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Dr. Bejoy Abraham  - Surgical Gastroenterologist, Ernakulam

Dr. Bejoy Abraham

MS - General Surgery, DNB - Surgical Gastroenterology, Fellow HPB Surgery & L...

Surgical Gastroenterologist, Ernakulam

12 Years Experience  ·  200 - 300 at clinic  ·  ₹300 online
Dr. Bejoy Abraham MS - General Surgery, DNB - Surgical Gastroenterology, Fe... Surgical Gastroenterologist, Ernakulam
12 Years Experience  ·  200 - 300 at clinic  ·  ₹300 online
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Bejoy Abraham
Dr Bejoy Abraham MS ,DNB (GI Surgery), FMAS(fellow in minimal access surgery), Fellow in Hepatobiliary and Liver transplant surgery is a renowned gastrosurgeon who completed his basic undergraduate and postgraduate training in surgery at Calicut Govt Medical College which is renowned as a high volume surgical center. He further in Gastrosurgery at Lakeshore hospital Kochi where he completed his National Board in Surgical Gastroenterology. Further training in liver transplant and HPB surgery was obtained under the world famous at Apollo indraprastha New Delhi. He was instrumental at setting up and running Gastrosurgery department at Renai Medicity Hospital Palarivattom before joining us. He has significant experience in managing benign and malignant diseases of oesophagus, pancreas, gallbladder, liver, stomach, small intestine, colon and rectum including liver transplant services. Our specialised surgical services also cover open and laparoscopic surgeries for hernias, obesity and proctology (including painless piles surgery) Core competencies Excellent Operation Theatres Latest surgical equipment like Harmonic scalpel, CUSA probe and a state of the art HD laparoscopic camera. Most advanced endoscopy suite Postoperative ICU Sophisticated radiology facilities High end laboratory services Services Offered include advanced surgeries for: Hernias -Lap inguinal hernias repair -Lap ventral Hernias repair Oesophageal Surgeries -Lap Hellers Myotomy for Achalasia Cardia -Thoracoscopic Oesophagectomy for Cancer Oesophagus or Corrosive disease of Esophagus -Transhiatal Oesophagectomy -Lap Fundoplication for Gastrooesophageal Reflux disease and Paraesophageal hernia. Pancreatic and Biliary Surgery: Surgery for acute pancreatitis (Necrosectomy) -Pancreatico-Jejunostomy / Frey Procedure for chronic pancreatitis -Surgery for bile duct stricture and choledochal cyst -Whipple Procedure,Total pancreatectomy, laparoscopic distal pancreatectomy +/- splenectomy for Pancreatic Cancer -Lap splenectomy Gall Bladder and Bile Duct Surgery: -Lap Cholecystectomy -Lap Subtotal Cholecystectomy for complicated cholecystitis -Bilioenteric anaestomosis -Triple bypass -Lap Choledochal Cyst Excision -Radical Cholecystectomy for GB cancer Gastric Surgery: Lap Duodenal Ulcer perforation Lap/Open Stomach Cancer surgery Liver Surgeries: Cadaveric Liver transplant (pending approval) Major/Minor lap/Open resection for Liver,Gallbladder ,Biliary cancer or tumors Lap/Open Hydatid Cyst Surgery Liver Injury Colorectal Surgery: For colon cancer (Nerve/sphinchter preserving surgery for rectal cancer) Polyps of Colon Ulcerative Colitis Complicated diverticular disease and inflammatory bowel disease Lap/Open right and Left Hemicolectomy Lap/Open Restorative proctocolectomy Lap/Open Low anterior resection Lap Abdominoperineal resection Lap Rectopexy for prolapse of rectum Small Intestine Surgery: For Tuberculosis Perforation Bleeding Crohns Disease Benign and Malignant Tumours Bariatric (Weight loss) Surgery: Lap Sleeve gastrectomy Proctology: Sclerotherapy and Banding for early piles in OPD Advanced facilities to tackle piles, fissures and other related problems. Stapler haemorrhoidectomy for advanced piles (Painless piles surgeries) LIFT procedure for fistulas

Info

Education
MS - General Surgery - University of Calicut Kerala - 2006
DNB - Surgical Gastroenterology - National Board of Examinations, New Delhi - 2011
Fellow HPB Surgery & Liver Transplant - CLBS, New Delhi - 2013
Past Experience
Fellowin Liver Transplant at Apollo
Liver Transplant & Gi Surgery at Lakeshore Hospital
Languages spoken
English

Location

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Little Flower Hospital

Angamaly, Ernakulam, Kerala Ernakulam Get Directions
300 at clinic
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Midtown Medical Center

Door No 726 B, Judge Mukku, Near Seaport airport Road, Thrikkakkara, Vallathol Padi, Judgemukku, Thrikkakara, EdappallyKochi Get Directions
200 at clinic
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Ulcerative Colitis - What You Need To Know?

MS - General Surgery, DNB - Surgical Gastroenterology, Fellow HPB Surgery & Liver Transplant
Surgical Gastroenterologist, Ernakulam
Ulcerative Colitis - What You Need To Know?

Ulcerative Colitis is a chronic inflammatory disease that affects the lining of the intestine and the rectum. It is located just above the anus. Patients suffering from ulcerative colitis tend to have small ulcers in their rectum and the colon. These eventually flare up leading to diarrhea, bloody stools, anemia and abdominal pain. The inflammation starts from the rectum and eventually, spreads to the colon. Ulcerative Colitis tends to flare up and remit in an alternate phase. The remission can last from few weeks to few years.

Methods adopted to diagnose Ulcerative Colitis-
Ulcerative Colitis is very similar to an inflammatory bowel disease known as Crohn’s disease. The only differentiating factor is the fact that, ulcerative colitis affects the colon whereas, Crohn’s disease affects the digestive system and the small intestine. A doctor might prescribe certain tests such as the colonoscopy, blood tests, CT scan, pill camera, stool sample tests etc.

Why is surgery necessary to treat Ulcerative Colitis?
An estimated 40 percent of all Ulcerative Colitis patients need to undergo surgery to recover completely. The reason surgery becomes necessary to treat ulcerative colitis are the following:

  1. Drug therapy and medication become ineffective.
  2. Without undergoing surgery, the condition might increase the risk of developing cancer.
  3. The colon has the risk of getting ruptured if surgery is not performed on time.
  4. There could be excessive bleeding.
  5. Toxic megacolon might set in.

Types of surgery available to treat Ulcerative Colitis
A procedure where the entire colon is removed is known as the colectomy. In case both the colons are removed, the procedure is termed as proctocolectomy. In this procedure, an external pouch needed to be attached to the stoma that collects the stools. There is another method known as pouch surgery.

Pelvic pouch or ileal pouch is also termed as IPAA. This procedure doesn’t involve permanent stoma. In this procedure, both the colon and the rectum are eradicated from the body. The small intestine is then used to form a J-shaped pouch, that serves as the new rectum. The pouch is then connected to the anus. The whole procedure is done via two surgeries.

What are the surgical complications of this procedure?

  1. There could be an excessive bowel movement.
  2. There are instances where an inflammation of the pouch is observed. This condition is known as pouchitis.
  3. There could be a situation of intestinal blockage from adhesion due to surgery.
  4. There could be pouch failure that can happen inside within 5 few years. This is observed in 4 out of 100 patients who are treated. In this case, the patient should go for a permanent ileectomy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2852 people found this helpful

Try Surgery For Portal Hypertension!

MS - General Surgery, DNB - Surgical Gastroenterology, Fellow HPB Surgery & Liver Transplant
Surgical Gastroenterologist, Ernakulam
Try Surgery For Portal Hypertension!

There are veins which carry blood from the various digestive organs to the liver. When there is an obstruction in the free flow of blood in the liver, it increases the pressure and is known as portal hypertension. This increased blood pressure stresses the blood vessels in the esophagus, stomach, and other digestive organs and results in internal bleeding.

What causes portal hypertension?
Cirrhosis is the most common cause of portal hypertension. The cirrhosis could be a result of excessive consumption of alcohol, chronic hepatitis, or thrombosis in the liver vessels. Blood clots in the portal vein are schistosomiasis ( a parasitic infection) are some other causes of portal hypertension. It is also important to know that in some cases, the causes of this condition remain unknown.

What are the symptoms?
Although, the symptoms of portal hypertension may not be very evident until you identify that there is some damage in the liver. the chances of developing a portal hypertension are increased if you suffer from a liver disease.

  • Ascites, which is fluid accumulation in the abdominal cavity
  • Bleeding in the abdominal vessels
  • Blood in the stools and/or vomitus (black tarry stools or blood in the vomitus)
  • Reduced platelet count
  • Encephalopathy, fluid accumulation in the brain, which can lead to confusion and other issues

How can it be managed?
Once diagnosed, treatment of portal hypertension is at two levels.
At the first level, dietary and lifestyle changes and medical treatment should suffice.

  1. Alcohol, a street drug, and tobacco use should be completely stopped. Sodium and protein intake should be reduced.
  2. Avoid taking any over-the-counter medications without consulting a medical personnel.
  3. Have a good, balanced nutrition
  4. Medications like propranolol are given to control blood pressure
  5. Medications are also given to prevent internal bleeding
  6. If there is encephalopathy, then lactulose is given to clear confusion
  7. The ends of the bleeding vessels are tied and cut off (ligated) endoscopically, and this is known as sclerotherapy. Alternately, bands may be applied to the cut vessels to prevent further bleeding. This is known as banding.

If this first line does not work, then the next level of interventional therapy is initiated.

  • TIPS, which is a transjugular intrahepatic portosystemic shunt, which is a shunt that is placed into the liver to reduce pressure.
  • Distal splenorenal shunt (DRSR) is when a shunt or link is created between the splenic vein and the left kidney vein. This also helps control variceal pressure and bleeding.
  • Both these shunts are widely performed and require follow up once in 6 months to ensure they are performing well and without any blockages.

Other options:

  • In cases where a shunt is not possible, then devascularization is done. This involves removal of the bleeding varices.
  • The fluid in the abdomen may be removed surgically by paracentesis.
  • As a last option, a liver transplant surgery may also be considered.

So, while portal hypertension definitely is a serious medical condition, there are different levels of treatment. The important thing is to alert yourself once any symptoms set in. Early intervention always ensures minimal intervention and good prognosis.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2707 people found this helpful