NIMS Multispeciality Hospital

Proctology is a branch of medicine dealing with the structure and diseases of the anus, rectum, and sigmoid colon. Proctologist is also known as colorectal surgeons (or colon and rectal surgeons).

• varicosities or swelling, and inflammation of veins in the rectum and anus (Hemorrhoids)
• unnatural cracks or tears in the anus ( fissures)
• abnormal connections or passageways between the rectum or other anorectal area to the skin surface (Fistulas)
• severe constipation conditions
• fecal incontinence
• protrusion of the walls of the rectum through the anus (Rectal prolapse)
• birth defects such as the imperforate anus
• treatment of severe colic disorders, such as Crohn's disease
• cancer of the colon and rectum (Colorectal cancer)
• repositioning of the rectal area if fallen out.
•  cancer (rare)
• any injuries to the anus
• removal of objects inserted into anus

Surgical treatment and diagnostic procedures Surgical forms of treatment for these conditions include: colectomy, ileo/colostomy, polypectomy, strictureplasty, hemorrhoidectomy (in severe cases of hemorrhoids), anoplasty, and more depending on the condition the patient suffers from. Diagnostic procedures, such as a colonoscopy, are very important in colorectal surgery, as they can tell the physician what type of diagnosis should be given and what procedure should be done to correct the condition. Other diagnostic procedures used by colorectal surgeons include: proctoscopy, defecating proctography, sigmoidoscopy. In recent times, the laparoscopic method of surgery has seen a surge of popularity, due to its lower risks, decreased recovery time, and smaller, more precise incisions achieved by using laparoscopic instruments.

The Department of Gastro surgery at NIMS hospital – Ahmedabad, has a highly skilled team of Gastro surgeons who have been trained in some of the best institutes in India and abroad. The specialty offers a wide range of treatment options to both pediatric and adult patients having esophagus, liver, stomach and intestinal, pancreatic diseases and nutritional problems. The department has advanced equipment like high definition endoscopy, and endoscopic ultrasound and is well supported by round the clock ICU, laboratory, radiology and emergency services to ensure patients receive highest level of care in a timely manner.

• Diagnostic gastroscopy and colonoscopy
• Therapeutic Endoscopy
• Balloon enteroscopy
• ERCP (Endoscopic Retrograde Cholangio Pancreatography)
• Placement of feeding tubes –gastrostomy (PEG) and jejunostomy tubes.
• Transjugular intra hepatic porto systemic Shunts (TIPS)
• Liver Biopsy – routine, transjugular biopsies and hepatic portal vein gradient measurements (HVPG).
• Trans-arterial chemotherapy.

Pediatrics is the branch of medicine that involves the medical care of infants, children, and adolescents. At NIMS , Department of Pediatrics provides variety of child care / disease prevention and management service. The American Academy of Pediatrics recommends people be under pediatric care up to the age of 21.