Comprehensive diagnostic and therapeutic endoscopy for gastrointestinal, liver, pancreatic and biliary disorders under the care of Dr Vikas Singla, Vice Chairman & Head, Gastroenterology, Institute of Liver and Gastrointestinal Science, at Max Super Speciality Hospital, Saket, New Delhi.
Dr. Vikas Singla is Vice Chairman & Head, Gastroenterology, at Max Super Speciality Hospital, Saket, New Delhi. He is a gastroenterologist and interventional endoscopist with a clinical focus on third-space endoscopy, advanced endoscopic ultrasound (EUS) and ERCP. His practice includes third-space endoscopy procedures such as POEM.

Diagnostic & Image-Enhanced Endoscopy
These procedures are used for evaluation of GI bleeding, swallowing difficulty, abdominal symptoms, polyps, inflammatory bowel disease and suspected gastrointestinal lesions.

EUS combines endoscopy with high-resolution ultrasound to evaluate the gastrointestinal wall and adjacent organs including the pancreas, bile ducts and liver.

ERCP is used for selected disorders of the bile ducts and pancreatic ducts, including obstruction, stones and strictures.

Advanced endoscopic myotomy procedures include:
These advanced procedures are used in appropriately selected patients with disorders such as achalasia, Zenker’s diverticulum and selected gastric motility disorders.

Advanced endoscopic techniques such as ESD can be used for appropriately selected early gastrointestinal cancers, precancerous lesions and large polyps.

The goal is to identify the source of bleeding and provide appropriate endoscopic treatment where indicated.

Stenting may be used in selected patients to restore or maintain luminal passage, or to facilitate biliary and pancreatic drainage.

These advanced interventions are performed in appropriately selected patients with pancreatic fluid collections or walled-off necrosis.

These procedures may be considered in selected postoperative or spontaneous GI leaks and fistulas.

Anti-Reflux Mucosal Ablation is an advanced endoscopic technique for appropriately selected patients with gastroesophageal reflux disease who meet the relevant clinical criteria.

These investigations help in the assessment and characterization of selected liver diseases.

Evaluation of oesophageal motility and pressure abnormalities, including disorders such as achalasia.
Assessment of anorectal function in selected patients with constipation, defecatory disorders and faecal incontinence.
Objective assessment of gastroesophageal reflux in appropriately selected patients.
Biofeedback therapy is a painless, mind-body technique that uses electronic sensors to measure involuntary body functions—like heart rate, muscle tension, and breathing

Advanced endoscopic assessment may include:
The focus is on early identification and endoscopic management of appropriately selected gastrointestinal lesions.
Answers to some commonly asked questions about advanced endoscopy and gastrointestinal procedures.