Dr Tiwari Homoeo
About Me
Dr Tiwari Homoeo
MBBS
Gastroenterologists or GI
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
COLON CANCER SCREENING VIA COLONOSCOPY
The colonoscopy procedure remains the gold standard screening test for detecting colorectal cancer early. This preventive measure allows direct visualization and biopsy/removal of polyps before malignant transformation occurs within the colon and rectum lining walls.
- Regular screening critical for prevention due significant incidence colorectal malignancy worldwide. < br />& lt ; / ul & gt;
** Symptoms / Causes : ** May be asymptomatic initialy ; later signs include rectal bleeding , unexplained anemia , altered bowel habits .< br /> & lt ; strong & gt ; Diagnosis : & lt ; / strong & gt ; Performed under sedation using flexible tube camera device allowing examination entire large intestine lining .
< li >< strong> Treatment / Management :< / strong> Polyps removed during colonoscopy preventing cancer development ; cancer detected early has high cure rates. li>
&amp;amp;amp;amp;amp;amp;
< br />
Early detection through colonoscopy dramatically improves survival chances by allowing timely intervention before advanced disease stage emerges.
BALLOON ENTEROSCOPY
The balloon enteroscopy technique allows specialists to examine deep sections of the small intestine that are otherwise difficult to reach using conventional scopes. It employs balloons attached to the scope facilitating advancement through intestinal folds safely.
- Symptoms/causes: Utilized when investigating obscure gastrointestinal bleeding, Crohn’s disease activity far from reach, or small bowel tumors causing unexplained symptoms like anemia or pain.
- Diagnosis: Involves advancing a flexible scope equipped with one or two inflatable balloons which alternately anchor and pull through sections of intestine incrementally visualizing mucosa thoroughly during video capture.
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG)
Percutaneous Endoscopic Gastrostomy (PEG) provides long-term nutritional support by placing a feeding tube directly into the stomach through the abdominal wall using endoscopy guidance. It benefits patients unable to swallow safely.
- Symptoms/causes: Indicated for individuals with neurological disorders, head and neck cancers, or conditions impairing oral intake leading to malnutrition risk.
- Diagnosis: Patient assessment includes evaluating swallowing function and nutritional status prior to PEG placement decision.
- Treatment/management: An endoscope guides safe insertion of the feeding tube under local anesthesia; tube care education is essential post-procedure.
- What to expect: Typically outpatient; minimal discomfort reported; enables adequate nutrition delivery improving recovery prospects from underlying illness.
This minimally invasive solution supports sustained nourishment where oral feeding proves inadequate or unsafe over time periods extending beyond short-term needs.
RADIOFREQUENCY ABLATION (RFA) FOR BARRETT'S ESOPHAGUS
Radiofrequency Ablation (RFA) is a cutting-edge treatment designed to remove abnormal precancerous cells found in Barrett's esophagus. It uses controlled heat energy delivered via an endoscope to eradicate diseased tissue safely.
- Symptoms/causes: Applied when Barrett’s esophagus shows dysplasia or early signs of malignancy related to chronic acid reflux damage.
- Diagnosis: Diagnosed through endoscopy with biopsy samples confirming cellular changes needing treatment.
- Treatment/management: RFA targets only the abnormal lining while sparing healthy esophageal tissue; often requires multiple sessions spaced weeks apart.
- What to expect: Procedure usually performed under sedation; transient throat discomfort possible post-treatment but serious risks are low with expert care.
This approach effectively reduces cancer risk by eradicating problematic mucosa before progression occurs, offering a safer alternative than surgery in early stages.
LAPAROSCOPIC SLEEVE GASTRECTOMY
Laparoscopic Sleeve Gastrectomy is a surgical intervention primarily aimed at helping patients with obesity reduce stomach size and promote weight loss. This technique involves removing a large portion of the stomach using minimally invasive tools.
- Symptoms/causes: It is indicated for patients with morbid obesity who have struggled with lifestyle changes alone.
- Diagnosis: Medical evaluation includes assessing BMI, comorbid conditions like diabetes or hypertension, and nutritional status before surgery.
- Treatment/management: Involves laparoscopic removal of approximately 75-80% of the stomach along its greater curvature to create a tubular gastric sleeve.
- What to expect: Less pain and faster recovery than open surgery; patients follow strict dietary guidelines post-operation to ensure healing and effective weight loss.
This procedure helps reduce hunger hormones and food intake capacity while preserving normal digestive function without intestinal bypass.
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP)
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a specialized technique used to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. It combines endoscopy and fluoroscopic imaging to provide a detailed view of these structures.
- Symptoms/causes: Typically performed for patients with bile duct stones, strictures, or suspected tumors causing jaundice or pancreatitis.
- Diagnosis: Involves threading an endoscope through the mouth into the duodenum to access bile and pancreatic ducts while injecting contrast dye for X-ray visualization.
- Treatment/management: Allows removal of stones, placement of stents to relieve obstructions, or biopsies for suspicious lesions.
- What to expect: The procedure is done under sedation; mild discomfort after is common but serious complications are rare when performed by experienced specialists.
This minimally invasive procedure offers both diagnostic insight and therapeutic intervention in a single session, reducing need for surgery in many cases.