MEDICAL GASTROENTEROLOGY

The department of Gastroenterology is well equiped with modern facilities for patient comfort and care. It is actively involved in both diagnostic and therapeutic procedures such as ERCP for stone extraction, stenting for biliary malignancies, and pancreatic endotherapy, GI bleeds, capsule endoscopy etc. We provide round the clock cover for all GI emergencies and manage complex liver cases. In addition we also workup for liver transplant and manage referrals of such cases. The team comprises of our gastroenterologists, experienced nurses and technicians. 

 

The Department has a fully equipped Endoscopy suite where high end and complex diagnostic and therapeutic procedures are performed. Both elective and emergency endoscopic procedures are performed in the department. A pre and post procedural consultation is done for all outdoor and indoor patients by our experts.

Common list of procedures conducted
• Diagnostic Gastroscopy, Sigmoidoscopy, Colonoscopy.
• Endoscopic removal of foreign bodies.
• Endoscopic treatment of bleeding ulcers and varices.
• Endoscopic placement of feeding tubes and stents.
• Endoscopic removal of polyps and dilation for strictures.
• Endoscopic removal of bile duct stones and placement of stents.
• Diagnosis and early treatment of GI cancers.

SERVICES

Gastric outlet obstruction (GOO) includes obstruction in the antropyloric area or in the bulbar or post bulbar duodenal segments. Endoscopic Balloon Dilatation (EBD) is an effective alternative to surgery in a select number of patients to treat GOO.

Percutaneous endoscopic gastrostomy (PEG) tubes can be used to provide enteral nutrition for terminal malignancies of the upper gastrointestinal tract as well as for decompression of malignant obstructions.

Our GI Oncology and Chemotherapy team is highly specialized to treat gastrointestinal malignancies, including cancers of the liver, bile duct, gallbladder, pancreas, large and small bowel, stomach, esophagus and rare tumors.

Treatment of gastrointestinal (GI) bleeding depends on the cause and location of bleeding. We prevent GI bleeding by treating the conditions that cause the bleeding. Treatment for liver disease depends on your diagnosis. Some liver problems can be treated with lifestyle modifications, such as stopping alcohol or losing weight, typically as part of a medical program that includes careful monitoring of liver function. Other liver problems may be treated with medications or may require surgery.

Therapuetic endoscopy is useful in treatment of gastrointestinal bleeding. This includes techniques such as photocoagulation, electrocoagulation, thermocoagulation and injection method.

DOCTORS

Dr Harish Peshwe

Consultant Gastroenterologist & Hepatologist

Dr Sanjay Altekar

Consultant Gastroenterologist, Hepatologist and Endoscopist

Dr Harish Peshwe

Qualification

MBBS, MD, DNB (General medicine), DNB (Gastroenterology)

Membership

  • Member of  Indian Society of Gastroenterology
Dr. Harish Peshwe after completing his MBBS is 1996 went for MD Medicine at Goa Medical College. He then further pursued his career to specialise in Gastroenterology. He is a Consultant Gastroenterologist and Hepatologist in Goa, with a huge experience in the medical profession. He is associated with several hospitals in Goa, including Grace Cardiac Hospital (Margao), Healthway Hospital (Panjim), Manipal Hospital (Dona Paula) and Galaxy Hospital (Mapusa). He specialises in Gastroenterology, Hepatology, Gastrointestinal Oncology and Clinical Nutrition. Dr. Peshwe worked with Global Hospitals at Hyderabad as a Consultant Gastroenterologist for two years up until December 2007. Prior to that he was at Apollo Hospital in Hyderabad, in the same capacity. He was actively involved in therapeutic endoscopy procedures including ERCP for stone extraction, stenting for biliary malignancies, stone disease and pancreatic endotherapy, GI bleeds and other routine diagnostic procedures. He gained experience in double balloon enteroscopy for small bowel bleeds, and narrow band imaging and chromoendoscopy for detection of early neoplastic lesions in the GI tract followed by EMR if required. Dr. Harish Peshwe was formally trained in Gastroenterology at the Tata Memorial Hospital in Mumbai, where he was Senior Resident/Registrar and later Specialist Registrar in the Department of Digestive Diseases and Clinical Nutrition (Jan 2002 to Aug 2005), culminating in the award of the DNB (Medical Gastroenterology) title. This department at Tata Memorial is actively involved in gastrointestinal oncology
  • Article
  • Lamivudine for control of acute HBV infection during cancer chemotherapy. Proceedings of the 1st Asian American International Medical Conference. 2003; 1:33. [Abstract]
    Article
  • Role of EUS in predicting curative resection in esophageal cancer preoperatively. Indian J Gastroenterol. 2003; 22 (Suppl-1): A124. [Abstract]
    Article
  • Metastatic GIST: New hope from targeted chemotherapy. Indian J Gastroenterol. 2003; 22 (Suppl-1): A17. [Abstract][+]
  • https://www.researchgate.net/publication/23454742_FDG-PET_and_PETCT_in_the_clinical_management_of_gastrointestinal_stromal_tumor
  • The management of gastrointestinal stromal tumors (GISTs) has been revolutionized in recent years by two major developments: the introduction of imatinib mesylate as a targeted therapeutic agent and the dramatic change in the tumor metabolic activity following successful therapy making in fluorodeoxyglucose (FDG)-PET as the modality of choice for m…
  • https://www.researchgate.net/publication/23400839_Diffuse_Intense_FDG_Uptake_in_the_Bone_Marrow_in_Gastrointestinal_Stromal_Tumor_With_Coexistent_Polycythemia_Rubra_Vera
  • We report diffuse intense FDG uptake in the bone marrow in a patient who had undergone surgery for gastric antral gastrointestinal stromal tumor unrelated to the primary malignancy. The FDG-PET demonstrated diffusely enhanced uptake of the radiotracer in the vertebrae, pelvis, and the proximal long bones. The history revealed coexistent polycythemi…
  • https://www.researchgate.net/publication/6707166_Melanosis_coli
  • https://www.researchgate.net/publication/246658570_Hepatobiliary_and_pancreatic_Colonic_obstruction_and_hepatic_encephalopathy
  • https://www.researchgate.net/publication/7704665_Cutaneous_metastases_in_carcinoma_stomach
  • https://www.researchgate.net/publication/8458021_Hepatitis_B_control_To_vaccinate_or_not
  • https://www.researchgate.net/publication/8458022_Tea_or_tobacco_Etiology_of_esophageal_cancer_in_India
  • https://www.researchgate.net/publication/7560352_Imatinib_mesylate_as_therapy_for_gastrointestinal_stromal_tumor
  • https://www.researchgate.net/publication/23454742_FDG-PET_and_PETCT_in_the_clinical_management_of_gastrointestinal_stromal_tumor
  • Gold Medal for standing first in National Board of Examinations for DNB Medical Gastroenterology. 2005.
  • Best Paper (Oral) Award at Indian Society of Gastroenterology conference. 2003
  • Poster paper Award Indian Society of Gastroenterology conference, Chennai, 2003
  • Young Clinician program award, 1st Asian American International Medical Conference , Goa 2003
  • GMC college prize for standing first in MBBS
  • Gold Medal of the XXXIV Annual Gastroenterology conference 1995
  • Gold Medal for medicine 1995, Goa University
  • Gold Medal for medicine 1995, Goa medical college
  • Gold Medal for medicine 1995, Pfizer trophy
  • Gold Medal for medicine 1995, Individual award

Dr Sanjay Altekar

Qualification

MBBS, DCH, DNB ( Paediatrics) DNB ( Gastroenterology), MNAMS ( Gastroenterology)

Membership

Member of IMA, Goa branch

Dr Sanjay Altekar, Consultant Gastroenterologist, has been trained at the prestigious Seth GS Medical College, Bangalore & KEM Hospital, Mumbai in 2006 . He has worked at KEM Hospital as a lecturer in the Department of Gastroenterology. He has also been the Research Officer / lecturer In TN Medical college and BYL Nair Hospital, Mumbai
and Research Officer/ Lecturer Seth GS Medical College & KEM Hospital, Mumbai
Besides endoscopic procedures, he has vast experience in the management of various types of liver diseases. He has performed more than 15,000 endoscopic procedures in the last decade. 2007 onwards he has been Consultant Gastroenterologist, hepatologist and Endoscopist at several hospital in Goa including, Apollo, SMRC, Redkar, RG Stone, Vision and Healthway Hospitals.

2003 – Awarded ISG- JBCPL Poster session Award for the poster, Profile of Portal Hypertension in Children, Chennai
West zone finalist at National level of IAP quiz 92-93