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

Peptic Ulcer Disease Endoscopic Treatment

Peptic Ulcer Disease (PUD) refers to open sores that develop on the inner lining of the stomach or the first part of the small intestine (duodenum). While many cases can be managed with medication, some ulcers may bleed or cause complications requiring endoscopic treatment.

When Is Endoscopic Treatment Needed?

Endoscopic intervention is typically recommended for:

• Bleeding ulcers
• Non-healing or recurrent ulcers
• Ulcers with visible vessels or clots
• Perforated ulcers or those causing obstruction

What Does Endoscopic Treatment Involve?

Using a thin, flexible tube with a camera called a gastroscope, a gastroenterologist can examine the ulcer and perform treatments such as:

• Injection Therapy: Adrenaline or other agents are injected to stop bleeding and promote clotting.
• Thermal Coagulation: Heat is applied to cauterize bleeding vessels.
• Hemoclips (Clipping): Small clips are applied to mechanically close the bleeding vessel.
• Hemostatic Powder: A special powder is sprayed to stop active bleeding.
• Combination Therapy: Often, two or more methods are used together for maximum effectiveness.

Benefits of Endoscopic Treatment:

• Immediate control of bleeding
• Minimally invasive – avoids surgery in most cases
• Helps prevent recurrence
• Promotes faster recovery

Is It Safe?

Yes, endoscopic treatment is generally safe and effective when performed by experienced specialists. Most patients are sedated and feel little to no discomfort. Rare complications may include:

• Minor bleeding at the treatment site
• Perforation (extremely rare)

Post-Treatment Care:

After the procedure, patients may:

• Stay under observation for a few hours or overnight
• Be advised to avoid NSAIDs and smoking
• Be prescribed acid-reducing medications (PPIs)
• Require H. pylori testing and eradication if applicable

Peptic Ulcer Disease Endoscopic Treatment is a critical, life-saving tool in managing bleeding and complicated ulcers, reducing the need for surgery, and improving outcomes.