Dr Ajeet Rathi
About Me
Dr Ajeet Rathi
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
TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT (TIPS)
The Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure offers relief from complications caused by portal hypertension in liver disease patients. By creating an artificial channel within the liver connecting portal veins directly to hepatic veins, this intervention reduces elevated portal pressure safely via interventional radiology techniques combined with gastroenterology expertise.
- Condition Addressed : Portal hypertension leading to variceal bleeding or refractory ascites unable to be managed by medical therapy alone demands TIPS consideration as an effective alternative approach.
- Procedure Details : Using image guidance through jugular vein access under anesthesia allows precise placement of stents forming shunts bypassing high pressure zones reducing blood flow obstruction within hepatic vasculature.
- Follow-up Care : Regular monitoring post-TIPS includes imaging studies assessing shunt patency alongside managing associated encephalopathy risks which occasionally arise from altered blood flow patterns.
- Outcome Expectations : Improvement in quality of life occurs due to reduced bleeding episodes or ascitic fluid accumulation permitting fewer hospitalizations thereby prolonging survival prospects.
By employing TIPS procedures judiciously under specialized GI care settings, significant symptom control can be achieved restoring stability even in advanced liver disease cases.
RADIOFREQUENCY ABLATION (RFA) FOR BARRETT'S ESOPHAGUS
The application of Radiofrequency Ablation (RFA) provides a targeted treatment option for Barrett's Esophagus – a condition where abnormal cells develop in the esophagus lining potentially increasing cancer risk. RFA helps eradicate these precancerous cells safely and efficiently using heat energy delivered via endoscopy.
- Disease Context: Barrett’s Esophagus arises primarily due to chronic acid reflux damaging normal tissue; patients may have no symptoms initially but require surveillance because of cancer risk elevation.
- Treatment Methodology: During RFA sessions, controlled radiofrequency energy ablates abnormal mucosal layers promoting regeneration of healthy tissue underneath over time after multiple treatments if necessary.
- Efficacy Monitoring: Post-treatment endoscopies confirm eradication success while detecting residual lesions early ensuring complete management before progression occurs.
- Patient Experience : Most individuals tolerate RFA well though some might feel temporary chest discomfort which eases quickly; outpatient basis treatment supports minimal downtime avoiding hospitalization.
This innovative technique significantly reduces progression risks associated with Barrett’s Esophagus providing proactive cancer prevention benefits through minimally invasive means.
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG)
Percutaneous Endoscopic Gastrostomy (PEG) is a procedure where a feeding tube is placed directly into the stomach through the abdominal wall using endoscopy. This technique provides nutritional support when oral intake is inadequate or unsafe over extended periods.
- Candidacy and Uses: PEG tubes benefit patients with swallowing difficulties due to neurological conditions, head-and-neck cancers, or severe gastrointestinal disorders preventing normal eating.
- The Procedure Explained: Under mild sedation, an endoscope guides placement of a flexible tube through a small abdominal incision directly into the stomach lumen for feeding access.
- Nutritional Management: Enteral feeding solutions are administered via PEG ensuring adequate caloric intake tailored by dietitians according to patient needs.
- Avoiding Complications: Proper care of insertion site minimizes infection risk; regular monitoring ensures tube patency and manages potential issues effectively.
This minimally invasive method offers reliable nutrition delivery essential for patient recovery and quality of life when oral feeding is compromised long term.
ESOPHAGEAL MANOMETRY
This test evaluates the function of the esophagus by measuring muscle contractions during swallowing. Esophageal manometry helps diagnose motility disorders affecting swallowing and acid reflux symptoms.
- Indications and Symptoms: It is recommended for patients experiencing difficulty swallowing, chest pain unrelated to heart issues, or persistent acid reflux symptoms unresponsive to medication.
- Test Procedure: A thin catheter is passed through the nose into the esophagus to record pressure changes as you swallow different liquids during the test session.
- Treatment Implications: Results guide treatment plans including medications like muscle relaxants or consideration for procedures aimed at improving esophageal motility or reflux control.
- User Experience: The test generally lasts around 30-60 minutes with minor discomfort during catheter insertion; no sedation is required allowing immediate return to routine activities afterward.
The objective data gained from esophageal manometry offers critical insight into complex swallowing disorders aiding precise diagnosis and personalized therapy strategies.
LAPAROSCOPIC CHOLECYSTECTOMY
Laparoscopic cholecystectomy is a minimally invasive surgical technique to remove the gallbladder, often indicated for gallstones causing pain or infection. It has become the standard treatment offering faster recovery than open surgery.
- Symptoms and Causes: Indications include recurrent episodes of right upper abdominal pain, nausea after fatty meals, or gallbladder inflammation due to gallstones.
- Diagnostic Process: Ultrasound imaging confirms gallstones or gallbladder disease before planning surgery.
- Surgical Approach: Small incisions are made in the abdomen through which instruments and a camera are inserted to safely remove the gallbladder while minimizing trauma.
- Postoperative Care: Patients usually experience less pain and shorter hospital stays, with most returning home within a day and resuming normal activities quickly.
This technique effectively resolves symptoms caused by gallbladder disease while minimizing surgical risks associated with traditional open methods.
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP)
Endoscopic Retrograde Cholangiopancreatography, or ERCP, is a specialized procedure used to diagnose and treat problems in the bile ducts, pancreatic duct, and gallbladder. It combines endoscopy and X-ray imaging to provide a detailed view of these areas.
- Symptoms and Causes: ERCP is often performed when patients experience jaundice, abdominal pain, or unexplained digestive symptoms that suggest blockages or inflammation in bile or pancreatic ducts.
- Diagnosis: The procedure starts with inserting an endoscope through the mouth to the small intestine where dyes are injected to visualize ducts with X-rays.
- Treatment Options: ERCP is not only diagnostic but therapeutic; it can remove stones, place stents to open blocked ducts, or take biopsies for further examination.
- Procedure Expectations: Patients typically undergo sedation and may experience mild discomfort post-procedure; recovery time varies but often includes observation for complications like pancreatitis.
This approach allows effective management of complex biliary and pancreatic diseases with minimally invasive techniques that reduce the need for surgery in many cases.