SURGICAL GASTROENTEROLOGY

• Dedicated multi-organ transplant ICU with each bed having separate hepafilters and AHUs to minimise the risk of infection & cross-infection. Most modern, modular and integrated twin OTs dedicated to transplant surgeries.
• 24x7 transfusion medicine and laboratory medicine facilities. Liver Transplant & HPB Surgery 1. Liver Transplant The liver transplant programme offered at Pragma Medical Institute is the first government licensed, multi-organ transplant program in North West Delhi. The program strictly adheres to Transplantation of Human Organs Act and Rules 1994 and its subsequent mendments. The liver transplant program being offered here is amongst the best in India.

Why Pragma Medical Institute?

• State-of-the-art centre with cutting-edge technology.
• Offering both cadaveric & living-donor liver transplant for both adult & pediatric patients
• Computerized technology equipment for minimizing human errors
• Precise and safe practices involved for carrying out liver transplant surgery Very short waiting period for people requiring liver transplant Separate AC units for each ICU bed for ensuring complete infection control

Our Services

- Swap-liver transplantation (ABO

- incompatible liver transplant program)

- Domino liver transplantation

- Combined liver-kidney transplantation

- Transplantation for liver cancer Deceased-Donor Liver Transplantation (DDLT)

- For acute and chronic liver failure (cirrhosis) in adults and children

- Split-liver transplantation

- Reduced size liver transplantation Living

- Donor Liver Transplantation (LDLT)/Living

- Related Liver Transplantation (LRLT)

- For acute and chronic liver failure (cirrhosis) in adults and children

- Dual-lobe liver transplantation

• Pediatric Liver Transplant Our Specialised Programmes & Clinics
• Pre-transplant clinic
• Post-transplant clinic
• Patient education & counseling
• Liver/Biliary/Gl cancer surgery clinic
• Pediatric liver disease & transplant clinic
• Anaesthesia & pain clinic Note: Ultimate selection of the donor and recipient for liver transplant is by the transplant team, which is guided by the rules & regulations of the Government of India. The organ transplant authorisation committee at Pragma Medical Institute has been established by the Ministry of Health and Family Welfare and strictly adheres to

  Transplantation of Human Organs Act and Rules 1994 and its subsequent amendments. The committee closely examines all donors and recipients and approves liver donation only on the basis of the guidelines of the Act.

2. HPB Surgery HPB surgeryor hepato-pancreato-biliary surgery involves the surgery to treat both benign and malignant diseases of liver, pancreas and biliary system (gall bladder & bile duct).

Our Services

• Hepatic Surgery

  - Major hepatectomy for liver cancer - Complex and major liver resections for hilar cholangiocarcinoma, hepatocellular carcinoma, and liver metastases - Caudate lobe resections - Parenchyma preserving liver resections (posterior sectorectomy, bisegmentectomy, atypical resections) - Staged procedures (including interventional radiology and liver resection) for management of colorectal liver metastases - Associating liver partition and portal vein ligation for staged hepatectomy (ALPSS) procedure (staged liver resection procedures)

  - Liver resection for neuroendocrine liver metastases Biliary Surgery - Surgery for gall bladder cancer including radical cholecystectomy, major liver resections and extended right hepatectomy, vascular reconstructions Bile duct resection - Biliary atresia surgery - Choledochal cyst surgery/ choledocal cyst excision Pancreatic Surgery - Whipple resection - Pylorus preserving pancreatico-duodenectomy - Surgery for chronic pancreatitis Surgery for acute pancreatitis (pancreatic necrostomy & pseudocyst drainage procedures) Pancreatic resection - (central/distal/spleen preserving pancratectomy)

  - Pancreatic resection with vascular reconstruction Gastro Sciences

  1. Digestive & HPB Sciences Our gastro sciences facility at Pragma Medical Institute is dedicated to offer both diagnostic & therapeutic services for the management of a wide range of diseases of digestive tract & hepato-biliary system. Equipped with the latest technology & equipments, it provides all major endoscopy & intervention radiology-assisted procedures. Our Services (a)Diagnostic Services

• Upper GI Endoscopy
• Lower GI Endoscopy or Colonoscopy

  - Sigmoidoscopy

  - Full length colonoscopy

  - lleoscopy

  - Diagnostic ERCP

  - Percutaneous endoscopic gastrostomy (PEG) placement for feeding

  - Liver biopsy

  - Enteroscopy (b) Therapeutic Services

• Upper Gl therapeuticendoscopy

  - Variceal ligation

  - Endoscopic sclerotherapy

  - Glue injection of gastric varices

  - Esophageal &intestinal stricture dilatation

  - Achalasia dilatation

  - Argon plasma coagulation of mucosal lesions

  - Polypectomy for UGI polyps

  - Endoscopic submucosal dissection for superficial Gl lesions

  - Foreign body removal from UGI tract

  - Endoscopic placement offeeding tubes
  Therapeutic Colonoscopy

  - Polypectomies

  - Endoscopic sclerotherapy for bleeding colonicileallesions

  - Colonoscopic placement of self-expanding metal stents for malignant colonic strictures

  - Therapeutic ERCP 2. GISurgery, GI Oncology, Advanced Minimal Access & Bariatric Surgery It is equipped with cutting-edge technology & latest facilities to carry out all the major GI, HPB and bariatric surgery procedures. Owing to the expertise of our surgeons and excellent treatment facilities, Pragma Medical Institute has made a significant mark in being one of the major healthcare providers offering highend HPB and gastric procedures. Our Services (a) Upper GI Procedures

• Esophagectomy

  - Two-field esophagectomies

  - Three-field esophagectomies

  - Transhiatal esophagectomies

  - Ivor Lewis esophagectomies

  - Mc-keon esophagectomies

  - Left thoracoabdominal esophagectomies

  - Laparoscopic assisted esophagectomies

  - Complex esophageal reconstructions including plastic surgery and grafts

  - Vagus preserving esophagectomies

  - Surgery for benign and malignant (cancerous and non-cancerous) diseases of esophagus

  - Surgery for tracheo-esophageal fistula

  - Surgery for zenkers diverticulum

  - Surgery for GERD

  - Surgery for hiatal hernia

• Gastrectomies

  - D1/D2/D3-gastrectomies

  - Partial gastrectomies

  - Distal gastrectomies

• Duodenal switch
• Comprehensive bariatric patient management program (d) AbdominalVascular and Micro-vascular Surgery
• Shunt surgeries for upper Gl bleeding

Devascularisation procedures Aorto-superior mesenteric bypass grafting for mesenteric vascular diseases Mesentericvascular surgeries Surgeries for portal hypertension

- Laparoscopic gastrectomies

- Laparoscopic assisted gastrectomies

- Total gastrectomies - Gastric pouch reconstructions - Surgery for benign and malignant (cancerous and non-cancerous) diseases of stomach

Luminal Procedures

• Surgery for ulcerative colitis - Total proctocolectomy with ileal pouch anal anastomosis
• Surgery for ulcerative colitis with cancer

Surgery for colorectal cancer with and without liver metastasis - Open surgeries with majororgan resections

- Laparoscopic assisted surgeries

- Total laparoscopic surgeries

• Small bowel resections Pelvic exenteration procedures

- Anterior pelvic exenteration procedures

- Posterior pelvicexenteration procedures

- Total pelvic exenteration procedures

• Surgeries for paediatric&adult congenital Gl conditions (c) Bariatric Surgery
• Laparoscopic gastric banding
• Laparoscopic sleeve gastrectomy
• Laparoscopic gastric bypass