We provide care in the prevention, diagnosis and treatment of diseases of the digestive tract, liver and pancreas. As one of the largest gastroenterology units in Singapore, we perform more than 7,000 simple and complex endoscopic procedures annually.
We can perform a wide range of endoscopic procedures which help in the diagnosis and treatment of various digestive disorders such as peptic ulcers, polyps, cancers, bile duct and pancreatic stones, cysts of the pancreas and other non-cancerous tumours.
OESOPHAGO-GASTRO-DUODENOSCOPY OR GASTROSCOPY (OGD)
OGD is a simple procedure which allows the diagnosis and treatment of various disorders of the upper digestive tract such as gastro-oesophageal reflux disease (GORD), peptic ulcers, gastritis, oesophageal and gastric varices, cancers of the oesophagus and stomach, and others.
This procedure allows the direct visualization of the large intestine. It is used to detect and remove polyps which may grow into cancer later in life. It also allows us to take biopsies from the colon (large intestine) for the diagnosis of various conditions.
ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY (ERCP)
This procedure allows us to diagnose and treat disorders of the bile and pancreatic ducts. We can safely diagnose and remove stones from the bile ducts causing jaundice and remove stones from the pancreas. ERCP can be used for the insertion of metal stents in patients with bile duct cancer. A baby scope (cholangioscope) can also be used during ERCPto visualize the lining of the bile ducts directly.
ENDOSCOPIC ULTRASOUND (EUS)
EUS is used to examine the walls and linings of the upper and lower digestive tract. It is also used to study other organs near the gastrointestinal tract, including the lungs, liver, gall bladder and pancreas. Biopsies of mass and cyst, drainage of cysts and celiac plexus block (for intractable pain of chronic pancreatitis and cancer of the pancreas) can be performed during EUS.
SINGLE AND DOUBLE BALLOON ENTEROSCOPY
These are highly specialized procedures allowing direct visualization, diagnosis and treatment of disorders of the small intestine beyond the reach of the conventional OGD or colonoscopy. Clinical indications for this procedure include small intestinal bleeding, ulcers, polyps and cancers.
VIDEO CAPSULE ENDOSCOPY (VCE)
This is a minimally invasive procedure in which a camera housed in a small capsule is swallowed by the patient with a sip of water. It allows safe and excellent views of the stomach and small intestine.
INSERTION OF SELF EXPANDABLE METAL STENTS (SEMS)
SEMS allow the expansion of the narrowing caused by cancers of the digestive tract. This enables patients with obstruction due to advanced cancer to eat without going through bypass surgery.
Endoscopic Mucosal Resection and Endoscopic Sub-mucosal Dissection (EMR and ESD)
These minimally invasive endoscopic procedures are performed for early digestive tract (oesophagus, stomach and colon) cancers without the need for open surgery.
This procedure is carried out for patients with narrowing of the oesophagus (swallowing pipe) from a variety of cancerous and non-cancerous conditions.
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG)
PEG is a procedure in which a flexible feeding tube is placed through the abdominal wall into the stomach, allowing nutrition, fluids and/or medications to bypass the mouth and oesophagus. This provides an alternative to patients requiring long term naso-gastric tube feeding.
INTRAGASTRIC BALLOON PLACEMENT FOR THE MANAGEMENT OF MORBID OBESITY
This procedure involves the placement of a water filled balloon in the stomach via gastroscopy. The balloon partially fills the stomach making the patient feel full early into a meal.
Hepatology/ Liver service
- Acute and Chronic Viral Hepatitis
- Autoimmune Hepatitis
- Alcoholic liver disease
- Non-alcoholic fatty liver disease
- Primary biliary cirrhosis
- Primary sclerosing cholangitis
- Metabolic diseases of the liver such as Wilson’s disease
- Drug induced liver disease
- Cancerous and non-cancerous tumours of the liver
- Budd-Chiari Syndrome
Inflammatory Bowel Disease (IBD) Clinic