All you wanted to know about Endoscopy

Dr. Manish Joshi is a Consultant Surgical Gastroenterologist, GI Oncologist and Advanced Laparoscopic Surgeon at the BGS Global Hospitals, Bangalore. He had earlier served as Head of Surgical Gastroenterology services at St. John’s Medical College Hospital, Bangalore for almost 3 years. 

What is Upper GI Endoscopy?

EGD, also known as upper gastrointestinal (GI) endoscopy, is a visual examination of the upper digestive tract. It begins with examination of the esophagus or swallowing tube. Next is the stomach, a pouch that makes acid and breaks the food into smaller particles. Finally the first part of the small intestine or duodenum is visualized. The duodenum is where food meets bile from the liver and digestive juices from the pancreas. 

What is Colonoscopy?

Colonoscopy is the visual examination of the large intestine (colon) using a lighted, flexible fiber optic or video endoscope. The colon begins in the right lower abdomen and forms a big question mark as it moves up and around the abdomen ending in the rectum. It is 5-6 feet long. The colon has a number of functions including the removal of water from the liquid stool that enters it, so that a formed stool subsequently occurs. 

What is EUS?

Endoscopic Ultrasound (EUS)combines endoscopy and ultrasound in order to examine the digestive tract and the surrounding tissue and organs. Endoscopy refers to the procedure of inserting a long flexible tube via the mouth or the rectum to visualize the digestive tract. Ultrasound uses high-frequency sound waves to produce images of the organs and structures inside the body.

What is ERCP?

ERCP stands for endoscopic retrograde cholangiopancreatograph. ERCP is a procedure used to study the ducts (drainage tubes) from the liver, gallbladder, and pancreas. The liver is the largest organ in the body, and along with many other functions, it produces bile which aids in digestion. Some bile is stored in the gallbladder. The bile ducts carry bile from the liver and gallbladder to the first part of the intestine (the duodenum). There it meets food from the stomach. The pancreas lies behind the stomach and also makes digestive juices. The pancreatic duct and the bile duct meet as they enter the duodenum. An endoscope (thin flexible tube which allows the physician to see inside the bowel) is passed through the mouth, esophagus, and stomach and into the duodenum. A small plastic tube or catheter is passed through the endoscope and into the ducts. Contrast material (“dye”) is then injected into the ducts and X-rays are taken. Physicians with special training can accomplish ERCP in about 95% of cases. 

Types of Endoscopy Surgery

  • Upper GI Endoscopy
  • Colonoscopy
  • EUS
  • ERCP
  • Stenting
  • Foreign Body Removal

Spigelian Hernia or also known sometimes as “Lateral ventral” hernia is an unconventional type of hernia that develops throughout the Spigelian fascia. While most types of hernia grow below the fatty layers of the human body, Spigelian hernia is different. This type of hernia grows in between the abdominal wall and the muscles. As it is deep under the layers of the human body, this type of hernia usually does not show any obvious symptoms and therefore remains undetected for long durations. 

While most of the hernias are situated at the fat layers of the patient’s body and therefore cause swelling that is noticeable, Spigelian hernia, on the other hand, is situated deep inside and therefore does not show any such symptom. This type of hernia is known as “interparietal hernia” and it develops inside the abdominal walls and muscles. This is why there is no swelling or bulges that could be witnessed externally. Also, the size of this kind of hernia is considerably very small and therefore leaves no chances to identify it externally. However, it can be identified if the patient pays careful attention. Spigelian hernia can cause constant abdominal discomfort and this is what will help you identify it.

A patient starts to feel some amount of pain in the place of hernia after a while. This pain is constant and may come and go in intervals. However, it is still a strong symptom to look out for. Initially, it may not hurt in the immediate area of hernia but after a while, the location becomes clearer as the hernia begins to hurt more specifically. These symptoms are usually for hernias that are small in size and are made up of small lumps of soft tissues. Another symptom of Spigelian hernia is that it causes disturbances in the bowel functioning of the person.

Due to the fact that Spigelian hernia has no as such obvious symptoms, it is hard to diagnose this. Therefore, the doctor needs to go through an extensive examination in order to confirm a diagnosis regarding Spigelian hernia. He/she will check the size of the abdomen and will examine it by touching it gently in order to know if there are any lumps or not. Furthermore, a confirmed diagnosis for Spigelian hernia can also be passed after obtaining the CT scan results.

Spigelian hernia is very consistent with strangulation. This means that it can cause the congestion and cause the blood supply to be cut. Like most other hernia types, Spigelia hernia is also operated using a laparoscopic procedure. Incisions are made at the location of the hernia to extract it out and misplaced tissues are placed in their appropriate positions. The abdominal wall that is damaged due to the hernia is fixed by the help of a surgical mesh. This is to avoid any further chances of the hernia returning.

The recovery depends solely on the type of surgical procedure used, the expertise of the physician, the willpower of the patient and the severity of the hernia. However, the recovery time is usually around two weeks and if the laparoscopic method is used, the chances for recovery are faster.

Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.

The recovery depends solely on the type of surgical procedure used, the expertise of the physician, the willpower of the patient and the severity of the hernia. However, the recovery time is usually around two weeks and if the laparoscopic method is used, the chances for recovery are faster.

Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.

Spigelian Hernia or also known sometimes as “Lateral ventral” hernia is an unconventional type of hernia that develops throughout the Spigelian fascia. While most types of hernia grow below the fatty layers of the human body, Spigelian hernia is different. This type of hernia grows in between the abdominal wall and the muscles. As it is deep under the layers of the human body, this type of hernia usually does not show any obvious symptoms and therefore remains undetected for long durations. 

While most of the hernias are situated at the fat layers of the patient’s body and therefore cause swelling that is noticeable, Spigelian hernia, on the other hand, is situated deep inside and therefore does not show any such symptom. This type of hernia is known as “interparietal hernia” and it develops inside the abdominal walls and muscles. This is why there is no swelling or bulges that could be witnessed externally. Also, the size of this kind of hernia is considerably very small and therefore leaves no chances to identify it externally. However, it can be identified if the patient pays careful attention. Spigelian hernia can cause constant abdominal discomfort and this is what will help you identify it.

A patient starts to feel some amount of pain in the place of hernia after a while. This pain is constant and may come and go in intervals. However, it is still a strong symptom to look out for. Initially, it may not hurt in the immediate area of hernia but after a while, the location becomes clearer as the hernia begins to hurt more specifically. These symptoms are usually for hernias that are small in size and are made up of small lumps of soft tissues. Another symptom of Spigelian hernia is that it causes disturbances in the bowel functioning of the person.

Due to the fact that Spigelian hernia has no as such obvious symptoms, it is hard to diagnose this. Therefore, the doctor needs to go through an extensive examination in order to confirm a diagnosis regarding Spigelian hernia. He/she will check the size of the abdomen and will examine it by touching it gently in order to know if there are any lumps or not. Furthermore, a confirmed diagnosis for Spigelian hernia can also be passed after obtaining the CT scan results.

Spigelian Hernia or also known sometimes as “Lateral ventral” hernia is an unconventional type of hernia that develops throughout the Spigelian fascia. While most types of hernia grow below the fatty layers of the human body, Spigelian hernia is different. This type of hernia grows in between the abdominal wall and the muscles. As it is deep under the layers of the human body, this type of hernia usually does not show any obvious symptoms and therefore remains undetected for long durations. 

While most of the hernias are situated at the fat layers of the patient’s body and therefore cause swelling that is noticeable, Spigelian hernia, on the other hand, is situated deep inside and therefore does not show any such symptom. This type of hernia is known as “interparietal hernia” and it develops inside the abdominal walls and muscles. This is why there is no swelling or bulges that could be witnessed externally. Also, the size of this kind of hernia is considerably very small and therefore leaves no chances to identify it externally. However, it can be identified if the patient pays careful attention. Spigelian hernia can cause constant abdominal discomfort and this is what will help you identify it.

A patient starts to feel some amount of pain in the place of hernia after a while. This pain is constant and may come and go in intervals. However, it is still a strong symptom to look out for. Initially, it may not hurt in the immediate area of hernia but after a while, the location becomes clearer as the hernia begins to hurt more specifically. These symptoms are usually for hernias that are small in size and are made up of small lumps of soft tissues. Another symptom of Spigelian hernia is that it causes disturbances in the bowel functioning of the person.

Due to the fact that Spigelian hernia has no as such obvious symptoms, it is hard to diagnose this. Therefore, the doctor needs to go through an extensive examination in order to confirm a diagnosis regarding Spigelian hernia. He/she will check the size of the abdomen and will examine it by touching it gently in order to know if there are any lumps or not. Furthermore, a confirmed diagnosis for Spigelian hernia can also be passed after obtaining the CT scan results.

Spigelian Hernia or also known sometimes as “Lateral ventral” hernia is an unconventional type of hernia that develops throughout the Spigelian fascia. While most types of hernia grow below the fatty layers of the human body, Spigelian hernia is different. This type of hernia grows in between the abdominal wall and the muscles. As it is deep under the layers of the human body, this type of hernia usually does not show any obvious symptoms and therefore remains undetected for long durations. 

While most of the hernias are situated at the fat layers of the patient’s body and therefore cause swelling that is noticeable, Spigelian hernia, on the other hand, is situated deep inside and therefore does not show any such symptom. This type of hernia is known as “interparietal hernia” and it develops inside the abdominal walls and muscles. This is why there is no swelling or bulges that could be witnessed externally. Also, the size of this kind of hernia is considerably very small and therefore leaves no chances to identify it externally. However, it can be identified if the patient pays careful attention. Spigelian hernia can cause constant abdominal discomfort and this is what will help you identify it.

A patient starts to feel some amount of pain in the place of hernia after a while. This pain is constant and may come and go in intervals. However, it is still a strong symptom to look out for. Initially, it may not hurt in the immediate area of hernia but after a while, the location becomes clearer as the hernia begins to hurt more specifically. These symptoms are usually for hernias that are small in size and are made up of small lumps of soft tissues. Another symptom of Spigelian hernia is that it causes disturbances in the bowel functioning of the person.

Due to the fact that Spigelian hernia has no as such obvious symptoms, it is hard to diagnose this. Therefore, the doctor needs to go through an extensive examination in order to confirm a diagnosis regarding Spigelian hernia. He/she will check the size of the abdomen and will examine it by touching it gently in order to know if there are any lumps or not. Furthermore, a confirmed diagnosis for Spigelian hernia can also be passed after obtaining the CT scan results.

Spigelian Hernia or also known sometimes as “Lateral ventral” hernia is an unconventional type of hernia that develops throughout the Spigelian fascia. While most types of hernia grow below the fatty layers of the human body, Spigelian hernia is different. This type of hernia grows in between the abdominal wall and the muscles. As it is deep under the layers of the human body, this type of hernia usually does not show any obvious symptoms and therefore remains undetected for long durations. 

While most of the hernias are situated at the fat layers of the patient’s body and therefore cause swelling that is noticeable, Spigelian hernia, on the other hand, is situated deep inside and therefore does not show any such symptom. This type of hernia is known as “interparietal hernia” and it develops inside the abdominal walls and muscles. This is why there is no swelling or bulges that could be witnessed externally. Also, the size of this kind of hernia is considerably very small and therefore leaves no chances to identify it externally. However, it can be identified if the patient pays careful attention. Spigelian hernia can cause constant abdominal discomfort and this is what will help you identify it.

A patient starts to feel some amount of pain in the place of hernia after a while. This pain is constant and may come and go in intervals. However, it is still a strong symptom to look out for. Initially, it may not hurt in the immediate area of hernia but after a while, the location becomes clearer as the hernia begins to hurt more specifically. These symptoms are usually for hernias that are small in size and are made up of small lumps of soft tissues. Another symptom of Spigelian hernia is that it causes disturbances in the bowel functioning of the person.

Due to the fact that Spigelian hernia has no as such obvious symptoms, it is hard to diagnose this. Therefore, the doctor needs to go through an extensive examination in order to confirm a diagnosis regarding Spigelian hernia. He/she will check the size of the abdomen and will examine it by touching it gently in order to know if there are any lumps or not. Furthermore, a confirmed diagnosis for Spigelian hernia can also be passed after obtaining the CT scan results.

Spigelian Hernia or also known sometimes as “Lateral ventral” hernia is an unconventional type of hernia that develops throughout the Spigelian fascia. While most types of hernia grow below the fatty layers of the human body, Spigelian hernia is different. This type of hernia grows in between the abdominal wall and the muscles. As it is deep under the layers of the human body, this type of hernia usually does not show any obvious symptoms and therefore remains undetected for long durations. 

While most of the hernias are situated at the fat layers of the patient’s body and therefore cause swelling that is noticeable, Spigelian hernia, on the other hand, is situated deep inside and therefore does not show any such symptom. This type of hernia is known as “interparietal hernia” and it develops inside the abdominal walls and muscles. This is why there is no swelling or bulges that could be witnessed externally. Also, the size of this kind of hernia is considerably very small and therefore leaves no chances to identify it externally. However, it can be identified if the patient pays careful attention. Spigelian hernia can cause constant abdominal discomfort and this is what will help you identify it.

A patient starts to feel some amount of pain in the place of hernia after a while. This pain is constant and may come and go in intervals. However, it is still a strong symptom to look out for. Initially, it may not hurt in the immediate area of hernia but after a while, the location becomes clearer as the hernia begins to hurt more specifically. These symptoms are usually for hernias that are small in size and are made up of small lumps of soft tissues. Another symptom of Spigelian hernia is that it causes disturbances in the bowel functioning of the person.

Due to the fact that Spigelian hernia has no as such obvious symptoms, it is hard to diagnose this. Therefore, the doctor needs to go through an extensive examination in order to confirm a diagnosis regarding Spigelian hernia. He/she will check the size of the abdomen and will examine it by touching it gently in order to know if there are any lumps or not. Furthermore, a confirmed diagnosis for Spigelian hernia can also be passed after obtaining the CT scan results.

Endoscopy FAQ's

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Ask the Doctor

PreOp-Instructions

  • ON THE DAY BEFORE SURGERY
    Proceed with normal activities, normal diet & Shower
  • AFTER MIDNIGHT BEFORE THE DAY OF SURGERY
    Do not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
  • ON THE DAY OF SURGERY
    Do not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
  • These are typical instructions. Your instructions by your surgeon or doctor may vary.

These are typical instructions. Your instructions by your surgeon or doctor may vary.

PostOp-Instructions

  • ON THE DAY BEFORE SURGERY
    Proceed with normal activities, normal diet & Shower
  • AFTER MIDNIGHT BEFORE THE DAY OF SURGERY
    Do not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
  • ON THE DAY OF SURGERY
    Do not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
  • These are typical instructions. Your instructions by your surgeon or doctor may vary.

These are typical instructions. Your instructions by your surgeon or doctor may vary.

Key Benefits of Laparoscopic / Robotics Surgery

Key Hole Surgery

No Bigger Cuts

Shorter Hospital Stay

Safe & Stress Free Surgery

Short Stay Surgery

Dedicated Doctors

Best-in-Class Process for Best-in-Class Patient Experience

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Consulting

Pre-Surgery Counselling

Surgery

Post-Surgery Counselling

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Dr. Manish Joshi is the Best Gastrointestinal surgeon in Bangalore & India. He is an expert in Advanced Laparoscopic & Robotic Surgical Techniques. His motto is ‘Patient comes first” View Profile.

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  • www.apolloclinic.com

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