Gastro Sciences
Diseases of the gut or the gastrointestinal tract can cause significant discomfort and disrupt your day. Many a time, untreated gastrointestinal diseases can result in major life-threatening conditions. The Centre for Gastro Sciences at Meitra Hospital helps diagnose and treat diseases of the digestive tract, liver and pancreato-biliary tract to overcome them with a holistic approach. The state-of-the-art facilities and the speciality wise divisions within the Centre of Excellence are aimed at helping every patient in maintaining a healthy digestive system.

The Centre comprises of three main departments: Medical Gastroenterology, Surgical Gastroenterology and Interventional Gastro Radiology. These departments are led by a team of highly skilled and trained gastroenterologists, surgeons, endoscopists and experts in interventional radiology. Backed by advanced cutting-edge technology these experts treat digestive diseases ranging from minor illnesses to the most complicated ones. The entire spectrum of interventions from minor procedures to the most advanced interventions and surgeries are performed with utmost precision.

Crohn’s Disease

Crohn’s disease is an inflammatory disease of the digestive tract. It is a lifelong condition which has no cure and may be life threatening. There are different types of Crohn’s disease depending on the part of digestive tract that is affected:

  • Ileocolitis: it affects the end of small intestine (terminal ileum)
  • Ileitis: it affects the ileum (a portion of small intestine)
  • Gastroduodenal: it affects stomach and the beginning of small intestine (duodenum)
  • Jejunoileitis: inflammation in patches in upper half of small intestine (jejunum)
  • Granulomatous colitis: it affects only colon (large) intestine
Causes

The exact cause is still unknown. Some of the findings are listed below.

  • Stress can aggravate the disease 
  • Genetic factors may contribute to Crohn’s disease
  • An abnormal immune response from the immune system which causes that bacteria or virus that has triggered the disease to affect the cells of the digestive tract.
Symptoms
  • Abdominal pain and cramping 
  • Fatigue
  • Weight loss
  • Diarrhoea 
  • Fever
  • Reduced appetite
  • Blood in fecal matter or stool
  • Anaemia 
  • Constipation
  • Fistulas in anal area
Diagnosis

Diagnosis is made based on 

  • Review of signs and symptoms 
  • A combination of medical tests
    • Blood tests for anemia or infection
    • Fecal occult blood test
    • Colonoscopy
    • CT-Computerised Tomography Scan
    • MRI-Magnetic Resonance Imaging
    • Capsule Endoscopy
    • Balloon assisted enteroscopy
Prevention

There are no proper preventive measures for Crohn’s disease yet. Some measures can be taken to ease the symptoms such as:

  • Stop smoking (if you are a smoker)
  • Regular exercise
  • Healthy diet
  • Less residue, low fibre and low fat diet.
Treatment

As already mentioned, there is no cure for Crohn’s disease. Treatment can be done in order to reduce the inflammation that causes the symptoms and get relief from the symptoms. Treatment for Crohn’s disease includes drugs, changes in diet, nutrition therapy and surgery.

  • Drugs including immune system suppressors, antibiotic drugs and anti-inflammatory drugs can be used as directed by the doctor.
  • Nutrition therapy involves using a feeding tube or injecting the nutrients through a vein.
  • Diet changes involves intake of low fibre and low residue diet
  • If none of the above remedies becomes effective, a surgery may be recommended wherein a part of the damaged digestive tract is removed, fistulas are closed or drain abscesses.

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