Services

• Diagnostic Upper GI Endoscopy, Gastroscopy
• Diagnostic Lower GI Endoscopy, Colonoscopy
• Diagnostic Enteroscopy

Therapeutic Upper GI Endoscopy

• Esophageal Stricture Dilatation
• Esophageal Variceal Band Ligation
• Esophageal Polyp Removal
• Gastric Variceal Glue Injection
• APC for Gastric Telangiectasias
• Peptic Ulcer Disease Endoscopic Treatment
• Foreign Body Removal
• Percutaneous Endoscopic Gastrostomy
• Balloon Dilatation for Gastro Outlet Obstruction
• Esophageal Metal Stenting for Advanced Malignancy
• Gastric and Duodenal Stenting for Advanced Malignancy
• Endoscopic Bariatric Balloon Placement

Therapeutic Lower GI Endoscopy (Colonoscopy)

• Colonoscopic Polypectomy
• Colonic Balloon Dilatation
• Colonic Decompression for Colonic Psuedo Obstruction

Interventional ERCP

• Removal of Bile and Pancreatic Duct Stones
• Pancreatic and Bile Duct Stenting
• Intraductal Cholangio-Pancreatoscopy for Large Bile Duct and Pancreatic Duct Stones

Interventional EUS

• Diagnosis and staging of Malignancy, Tissue Diagnosis by FNAC / FNAB
• Pancreatic and Bile Duct Drainage
• Pancreatic Fluid Collection Drainage

Third Space Endoscopy

• POEM
• Endoscopic Mucosal Resection
• Endoscopic Submucosal Dissection

APC for Gastric Telangiectasias

Argon Plasma Coagulation (APC) is a minimally invasive endoscopic treatment used to control bleeding from gastric telangiectasias—dilated, fragile blood vessels in the lining of the stomach that can cause chronic or recurrent gastrointestinal bleeding.

What Are Gastric Telangiectasias?

Gastric telangiectasias (also known as gastric vascular ectasia or GAVE) are small, abnormal blood vessels in the stomach. They are often associated with:

• Chronic liver disease (cirrhosis)
• Chronic kidney disease
• Autoimmune conditions
• Idiopathic causes (no known cause)

These vessels can cause occult bleeding (not visibly noticeable), leading to iron-deficiency anemia or visible gastrointestinal bleeding (like black stools or vomiting blood).

What Is Argon Plasma Coagulation (APC)?

APC is a non-contact technique in which ionized argon gas (plasma) is delivered through an endoscope to cauterize (burn and seal) the abnormal blood vessels. This stops current bleeding and prevents future episodes.

How the Procedure Is Performed:

• An upper GI endoscopy is done under sedation.
• The APC probe is inserted through the endoscope.
• Argon gas is ionized with high-frequency current and applied to the affected area.
• The abnormal vessels are sealed, reducing the risk of bleeding.

Benefits of APC:

• Effective control of bleeding
• Minimally invasive, outpatient procedure
• Repeatable, if necessary
• Helps restore hemoglobin levels and reduce the need for transfusions

Is It Safe?

Yes, APC is a safe and well-tolerated procedure when done by trained gastroenterologists. Rare side effects may include:

• Mild abdominal discomfort
• Gas bloating
• Very rarely, ulcer formation or perforation

Post-Procedure Care:

Patients can usually go home the same day. They may need:

• Iron supplements
• Dietary advice
• Repeat APC sessions if bleeding recurs

APC for gastric telangiectasias is a proven and effective treatment that significantly improves quality of life in patients with chronic GI bleeding. Our expert team ensures precise, safe, and personalized care during every step of the process.