-care procedure. We pioneered therapeutic ERCP in Coimbatore and have performed 2,500+ procedures.
Colonoscopy preparation involves a clear liquid diet for 24 hours before and a bowel prep solution taken the evening before and morning of the procedure. You receive detailed written instructions at booking. The procedure is done under comfortable IV sedation, takes 30–45 minutes, and most patients are discharged within 1–2 hours.
IBS causes pain, bloating, and altered bowel habits without visible inflammation — a functional disorder managed with diet and medications. IBD (Crohn's disease and ulcerative colitis) involves chronic immune-mediated inflammation causing bloody diarrhoea, weight loss, fatigue, and complications requiring specialist treatment including biologics or surgery. IBD requires colonoscopy with biopsies for confirmed diagnosis.
Fatty liver (NAFLD/NASH) is caused by excess fat in liver cells, linked to obesity, type 2 diabetes, high cholesterol, and metabolic syndrome. Treatment involves weight loss (5–7% body weight significantly reduces liver fat), dietary modification, and regular monitoring. Advanced NASH with fibrosis requires specialist hepatology management.
Chronic untreated GERD can lead to oesophagitis, Barrett's oesophagus (a pre-cancerous condition), and rarely oesophageal adenocarcinoma. If you have heartburn more than twice weekly, difficulty swallowing, or reflux not controlled by antacids for over 4 weeks, a gastroenterologist should evaluate you — and an endoscopy may be needed to assess the oesophageal lining.
Capsule endoscopy visualises the small intestine — the 6-metre section between the stomach and colon that standard endoscopes cannot reach. It is the investigation of choice for obscure GI bleeding (when OGD and colonoscopy are normal), suspected small bowel Crohn's disease, small bowel tumours, and refractory celiac disease. You simply swallow the capsule-sized camera and go home.

GI Bleeding or Acute Abdominal Pain? Call Immediately.

Upper GI bleeding — vomiting blood or black tarry stools — is a medical emergency. KG Hospital's 24/7 emergency endoscopy service achieves haemostasis endoscopically, often within 30 minutes of arrival, preventing emergency surgery.