Our Extensive Services Include:

1. Professional consultation concerning the GI tract
2. Diagnostis and treatment for GI diseases
3. Endoscopic technology and evaluation
4. Laparoscope surgery*
5. Preventive medicine

*Laproscopic surgery uses microscopic machinery to minimize the incision and wound, resulting in a shorter hospital stay, compared to other invasive methods.

• Suspect any GI or liver discomforts
• Would like to undergo GI and liver tests
• Are unsatisfied with your current GI treatment and wish for a second opinion
• Need to consult a specialist before making a decision about your treatment plan
• Need to investigation or treat with the use of an endoscope
• Would like general advice or recommendations on preventive methods for GI problems

• Pediatric GI Disease
• Peptic Ulcer
• Colitis
• Stomach Cancer
• Esophageal Cancer
• Colon Cancer
• Liver Cancer
• Hepatitis
• Alcoholic Liver Disease
• Liver Cirrhosis
• GI Infections
• Gastroenteritis
• Irritable Bowel Syndrome, Constipation
• Pancreatitis
• Gallstones, Cholangitis
• Cholangiocarcinoma

• Special Diagnosis without Contrast: Ultrasonography: Imaging examination of the liver, pancreas, gall bladder, common bile duct, spleen and the kidney

• Special Diagnostic with Contrast:

• Barium Swallowing: Review the swallowing and regurgitating of the esophagus
• Upper GI Examination: Examine the swallowing, esophagus, stomach and proximal part of the small intestine
• Long GI Examination: Check the swallowing, stomach and whole small intestine
• BE (Barium Enema): Investigate the large intestine or colon
  
  
• Computerized Tomography (Spiral CT Scan) and the Magnetic Resonance Imaging (MRI)
  
• Fluoroscopy : A technique for obtaining X-ray images capturing motion. The Radiologist uses a switch to control an X-Ray beam that is transmitted through the patient. The X-ray then strikes a fluorescent plate that is coupled to an "image intensifier" this in turn is connected to a television camera. The Radiologist can then watch the images "live" on a TV monitor
  
• GI Endoscopy : A visual examination of the intestinal tract using a lighted, flexible fiberoptic or video endoscope. Upper endoscopy enables the physician to look inside the esophagus, stomach, and duodenum (first part of the small intestine). The procedure might be used to discover swallowing difficulties, the causes of nausea, vomiting, reflux, bleeding, indigestion, abdominal pain or chest pain. Upper endoscopy is known as EGD, which stands for esophagogastroduodenoscopy
  
  • Gastroscopy : A medical term that has two parts: gastro for "stomach" and scopy for "looking". Gastroscopy is a diagnostic test that enables the doctor to view the stomach. The instrument used to perform this simple test is the gastroscope; a long, thin, flexible fiberoptic tube. Within the end of this remarkable device is a miniaturized color TV camera with a wide angle lens. By passing this "scope" through the stomach, your doctor can directly examine the lining of your upper digestive system. The examination is quick, painless and without incision
  • Colonoscopy : Allows the physician to investigate the entire large intestine, from the lowest part, to the rectum, all the way up through the colon to the lower end of the small intestine. This procedure is used to detect early signs of cancer in the colon and rectum. It can also be used to diagnose the causes of changes in bowel habits. Colonoscopy enables the physician to detect inflamed tissue, abnormal growths, ulcers and bleeding
  • Flexible Sigmoidoscopy : Enables the physician to assess the inside of the large intestine via the rectum and the last part of the colon, known as the sigmoid colon. Physicians may use this procedure to investigate symptoms of diarrhea, abdominal pain, or constipation. This procedure can also be adapted to detect early signs of cancer by allowing the physician to identify signs of bleeding, inflammation, abnormal growths and ulcers in the descending colon and rectum
  • Polypectomy : The removal of polyps from the stomach, small intestine and colon
  • EVS, EVL (Endoscopic Variceal Treatment) : Endoscopic investigation enables the physician to treat varice in the esophagus
  • PEG (Percutaneous Endoscopic Gastrostomy) : A tube enters the stomach through the abdominal wall, under the visual guidance of an endoscope
  • Diagnostic ERCP (Endoscopic Retrograde Cholangiopancreatography) : Identifies a problem within the bile duct or pancreas e.g. gallstones, cancer of the bile ducts, pancreatitis
  • Therapeutic ERCP (Sphincterotomy, Stone extraction) : Utilises a tube to correct a problem in the bile ducts. For example: cancer or gallstones in the bile ducts
  
• GI Pathology : Extraction of cells for precise analysis
  
• Intervention Radiology : Use of X-rays, ultrasound and other medical images to guide small instruments through the blood vessels or other pathways to treat disease percutaneously
  
  • TOCE (Transcatheter oily chemo-embolization) : When the cancer cannot be removed by surgery, a radio therapist will place a small tube through the hepatic artery direct to the cancerous area, releasing anticancer drugs to block the artery feeding the area. This procedure can help to reduce the cancer size and prevent it from spreading, in some cases surgery can then be used to remove it
  • FNA (Fine needle aspiration) and Liver Biopsy : A liver biopsy allows the physician to examine signs of disease and damage to the liver tissue. A special needle is used to remove the tissue from the liver. A liver biopsy is carried out after tests suggest that the liver is not functioning correctly. For example, a blood test might show that your blood contains higher levels of liver enzymes or too much iron or copper, an x ray could suggest that the liver is swollen and looking at the liver tissue itself is the best way to determine whether the liver is healthy or what is causing the damage.
  

Today, digestive and liver diseases are becoming increasingly common, and can often lead to more serious complications if not addressed. A multitude of factors can influence this, for example our environment, genetics, what we eat and our overall lifestyle.

In conjunction with this, The Bangkok GI & Liver Center offers a comprehensive range of state of the art diagnostic tools and treatment options. With our highly qualified specialists and well-trained, caring and supportive team of nurses, you can be rest assured that you are getting excellent, first class treatment.

The Bangkok GI & Liver Center, is committed to providing high quality health care and education on digestive and liver condition, being a major role in leading Bangkok Hospital to be recognized worldwide as a center of medical excellence.

Gastrointestinal Wireless Capsule Endoscopy –
a medical evolution in diagnosing gastrointestinal illnesses

The gastrointestinal system is the body’s digestive system that intertwines with other delicate organs in the abdominal area. Constant, or intermittent abdominal pain that cannot be located exactly, is a source of distress and worry for patients. When the pain source indicates the lower intestine, it is more difficult to analyze. However, thanks to a major medical evolution in the development of a state-of-the-art “Gastrointestinal Wireless Capsule Endoscopy”, gastrointestinal diagnosis is now easier, faster and safer than ever before. The new system also provides diagnosis details in the most accurate and efficient manner.

The “capsule”, similar to a “medicine pill”, is a wireless gastrointestinal endoscope, about 11-mm thick and 26-mm wide, weighing only 3.7 gms. The “capsule” is made from high-grade plastic, transparent with a rounded end, where a fine camera lens and automatic self-illuminating headlight are fitted, together with a semi-conductor for storing images. The “capsule” is dispensable.

Application is easy as the “capsule” is swallowed with water, like taking a pill. Like a miniature space shuttle guided by its illuminated headlight, the “capsule” travels along the entire length of the dark and winding gastrointestinal system, from the mouth it continues its passage into the esophagus, then on through the stomach, duodenum, jejunum, ileum, ileo-cecal valve, cecum and colon. The shining headlight flashes every 2 seconds, enabling the camera to record images as the “capsule” moves through each area. The images of the gastrointestinal areas are transmitted to receivers, placed in eight strategic positions on the patient’s abdomen. The images are then transmitted to the image and data storage unit attached to a belt, which is strapped on the patient. The diagnosis process takes about eight hours to complete, allowing the patient to move freely. The “capsule” is discharged from the body through regular bowel movement and discarded after use.

The “Capsule” gastrointestinal endoscopy provides a friendlier and more comfortable procedure for patients. Former gastrointestinal diagnoses, involved swallowing a solution, with x-rays and microscopic inspections of problem areas, sometimes with unclear results, and are now a thing of the past. Thanks to the development of the new “Gastrointestinal Wireless Capsule Endoscopy”, images and data taken by the “Capsule” are analyzed and diagnosed by physicians, accurately and precisely at the roots of problems, using a computerized Rapid Workstation.