Gastroentero-Hepatology

Gastrointestinal (GI) conditions may affect your digestive tract, as well as organs such as your liver, pancreas, and gall bladder.

1. Upper gastrointestinal tract
   The upper GI tract consists of the mouth, oesophagus, stomach and the first part of the small intestine. It digests your food and prepares it for processing in the lower GI tract. Common conditions affecting the upper GI tract include: 
   • Gastritis
   • Vomiting
   • Heartburn
   • Indigestion
   • Polyp
   • Peptic ulcers
   • Celiac disease
   • Barrett’s oesophagus
   • Acute abdominal pain
   • Bleeding in the upper GI tract
   • Gastroenteritis (food poisoning)
   • Gastro-oesophageal reflux diseases (GERD)
   • Stomach acid conditions
   • Helicobacter pylori
   • Stomach cancer
2. Lower gastrointestinal tract
   The lower GI tract begins at the midsection of the small intestine and extends throughout the large intestine until the anus. It is involved in the digestion and absorption of food nutrients, as well as the processing of waste products for excretion. Conditions associated with the lower GI tract include: 
   • Diarrhoea
   • Constipation
   • Colon polyps
   • Lactose intolerance
   • Diverticular disease
   • Haemorrhoids
   • Bloating or abdominal pain
   • Bleeding in the lower GI tract
   • Irritable bowel syndrome (IBS)
   • Inflammatory bowel diseases (e.g. Crohn’s disease and ulcerative colitis)
   • Colorectal cancer
3. Liver, pancreas, gall bladder and bile duct
   The liver, pancreas, bile duct and gall bladder perform important functions such as filtering harmful substances, aiding digestion, producing proteins and enzymes, and assisting the immune system. Many liver, gall bladder, pancreas and bile duct diseases only display symptoms at advanced stages. Left untreated, these diseases can lead to serious damage and even death. Common diseases that affect these organs include: 
   • Liver
     • Liver cyst
     • Liver nodule
     • Liver cancer
     • Liver fibrosis
     • Liver cirrhosis
     • Fatty liver disease
     • Autoimmune hepatitis
     • Viral hepatitis (A, B, C, E)
     • Primary biliary cholangitis
     • Primary sclerosing cholangitis
   • Pancreas
     • Pancreatitis
     • Pancreatic cancer
     • Pancreatic cyst
   • Gallbladder and bile duct
     • Gallstones

Diagnostic and therapeutic endoscopy can help to pinpoint the cause of your symptoms and deliver treatment.

1. Diagnostic services
   Examples of diagnostic procedures include:
   • Gastroscopy
   • Colonoscopy
   • Capsule endoscopy (small intestine endoscopy)
   • Hydrogen and methane breath test
   • 24-hour pH impedance test
   • Urea breath test
   • SigmoidoscopyWe also offer liver health assessments, which include:
     • Liver scans (Using ultrasound, CT or MRI technology),
     • Fibrosis evaluation (Using Fibroscan or MR elastography)
     • Liver nodule evaluation
2. Therapeutic services
   Examples of treatments include:
   • Digestive tract
     • Luminal dilation
     • Dilation of oesophageal strictures
     • Hemostasis (treatment of GI tract bleeding)
     • Insertion of percutaneous endoscopic gastrostomy (PEG)
     • Haemorrhoids treatment
     • Polypectomy (Polyp removal)
     • Variceal banding/ligation
   • Liver
     • Liver disease treatment
     • Liver cirrhosis treatment
     • Living donor liver transplant
     • Liver cancer treatment
   • Pancreas and bile ducts
     • Pancreatic and biliary stents
     • Endoscopic retrograde cholangio-pancreatography (ERCP)

• Prof. dr. Marcellus Simadibrata, PhD, Sp.PD-KGEH, FACG, FASGE, FINASIM
• dr. Juferdy Kurniawan, Sp.PD-KGEH
• Prof. Dr.dr. Nurul Akbar, Sp.PD-KGEH, FINASIM
• dr. Paulus Simadibrata, Sp.PD
• Dr. dr. Teguh Wijayadi, Sp.PD