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Gastrointestinal System and Liver Clinic

Nowadays, we are more exposed to risk factors of gastrointestinal and liver diseases, whether they are physical factors, such as foods, climate, lifestyle, or genetic factor, which are a current problem for quality of life. As the gastrointestinal tract and liver function with high complexity, they need to be treated by specialists. Gastrointestinal and Liver Center, with internists, gastrointestinal system surgeons, anesthetists, radiologists, and physicians specializing in radiology, provide medical services covering diagnosis and preventing all gastrointestinal disorders as follows;

Gastrointestinal System and Liver Clinic : Scope of Services, Specialized Services

Esophagus diseases
  •  Swallowing with difficulty
  •  Stiff neck
  •  Gastro-esophageal reflux disease (GERD), etc.
Stomach diseases, e.g.
  •  Gastritis
  •  Peptic ulcer
  •  Stomach cancer, etc.
Biliary tract diseases, e.g.
  •  Gallstone
  •  Cholecystitis
  •  Ascending cholangitis
  •  Biliary atresia, etc.
Liver diseases, e.g.
  •  Hepatitis
  •  Hepatitis A, B and C
  •  Alcoholic hepatitis
  •  Toxic hepatitis
  •  Autoimmune hepatitis
  •  Fatty liver, or hepatic steatosis
  •  Cirrhosis
  •  Liver cancer, etc.
Intestine diseases, e.g.
  •  Excretion disorders
  •  Enterocolitis
  •  Dysentery
  •  Ulcerative colitis
  •  Irritable bowel syndrome
  •  Colon cancer, etc.

Symptoms of gastrointestinal disorders

   As the gastrointestinal tract and liver function with high complexity, an abnormality may not be obvious. The symptoms require a physical examination by specialists and inquiry of a patient’s behavior for accurate diagnosis results. Patients should visit a physician in the following cases;

  •  Suspicion of gastrointestinal disease
  •  Thorough examination of gastrointestinal tract and liver for disease prevention
  •  Symptoms of gastrointestinal disease are not completely cured or not relieved, even after receiving some treatments.
  •  The patient wants the physician’s confirmation on diagnosis and treatment method for decision on treatment.
  •  Endoscopy by specialists is required.
  •  The patient seeks medical recommendations on health care and disease prevention from a specialized physician.

Signs of gastrointestinal and liver diseases

  •  Repeated colic under xiphoid process or left rib above navel
  •  Chronic and uncurable stomachache
  •  Loss of appetite, weight loss, fatigue
  •  Flatulence or bloating
  •  Difficult or painful swallowing
  •  Frequent or continual vomiting without a clear cause
  •  Vomiting blood
  •  Pale skin, anemia
  •  Mucous or black rectal discharge
  •  Alternating constipation and diarrhea

Diagnosis with medical technology

Diagnosis
  • 1. Endoscopic Retrograde Cholangiopancreatography (ERCP) for bile duct cancer and biliary atresia, etc.
  • 2. GI Endoscopy
    • Gastroscopy for examination of intestine movement and disorders and detection of Helicobacter Pylori in the stomach
    • • Colonoscopy for examination of disorders in the lining of the colon and colon spasm. A colonoscope is inserted until it reaches the other end of the large intestine, or the cecum connecting to the small intestine.
    • • Sigmoidoscopy
    • • Polypectomy
    • • Percutaneous Endoscopic Gastrostomy (PEG)
    • • Treatment for bleeding esophageal varices
  • 3. Gastrointestinal Wireless Capsule Endoscopy is a new examination technique for gastrointestinal diseases, particularly the deepest part of the small intestine. The patient swallows a capsule which records images of the gastrointestinal tract. Then, physicians analyze the images and related data to provide prompt, precise and accurate treatment according to the causes of the disease.
  •  4. Liver Biopsy is sampling of liver tissue and cells for examination, especially in case of liver masses, suspicious hepatic cancer or liver inflammation
Treatment
  • 1.Non-surgical treatment
    •  Haemostasis for acute bleeding in gastrointestinal tract and liver
  • 2.Surgical treatment
    •  ​Surgical treatment for liver, bile duct and gall bladder diseases
    •  Surgical treatment for esophagus, stomach, small intestine or colon diseases
Medical Technology

Abdominal X-ray and ultrasound

  •  Spiral CT Scan
  •  Magnetic Resonance Imaging (MRI)
  •  GI Endoscopy for gastrointestinal tract examination
  •  Gastrointestinal wireless capsule endoscopy
  •  GI Surgery (Laparoscopic surgery)
  •  3D full high definition laparoscopic surgery
  •  Liver abnormality screening by FibroScan