Advanced Endoscopy

Early diagnosis saves lives.

Many diseases of the digestive system begin silently, with few or no symptoms in their early stages. Conditions such as stomach ulcers, colon polyps, inflammatory bowel disease, Barrett's esophagus, and even cancers of the esophagus, stomach, or colon often develop gradually before causing significant discomfort.

An endoscopy allows your doctor to look directly inside the digestive tract using a high-definition camera, helping identify abnormalities that may not be visible on blood tests or routine imaging. Detecting disease at an early stage often means treatment is simpler, recovery is faster, and long-term outcomes are significantly better.

At Sarvodaya Hospital, our advanced endoscopy suite is equipped to diagnose a wide range of gastrointestinal conditions with precision. During the same procedure, tissue samples (biopsies) can be obtained safely, and many abnormalities—such as polyps or sources of bleeding—can be treated immediately, often avoiding the need for major surgery.

Whether you have persistent acidity, difficulty swallowing, abdominal pain, unexplained weight loss, anemia, rectal bleeding, or a family history of gastrointestinal cancer, timely endoscopic evaluation can provide answers when they matter most.

• Detects diseases before symptoms become severe.
• Identifies precancerous conditions that can be treated before they progress.
• Helps diagnose the cause of persistent digestive symptoms accurately.
• Allows early treatment of bleeding, ulcers, and polyps during the same procedure.
• Reduces the need for more invasive surgery through minimally invasive endoscopic therapies.
• Provides reassurance when the examination is normal, allowing appropriate management of symptoms.

Your doctor may recommend an endoscopy if you have:

• Persistent heartburn or acid reflux
• Difficulty or pain while swallowing
• Upper abdominal pain or recurrent vomiting
• Unexplained anemia or weight loss
• Vomiting blood or passing black stools
• Rectal bleeding or blood in the stool
• Persistent diarrhea or constipation
• A family history of colorectal or upper gastrointestinal cancers
• The need for routine colorectal cancer screening after the age recommended by your physician

At Sarvodaya Hospital, we believe that early diagnosis is the first step toward effective treatment. By combining advanced technology with experienced specialists, we strive to detect disease early, treat it promptly, and help our patients return to healthy lives with confidence

Many people think that an endoscopy is simply a test used to diagnose digestive problems. In reality, modern endoscopy has evolved into a powerful therapeutic tool that can not only identify disease but also treat many conditions during the same procedure, often eliminating the need for open surgery.

Using advanced endoscopic instruments passed through a flexible endoscope, our specialists can remove abnormal growths, control bleeding, relieve blockages, widen narrowed segments of the digestive tract, remove foreign bodies, and place feeding tubes—all through natural body openings without external incisions.

At Sarvodaya Hospital's Advanced Endoscopy Suite, therapeutic endoscopy combines cutting-edge technology with expert clinical judgment to provide minimally invasive treatment that is safe, effective, and focused on faster recovery and improved patient comfort.

• Minimally invasive – No external cuts or surgical scars.
• Diagnosis and treatment in one procedure – Many conditions can be managed immediately after they are identified.
• Less pain and discomfort compared with conventional surgery.
• Reduced hospital stay, with many procedures performed as day-care treatments.
• Faster recovery, allowing patients to return to normal activities sooner.
• Lower risk of complications in appropriately selected patients.
• Preserves normal anatomy whenever possible.

Removal of polyps from the stomach or colon before they develop into cancer, playing a vital role in cancer prevention.

A specialized technique for removing early-stage precancerous and cancerous lesions from the lining of the gastrointestinal tract, often avoiding major surgery.

Advanced techniques—including injection therapy, clips, thermal coagulation, and hemostatic agents—to control gastrointestinal bleeding caused by ulcers, 

vascular lesions, or tumors.

A lifesaving procedure for treating enlarged veins (varices) in the esophagus, commonly seen in patients with liver cirrhosis, helping prevent or stop severe bleeding.

Gentle widening of narrowed areas (strictures) caused by inflammation, previous surgery, or disease, improving swallowing and intestinal passage.

Placement of expandable stents to relieve blockages in the esophagus, stomach, bile ducts, or colon, restoring normal function and improving quality of life.

Safe retrieval of accidentally swallowed objects from the esophagus or stomach using specialized endoscopic devices.

Placement of a feeding tube directly into the stomach for patients who are unable to swallow safely and require long-term nutritional support.

A non-contact thermal therapy used to treat bleeding lesions, vascular malformations, radiation proctitis, and selected superficial gastrointestinal lesions.

Every therapeutic endoscopic procedure at Sarvodaya Hospital is performed using high-definition imaging, advanced electrosurgical systems, and internationally accepted safety protocols. Our multidisciplinary team—including experienced endoscopists, anesthetists, nursing staff, and surgeons—ensures that each patient receives personalized care tailored to their condition.

At Sarvodaya Hospital, therapeutic endoscopy represents the future of digestive healthcare—treating complex gastrointestinal diseases through minimally invasive techniques that offer precision, safety, and faster recovery while helping many patients avoid major surgery.

Endoscopic Retrograde Cholangiopancreatography (ERCP) is one of the most advanced therapeutic endoscopic procedures available today. It combines high-definition endoscopy with real-time fluoroscopic (X-ray) imaging to diagnose and treat disorders affecting the bile ducts and pancreatic ducts—often eliminating the need for open surgery.

Unlike a routine endoscopy, ERCP is primarily a treatment procedure rather than just a diagnostic test. Using a specialized side-viewing endoscope, our endoscopists can access the opening of the bile and pancreatic ducts (the papilla), inject contrast for detailed imaging, and perform a wide range of minimally invasive interventions with exceptional precision.

At Sarvodaya Hospital's Advanced Endoscopy Suite, ERCP is performed by experienced specialists using modern endoscopic equipment and fluoroscopy in a dedicated procedure room, supported by anesthetic care and comprehensive patient monitoring to ensure the highest standards of safety.

ERCP plays a vital role in managing conditions that block or damage the bile and pancreatic ducts. These conditions can lead to jaundice, severe abdominal pain, infections, pancreatitis, or liver damage if left untreated.

ERCP allows us to:

• Remove stones from the common bile duct.
• Relieve obstruction causing jaundice.
• Treat bile duct and pancreatic duct strictures.
• Manage bile leaks following surgery or trauma.
• Drain infected bile ducts in acute cholangitis.
• Obtain tissue samples from suspicious strictures or tumors.
• Place stents to restore normal bile or pancreatic drainage.

Our specialists perform ERCP for a wide range of hepatobiliary and pancreatic disorders, including:

• Common bile duct (CBD) stones
• Obstructive jaundice
• Acute cholangitis
• Benign bile duct strictures
• Malignant biliary obstruction
• Pancreatic duct stones and strictures
• Chronic pancreatitis
• Bile leaks after gallbladder or liver surgery
• Pancreatic leaks
• Ampullary disorders
• Selected pancreatic and biliary tumors
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A controlled incision of the sphincter muscle to facilitate stone removal and improve bile drainage.

Removal of stones using balloons and retrieval baskets, avoiding the need for major surgery in many patients.

Placement of plastic or self-expanding metal stents to relieve blockage caused by benign or malignant disease, restoring bile flow and reducing jaundice.

Treatment of pancreatic duct stones, strictures, and leaks using specialized guidewires, dilators, and pancreatic stents.

Gentle widening of narrowed bile ducts or pancreatic ducts to improve drainage.

Brush cytology and biopsy techniques to investigate suspicious biliary or pancreatic strictures and guide further treatment.

Endoscopic stenting to divert bile flow and promote healing following surgery or injury.

Temporary drainage of infected or obstructed bile ducts in selected complex cases.

Compared with traditional surgery, ERCP offers several important advantages:

• Minimally invasive with no external incision.
• Treats the problem during the same procedure in many cases.
• Rapid relief from jaundice, pain, and infection.
• Shorter hospital stay and faster recovery.
• Reduced postoperative discomfort.
• Avoids major surgery for many patients with bile duct stones or ductal obstruction.
• Facilitates further treatment, including surgery or oncology care, when required.

Many biliary and pancreatic diseases are complex and require coordinated care. At Sarvodaya Hospital, every ERCP patient benefits from a multidisciplinary team that includes gastroenterologists, GI and hepatopancreatobiliary surgeons, anesthesiologists, radiologists, and pathologists. This collaborative approach ensures accurate diagnosis, individualized treatment planning, and seamless access to surgery or additional therapies when necessary.

You should consult a specialist if you experience:

• Yellowing of the eyes or skin (jaundice)
• Persistent upper abdominal pain
• Fever with chills and jaundice
• Recurrent pancreatitis
• Dark urine or pale stools
• Persistent itching associated with jaundice
• Abnormal liver function tests
• Suspected bile duct stones or blockage on ultrasound or CT scan

At Sarvodaya Hospital's Advanced Endoscopy Suite, ERCP is more than a procedure—it is a lifesaving, minimally invasive therapy that restores the normal flow of bile and pancreatic secretions, relieves obstruction, treats infection, and helps patients recover with less pain, fewer complications, and a quicker return to everyday life. Our commitment to advanced technology, clinical expertise, and patient-centered care ensures that you receive world-class treatment close to home.

Proper preparation is essential for a safe, comfortable, and accurate examination. Following the recommended instructions helps your doctor obtain the best possible view of the digestive tract, improves the success of therapeutic procedures, and reduces the risk of complications. Our team will provide you with personalized instructions based on your medical condition, the procedure being performed, and the medications you are taking.

Why preparation is important

A completely empty stomach allows the endoscopist to examine the esophagus, stomach, and duodenum clearly while minimizing the risk of vomiting or aspiration during the procedure.

• Do not eat or drink anything for 6–8 hours before your scheduled endoscopy, unless advised otherwise by your doctor.
• Small sips of water may be permitted for essential medications up to a few hours before the procedure—please follow your doctor's specific instructions.
• Inform your doctor if you have:
  • Diabetes
  • Heart disease
  • Kidney disease
  • Previous reactions to sedation
  • Bleeding disorders
  • Pregnancy
• Bring all previous endoscopy reports, imaging studies, blood test results, and a list of your current medications.
• If you are receiving sedation, arrange for a responsible adult to accompany you home. Driving or operating machinery is not recommended for the remainder of the day.
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A clean bowel is the key to an accurate colonoscopy.

Even small amounts of residual stool can hide polyps or other abnormalities. Careful bowel preparation significantly improves the quality of the examination and increases the likelihood of detecting early disease.

2–3 days before the procedure

• Follow a low-fiber diet as advised by your doctor.
• Avoid seeds, nuts, whole grains, and high-fiber foods that may remain in the colon.

One day before the procedure

• Consume only clear liquids such as water, clear soups, coconut water, apple juice (without pulp), clear tea or coffee (without milk), and oral rehydration fluids.
• Avoid milk, dairy products, alcohol, and coloured beverages (especially red or purple drinks).

• Take the prescribed bowel-cleansing solution exactly as instructed.
• Drink plenty of clear fluids to remain hydrated.
• Complete the bowel preparation at the recommended time, including any split-dose regimen if prescribed.
• Continue drinking clear liquids until the instructed fasting period begins.

Inform your doctor if you are taking:

• Blood thinners (such as warfarin, apixaban, rivaroxaban, dabigatran, clopidogrel, or aspirin)
• Diabetes medications or insulin
• Iron supplements
• Blood pressure medications
• Any herbal or over-the-counter supplements

Do not stop any prescribed medication unless specifically advised by your treating physician or endoscopist.

ERCP is an advanced therapeutic procedure that often requires additional evaluation before treatment. Careful preparation helps ensure the procedure is performed safely and effectively.

Your doctor may recommend:

• Blood investigations, including complete blood count, liver function tests, kidney function tests, blood sugar, coagulation profile, and other tests based on your condition.
• Imaging studies such as ultrasound, CT scan, or MRI/MRCP to evaluate the bile ducts and pancreas.
• Review of all current medications, allergies, previous surgeries, and existing medical conditions.
• Assessment by the anesthesia team if sedation or anesthesia is planned.

Please inform your doctor if you are taking:

• Blood-thinning medications
• Diabetes medications or insulin
• Medicines for heart disease
• Steroids or immunosuppressive drugs
• Any medication allergies

Your doctor will advise whether any medications need to be temporarily adjusted before the procedure.

Depending on your medical condition and the complexity of the procedure:

• ERCP may be performed as a day-care procedure or may require a short hospital stay.
• You will usually be asked to fast for 6–8 hours before the procedure.
• An intravenous (IV) line will be inserted for fluids, medications, and sedation.
• After ERCP, you will be monitored in the recovery area until you are fully awake and medically stable.
• Some patients may require overnight observation, particularly after complex therapeutic procedures or if treatment for infection, pancreatitis, or jaundice is needed.

• Carry all previous medical records, investigation reports, imaging studies, and referral notes.
• Wear comfortable clothing and avoid bringing valuables.
• Inform the medical team about any allergies, implanted cardiac devices, or significant medical conditions.
• If you are receiving sedation, do not drive, operate machinery, sign important legal documents, or consume alcohol for the rest of the day.
• Follow all post-procedure dietary and medication instructions provided by your doctor.
• Contact the hospital immediately if you experience severe abdominal pain, persistent vomiting, heavy bleeding, fever, or difficulty breathing after your procedure.

If you have any questions about fasting, bowel preparation, medications, or your upcoming procedure, our endoscopy team is available to guide you every step of the way. Careful preparation ensures a smoother procedure, more accurate diagnosis, and the safest possible experience at Sarvodaya Hospital's Advanced Endoscopy Suite.