Gastroenterology

Introduction of Gastroenterology

Gastroenterology is a branch of medicine focused on the digestive system and its

disorders. Gastroenterology is a sub-specialty of internal medicine.
A Gastroenterologist specializes in diseases of thedigestive systemor the
gastrointestinal tract. Gastroenterologists are extensively trained in the
diagnosis and treatment of conditions that affect the esophagus, stomach, small
intestine, large intestine (colon), and biliary system (e.g., liver, pancreas,
gallbladder, bile ducts). Gastroenterologist understand how the food moves
through the digestive tract and the physical and chemical break down of food,
which is also known as digestion, including the absorption of nutrients and the
removal of waste products.

Any problems related to the digestivefunctions of the liverare taken care by

Gastroenterologists. You need to refer to a experienced Gastroenterologist for
treatment in case you are going through any of the symptoms and conditions:
Abdominal pain and discomfort
Bleeding in the digestive tract
Cancer(e.g.,colorectal cancer,stomach gastric cancer,pancreatic
cancer,liver cancer)
Constipation and diarrhoea
Difficulty swallowing
Diseases of the colon (e.g., polyps,irritable bowel syndrome(IBS), colitis,
Crohn's disease)
Gallbladder disease
HeartburnandGastroEsophageal reflux disease(GERD)
Haemorrhoids
Hiatal hernias
Inflammation in the digestive tract(e.g., gastritis)
Liver disease(e.g.,hepatitis,jaundice)
Malabsorption disorders (e.g.,celiac disease, lactose intolerance)
Stomach upset, nausea, vomiting
Ulcers
sudden weight loss

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in Delhi - NCR
Gastroenterologistsare expert in the evaluation, diagnosis, management, and
treatment of all diseases and symptoms as mentioned above.
Gastroenterologists are physicians who are awarded either a Doctor of Medicine
(M.D.) or Doctor of Osteopathic Medicine (D.O.) degree.
The next step in becoming a gastroenterologist is a 3-year program of special
study and training called ageneral internal medicine residency. Following
completion of this residency, the physician (internist) may continue on to
specialize in gastroenterology by entering a gastroenterology fellowship.
A gastroenterology fellowship is an intense 2- or 3-year program, during which
the physician receives extensive training in diseases and conditions of the
digestive tract. Organizations such as the American Society for Gastrointestinal
Endoscopy, the American College of Gastroenterology, and the American
Gastroenterological Association oversee gastroenterology fellowships to ensure a
high quality of education and training.

Gastroenterology fellowships include instruction and training in the

following:

Caring for patients in different settings (e.g., doctor's office, hospital)

Evaluating and treating patients with GI symptoms and conditions
Performing diagnostic procedures (e.g., endoscopic procedures, such as
colonoscopy, upperendoscopy, sigmoidoscopy)
Providing recommendations to help prevent disease and maintain good health.
During this fellowship, physicians learn how to perform complicated
procedures, such as polyp removal (called polypectomy), stretching (dilation)
of the esophagus and intestines, and various techniques to stop bleeding in
the GI tract. They also learn how to administer sedation required for these
procedures and how to interpret results.

Agastroenterologistalso needs to have a clear understanding of ailments

affecting the organs of the gastrointestinal system like:
Peptic ulcer disease
Gastric cancers
Esophageal cancers
Achalasia
Barrets esophagus
Colon polyps
Colon andbowel cancers
Pancreatitis
Pancreatic cancers
Cholecystitis
Biliary tract disease
Gallbladder stones and cancer
Hepatitis
Gastroesophageal reflux
Colitis
Nutritional problems andmalabsorption,
Irritable Bowel Syndrome (IBS)

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Gastroenterologists in Delhi - NCR
Starting from evaluation of patients to caring for them in the office as
well as in the hospital is part of the training. Training involves learning
endoscopy (upper endoscopy, sigmoidoscopy, and colonoscopy),
endoscopic biliary examination (endoscopic retrograde
cholangiopancreatography or ERCP), endoscopic mucosal resection or EMR,
endoscopic ultrasound (EUS) etc.
After completion of the fellowship the gastroenterologists are qualified to
take the Gastroenterology board certification test administered by the
American Board of Internal Medicine. Once they have successfully
completed this examination they are Board Certified.