Arya Digestive

Advanced GI Care

Specialized Procedures

We offer a comprehensive range of advanced endoscopic procedures to diagnose and treat gastrointestinal conditions. Each procedure is performed by our experienced gastroenterologists using state-of-the-art equipment.
EMR
ESD
POEM
ERCP
EUS
Capsule

EMR (Endoscopic Mucosal Resection)

A minimally invasive procedure to remove abnormal tissue from the digestive tract

Preparation

Patients should fast for 8–12 hours before the procedure. Stop taking blood thinners as directed by your physician.

Procedure

The endoscope is inserted through the mouth to visualize the area. Saline is injected under the lesion to lift it, then the abnormal tissue is removed using specialized tools.

Importance

EMR allows for early detection and treatment of precancerous lesions, potentially preventing the development of cancer.

ESD (Endoscopic Submucosal Dissection)

A more advanced endoscopic technique for removing larger or more deeply embedded lesions from the gastrointestinal tract.

Preparation

Similar to EMR, fasting for 8–12 hours is required. Discontinue certain medications as directed by your physician.

Procedure

The lesion is carefully dissected from the submucosal layer using specialized endoscopic knives, allowing for removal in one piece.

Importance

ESD provides a higher chance of complete removal for larger lesions and more accurate pathological assessment.

POEM (Peroral Endoscopic Myotomy)

A minimally invasive treatment for achalasia and other swallowing disorders.

Preparation

Patients fast for at least 8 hours. Pre-procedure evaluation includes endoscopy and esophageal manometry.

Procedure

An incision is made in the esophageal lining to allow access for cutting the muscle fibers that cause swallowing difficulty.

Importance

POEM offers symptom relief with quicker recovery compared to open surgery.

ERCP (Endoscopic Retrograde Cholangiopancreatography)

A diagnostic and therapeutic procedure for bile ducts, pancreatic ducts, and gallbladder conditions.

Preparation

Fasting for 6–8 hours is necessary. Inform your doctor of all medications and allergies.

Procedure

An endoscope is passed into the duodenum, and dye is injected to visualize the ducts via X-ray. Stones or blockages can be treated during the same session.

Importance

ERCP is vital for diagnosing and treating obstructions or leaks in the biliary and pancreatic systems.

EUS (Endoscopic Ultrasound)

A high-resolution imaging technique combining endoscopy and ultrasound.

Preparation

Fast for at least 6 hours before the test. Sedation is usually administered.

Procedure

An ultrasound probe attached to the endoscope provides detailed images of the digestive tract and nearby organs.

Importance

EUS helps in diagnosing tumors, staging cancers, and guiding fine-needle biopsies.

Capsule Endoscopy

A non-invasive test to examine the small intestine using a swallowable camera capsule.

Preparation

Patients fast for 12 hours prior to the procedure and may need bowel prep.

Procedure

The patient swallows a capsule containing a tiny camera that takes images as it travels through the GI tract.

Importance

Capsule endoscopy is useful for detecting bleeding, polyps, inflammation, and small bowel tumors.