::Departments : Super Specialities : Medical Gastroenterology

DEPARTMENT OF MEDICAL GASTROENTEROLOGY

The Department of Medical Gastroenterology for Govt. Rajaji Hospital, Madurai was sanctioned by the Govt. of Tamilnadu in G.O. Ms. No.441 dated. 13/31984, following which, by Hospital order (H.O. no 01/84, GRH, Madurai dated 15/05/1984) the outpatient wing of this department started functioning from 16/05/1984 in OP number 24.
      
 It functions between 10 AM to 12 noon, daily except on Sundays. Inpatient services were soon started in ward 303, with total bed strength of 16 for Men & Women.

 


The Department has a post of Reader (Now Prof. &HOD) & an Asst. Professor. Post Graduate students doing M.D (Gen. Med) are posted to the Department for a period of 1 month on a rotation basis round the year.



Investigational services like Diagnostic Endoscopy, Colonoscopy are done daily since the inception of department.

The Department routinely manages therapeutic endoscopy like Endoscopic Variceal Band Ligation, Sclerotherapy, Polypectomy, Foreign Body removal, Pneumatic dilatation for Achalasia, Dilatation and stenting for malignancy Etc. The statistics of the department are given below.

STATISTICS

TOTAL NO OF OP CASES:

 
Year No. of cases(New) No.of cases(old) Total
2000 4798 3704 8502
2001 4451 3246 7697
2002 3638 3810 7448
2003 5438 4779 10217
2004 4255 7982 12237
2005 5389 11377 16766
2006 5561 11652 17203
2007 5572 11842 17414
2008 5533 9914 15447
2009 6107 9841 15948
2010 6369 9360 15729
2011 6344 10622 16966
2012 7297 11489 18786
 
 
 
TOTAL NO OF IP CASES:

 
Years No of Cases
2000 666
2001 718
2002 635
2003 940
2004 801
2005 1591
2006 1527
2007 1779
2008 1234
2009 1338
2010 1241
2011 1052
2012 1216
 
TOTAL NO OF ENDOSCOPES (DIAGNOSTIC)

 
Years UGI Scope(Date of Installation 27.09.2002) Colonoscope (Date of Installation 27.09.2002)
2002 (27.09.2002 – 31.12.2002) 672 46
2003 2648 235
2004 1235 271
2005 2662 332
2006 2552 198
2007 2861 136
2008 3146 20
2009 2940 27
2010 3324 25
2011 3057 49
2012 2885 -
 
TOTAL NO OF THERAPEUTIC PROCEDURES

 
Years Injection sclera Therapy EVBl Oesophageal dilatation Liver Biopsy Colon polypectomy Achalasia dialatation Others*
2001 22 - - - -    
2002 51 - - - -    
2003 57 - - - -    
2004 14 - 15 14 4 2  
2005 45 - 5 30 7 1  
2006 14 26 24 28 4 1  
2007 14 26 42 18 - 1  
2008 14 4 21 7 - 1  
2009 70 10 17 4 -    
2010 12 75 67 6 2    
2011 12 50 58 2   4 9
2012   60 43 2   4 8
 
*  Glue injection, balloon dilation, foreign body removal, bone marrow aspiration.
 
 
The Professor and the Assistant Professor of the department are not only engaged in patient care and teaching but also involved in academic activities like case presentations, Seminars, paper presentations in State, National and International conferences. The total papers presented are greater than 50 and are given below.

ACADEMIC PRESENTATIONS AND PUBLICATIONS OF THE
 
DEPARTMENT OF MEDICAL GASTROENTEROLOGY GRH MADURAI:

1.HBV DNA in asymptomatic HBs Ag carrier state – INASL conference Calcutta – 2003.
 
2.Endoscopic spectrum of HIV infected subjects – ISG Con Chennai – 2003.
 
3.Prevalence of Hepatitis viruses A to E in sporadic Hepatitis ISGCON Chennai – 2003. 
 
4.Ascitic fluid cholesterol in malignant as cites ISG Con 2003 – Chennai.
 
5. Prevalence of HBV and HCV in cirrhosis of liver – IG Chennai 2003.

6.  Prevalence of H pylori in dyspeptic subjects – ISG Con Chennai – 2003

7.   Study of Gastric surgery sequalae in asymptomatic patients.  ISGCON Jaipur – 2004.

8.   Study of SAAG as a predictor of oesophageal varices and bleeding in cirrhosis     liver.  ISG Con – Jaipur – 2004

9.   Serum paraoxonase  levels is in chronic liver disease.  ISGCon – Jaipur 2004.

10. Jaundice in pregnancy evaluation of aetiology maternal and fetal outcome.
ISGCon – Jaipur 2004.

11. Endoscopic findings in Acute UGI Bleed in a leaching hospital – ISG Con – Jaipur 2004.

12. Platelet count to Splenic diameter Ratio - a non invasive parameter to predict varices. – Asia Pacific Association of the studies of liver (APASL) 2004.New Delhi.

13. Analysis of 250 cases of acute UGI Bleed ISG conference Jaipur – 2004

14.  Analysis of Predictors of UGI Bleed – ISG Con  Jaipur -2004.

15.  Liver function abnormalities in HIV infected patients before and  after ART – ISG Con   `     November 2005.  
   
16.   Prevalence of H.Pylori in DM and its relationship to dyspepsia - ISG Con  November 2005

17.  Cardiac abnormalities in cirrhotics - ISG Con November 2005

18.  Peritoneoscopy using an UGI Endoscope a novel technique for diagnosis
              in sick patients - ISG Con November 2005.

19.  Colonoscopy Audit in a peripheral teaching hospital - ISG Con   November 2005

20.  HBsAg and Anti HCV prevalence in Madurai - ISG  Con November 2005

21.  Clinical and Biochemical profile of hepatoma – ISG Con November 2005

22.Prevalence of HBs Ag in the family members of asymptomatic HBs Ag carriers ISG Con Bombay 2006.

23.Prevalence of hepatopulmonary syndromes in CHR LIVER DISEASE ISG Con 2007 Bangalore.

24.Clinical and virilogical profile of HCC ISG Con 2007 Bangalore.

25.Auditof ERCP in a tertiary hospital ISG Con 2007 Bangalore .

26.Glutathione synthetase Gene polymorphisis in HC –ISG Con Bangalore 2007.

27. Analysis of GlutathioneS Transferace M1& T1 Gene Polymorphism as   risk factors for HCC. EASL-Prague-Czech Republic-June 2008

28. A case of inflammatory Sclerosing Pseudo Tumour. A rare case report.
      Indian Association of surgical gastroenterology conference Chennai Oct   2008.

29. Prevalence of HCV genotypes in HCC .Comparative analysis between  New Delhi  & Madurai.APASL  Hong Kong Feb 2009.

30. Association of high viral load & HBV genotype D increases risk of HCC .
      World congress of GE  London UK  NOV 2009. (Abstract No:1643)

   31. Hepatitis B BCP, Precore/core, X Gene mutations / Genotypes & risk                        of HCC in India. ISG con Calcutta December 2009

  32. Role of Aflaxtoxin b1 in HCC from India ISG con Calcutta December 2009

 33. Mohamed Asim Abdul  Malik, Manash P. Sharma, Sunil K.Polipalli, Nargis  Begum,         Luqmn A.Khan,S.A. Husain, Istag Ahamed, Naseem Akhatar,   L.Thayumanavan, Rajiv        Singla,P.Kar “.Hepatitis B Virus” has been accepted  (Under  production) for publication in Journal of Medical Virology in January   2010 . Impacted Factor:2.576

34.Mohammed Asim, Luqman A.Khan , S.A Husain, Sajid Husain, Anita Sharma,    J.K.Sharma, L.Thayumanavan, P.Kar. “ Genetic polymorphisum of Glutathione      S Transferases M1 and T1 in Indian patients with Hepatocellular carcinoma” has    Been accepted (under production ) for publication in Disease Marker In April 2010 .Impacted Factor:2.3

35. Study of extra Intestinal manifestations of IBD –ISG con Hyderabad 2010 

36. Gastric Histology in non ulcer dyspepsia   ISG con Hyderabad 2010 

37. Evaluation of UGI endoscopy in dyspepsia in relation to age and alarm symptoms. ISG con Hyderabad 2010.

38. Prevalence of Helicobacter Pylori in relation to socio economic status. ISG con Hyderabad 2010.

39. UGI Findings and prevalence of H.Pylori in HIV positive patients .ISG con Hyderabad 2010 

40. Prevalence of H.Pylori in dyspepsia and smokers .ISG con Hyderabad 2010

41. A Study On Usefulness Of Renal Artery Resistive Index As A Non Invasive Predictor Of          Varices & Bleed In Cirrhosis With Portal Hypertension INASL Guwahati 2012
 
  42. LFT Abnormalities In Tb Patients On RNTCP Programme INASL Guwahati 2012

  43. Doppler of the hepatic veins as a marker of severity of PHT at INASL Guwahati   2012
 
 
RECENT PUBLICATIONS:
1. Mohamed Asim Abdul  Malik, Manash P. Sharma, Sunil K.Polipalli, Nargis Begum, Luqmn A.Khan S.A. Husain, Istag Ahamed, Naseem Akhatar, Thayumanavan, Rajiv Singla,P.Kar “.Hepatitis B Virus” has been accepted (Under            production) for publication in Journal of Medical Virology in January 2010 .Impacted Factor:2.576

 2. Mohammed Asim, Luqman A.Khan , S.A Husain, Sajid Husain, Anita Sharma, J.K.Sharma, L.Thayumanavan, P.Kar. “ Genetic polymorphisum of Glutathione   S Transferases M1 and T1 in Indian patients with Hepatocellular carcinoma” has   Been accepted  (under production ) for publication in Disease Marker In April  pacted Factor:2.3

3.Mohammed Asim, Manash P. Sharma, , L.Thayumanavan, P.Kar.   Role of  Afotoxin B1 as a risk for primary liver cancer in north Indian  population   has been accepted (Under production) for publication in Clinical Biochemistry Volume 44,Numbers 14-15, October 2011.


A presentation on Transabdominal peritoneoscopy won the best Paper award  in the Indian Society of gastroenterology  National Conference in 2005.
           
Another paper on Renal resistive Index in Portal Hypertension got the Best paper Award in the state Conference in 2010.
           
The department of Medical Gastroenterology has organized a live therapeutic endoscopy workshop for the first time in Madurai in 2004, which was attended by more than 300 delegates.
           
 In 2010 , The department organized a CME on Hepatitis B, which had National faculty from AIIMS New Delhi and PGI Chandigarh which was good teaching session.
           
As part of public awareness, the Department of Medical Gastroenterology has organized Hepatitis Awareness rally in 2008, which was flagged off  by  the Commissioner of Police.
           
 In 2012, A mega screening camp of  Hepatitis B and C amongst Health care workers was organized and 1650 people were screened  as part of World Hepatitis Day celebrations.


       
 
 
This screening camp was greatly appreciated by the WHO and had found mention in the WHO technical report as given below. Hepatitis screening was also done for tribal people in Sirumalai hills and IMA members and families at Dindigul.


 
As part of therapeutic endoscopy, a highly technically demanding procedure called ERCP (Endoscopic Retrograde Cholangiopancreatography) being done routinely for the poor patients attending the Hospital from 2009. The statistics of the procedure is given below.
 
ERCP STATISTICS OF DEPARTMENT OF GASTROENTEROLOGY

 
YEAR MALE FEMALE TOTAL
2009 September on words 7 9 16
2010 24 21 45
2011 20 18 38
2012 27 29 56
 
 
 
 
In 2012, May the Professor of Medical Gastroenterology was given the Best Teacher Award by the Dr.MGR Medical University. The professor received the Award from the MCI Governing Council Member Dr.Singh.


              
 
The department of Medical Gastroenterology is staffed by a professor and an assistant professor along with a social worker. It caters to patient care, teaching and Research for PG Students.

 

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