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  • Call: +91 7504942222
  • Email: ayaskant.gastro@gmail.com

dr. ayaskanta singh

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Advanced Endoscopic Procedures

We offer a wide range of advanced therapeutic endoscopic procedures, combining precision technology with expert skill to provide minimally invasive solutions for complex gastrointestinal and hepatobiliary conditions.

ERCP (Endoscopic Retrograde Cholangiopancreatography)

A specialized procedure used to diagnose and treat disorders of the bile ducts and pancreas. Common indications include:

  • Bile duct stones (choledocholithiasis)
  • Biliary or pancreatic strictures
  • Cholangiocarcinoma and pancreatic cancer stenting
  • Post-cholecystectomy bile leaks
  • Sphincter of Oddi dysfunction
We routinely perform stone extraction, stent placement (plastic or metallic), and balloon dilation with excellent success rates.

Endoscopic Variceal Band Ligation (EVL) & Sclerotherapy

For patients with esophageal or gastric varices due to portal hypertension (cirrhosis-related), we offer:
  • Banding of esophageal varices to prevent or treat bleeding
  • Injection sclerotherapy for bleeding gastric varices or recurrent esophageal varices

These are life-saving procedures often performed in emergency settings or as part of a regular de-varicealization program.

Endoscopic Foreign Body Removal

Urgent removal of accidentally swallowed foreign objects such as:
  • Food boluses
  • Coins, dentures, batteries, sharp objects
Using retrieval forceps, nets, or baskets under endoscopic guidance.

Endoscopic Stricture Dilation

Used for benign or malignant esophageal, gastric, duodenal, or colonic strictures:
  • Balloon dilation
  • Bougie (Savary-Gilliard) dilation
Often combined with stent placement in malignant obstructions.

Endoscopic Stenting

For palliation or relief of obstruction in:
  • Esophageal cancer
  • Colonic tumors
  • Biliary obstructions
We use self-expanding metallic stents (SEMS) tailored to the location and disease type.

Endoscopic Polypectomy and Mucosal Resection

Safe and complete removal of:
  • Colon polyps (to prevent colorectal cancer)
  • Gastric and duodenal polyps
  • Early superficial neoplasms (via EMR – Endoscopic Mucosal Resection)

PEG Tube Insertion (Percutaneous Endoscopic Gastrostomy)

For long-term feeding access in patients with:
  • Neurological disorders (stroke, ALS, etc.)
  • Head and neck cancers
  • Biliary obstructions
Performed endoscopically with minimal invasiveness.

Hemostasis Procedures

Urgent endoscopic control of gastrointestinal bleeding from:
  • Peptic ulcers (injection, coagulation, clipping)
  • Angiodysplasia (APC – argon plasma coagulation)
  • Tumor bleeding
These advanced procedures are performed with utmost safety and precision under sedation or anesthesia, ensuring patient comfort and rapid recovery.

EUS (Endoscopic Ultrasound)

Combines endoscopy with high-resolution ultrasound to visualize structures within and around the GI tract. Indications include:
  • Pancreatic masses, cysts, and chronic pancreatitis
  • Subepithelial lesions of the GI tract
  • Evaluation of bile duct and mediastinal lymph nodes
  • EUS-guided FNA/FNB (Fine-needle aspiration/biopsy) for tissue diagnosis
  • EUS-guided drainage of pancreatic pseudocysts and fluid collections

EMR (Endoscopic Mucosal Resection)

Used to remove precancerous or early cancerous lesions confined to the mucosal layer:
  • Flat or sessile colon polyps
  • Superficial gastric or esophageal neoplasms
  • Rectal adenomas
A safe and effective alternative to surgery when lesions meet resection criteria.

ESD (Endoscopic Submucosal Dissection)

An advanced technique for en bloc removal of larger or deeper lesions not amenable to EMR:
  • Early-stage GI cancers (esophageal, gastric, rectal)
  • Large flat polyps
Provides higher complete resection rates with lower recurrence, preserving organ integrity.

POEM (Peroral Endoscopic Myotomy)

A cutting-edge, incisionless treatment for achalasia cardia and other esophageal motility disorders:
  • Myotomy is performed via a submucosal tunnel
  • Offers rapid symptom relief with fewer complications than traditional surgery
  • Minimally invasive with quick recovery
A safe and effective alternative to surgery when lesions meet resection criteria.

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