Best Surgical Gastroenterology & Laparoscopy Hospital in Indore
Digestive health problems are rarely simple. A patient who comes in with upper abdominal pain may have gallstones, a peptic ulcer, or an early-stage pancreatic tumour and distinguishing between these requires a specific kind of clinical expertise. Surgical gastroenterology is that expertise: the subspecialty that sits at the intersection of gastrointestinal medicine and operative surgery, managing conditions that range from a blocked bile duct to a liver requiring transplantation.
At CARE CHL Hospitals, Indore, the Department of Surgical Gastroenterology & Laparoscopy is built around subspecialty-trained surgeons, advanced endoscopic and imaging diagnostics, and a philosophy of offering the least invasive effective intervention for each patient. Laparoscopic techniques are used wherever they offer a meaningful advantage over open surgery. Where they do not, open surgery is performed with the same precision. The decision is always clinical - made for the patient, not the technique.
Advanced Diagnostic Facilities
Getting the diagnosis right before any surgical decision is made is not optional it is where the outcome is substantially determined. CARE CHL Hospitals, Indore, has a full range of gastrointestinal diagnostic services, covering endoscopy, cross-sectional imaging, biliary investigation and tissue diagnosis. Patients do not need to coordinate investigations across multiple facilities.
- Upper GI endoscopy (OGD endoscopy): For oesophageal, gastric, and duodenal pathology including ulcers, strictures, reflux disease and early mucosal lesions
- Colonoscopy: For colonic polyps, inflammatory bowel disease, lower GI bleeding, and colorectal cancer
- ERCP: Provides diagnosis and non-surgical treatment of bile duct stones, strictures and pancreatic duct pathology
- Endoscopic Ultrasound (EUS): Gives high-resolution imaging of the pancreas, bile ducts, and stomach wall; essential for GI tumour staging and biopsy
- Contrast-enhanced CT and MRI/MRCP: Cross-sectional imaging for surgical planning, tumour staging and biliary/pancreatic duct evaluation
- Abdominal ultrasound, digital X-rays, and erect abdominal films for acute presentations
- Histopathology and cytology with GI-experienced pathologists for tissue diagnosis
Conditions Treated
The scope of the department covers the entire gastrointestinal tract (from the oesophagus to the anus) as well as the liver, biliary system, and pancreas. Both elective and emergency conditions are managed. Whether a patient needs a same-day laparoscopic cholecystectomy or a multi-stage HPB resection planned through the tumour board, the care pathway is structured around the individual clinical presentation.
- Gallbladder and Biliary Tract Conditions: Gallstone disease is among the most common reasons for gastrointestinal surgical consultation. Our team manages:
- Gallstone disease - symptomatic cholelithiasis and biliary colic managed with laparoscopic cholecystectomy
- Acute and chronic cholecystitis
- Choledocholithiasis (bile duct stones) is managed endoscopically via ERCP or surgically as appropriate
- Biliary strictures and bile duct injuries
- Gallbladder polyps requiring surveillance or operative intervention
- Cholangitis and obstructive jaundice
- Hernia Surgery: Hernias whether inguinal, umbilical, incisional, or hiatal are among the most frequently treated conditions in the department. Both laparoscopic and open techniques are used depending on the type, size and complexity of the hernia:
- Inguinal hernia repair through laparoscopic (TEP and TAPP) and open (Lichtenstein) techniques
- Umbilical and paraumbilical hernia repair
- Incisional & ventral hernia repair
- Hiatal hernia repair with anti-reflux procedures
- Diaphragmatic hernia repair
- Recurrent and complex hernia cases
- Gastro-oesophageal Reflux Disease (GERD) and Oesophageal Conditions: When lifestyle modification and medical management fail to provide adequate relief surgical intervention for GERD offers a durable solution. Conditions managed include:
- Refractory GERD is managed with laparoscopic Nissen fundoplication or Toupet fundoplication
- Hiatal hernia associated with symptomatic reflux
- Oesophageal motility disorders
- Achalasia cardia is treated with laparoscopic Heller myotomy
- Benign oesophageal strictures
- Hepatopancreaticobiliary (HPB) Surgery: HPB surgery is the most technically demanding area within surgical gastroenterology. The team manages:
- Liver resections: Anatomical and non-anatomical hepatectomy for tumours, metastases, and benign disease
- Liver transplantation: Cadaveric and living-related donor transplant (active since the programme's inception at CARE CHL Hospitals)
- Pancreatic surgery: Whipple's procedure, distal pancreatectomy, and enucleation
- Pancreatic pseudocysts, necrosis, and chronic pancreatitis requiring intervention
- Biliary bypass and management of portal hypertension complications
- Digestive Tract Cancers: GI malignancies are managed through the multidisciplinary tumour board. Operative procedures include:
- Oesophageal cancer - oesophagectomy
- Gastric cancer - subtotal and total gastrectomy with D2 lymphadenectomy
- Colorectal cancer - hemicolectomy, anterior resection, abdominoperineal resection
- Hepatocellular carcinoma and liver metastases - hepatic resection
- Pancreatic and periampullary cancers - pancreaticoduodenectomy (Whipple's procedure)
- Gallbladder carcinoma, GIST, and other GI tumours
- Coloproctology: Colorectal and anorectal conditions managed by the department include:
- Haemorrhoids - medical, procedural and surgical management
- Anal fissure, fistula-in-ano and pilonidal sinus disease
- Rectal prolapse - laparoscopic and open correction
- Inflammatory bowel disease (Crohn's disease and ulcerative colitis) requiring surgery
- Diverticular disease including complicated diverticulitis
- Rectal cancer - anterior resection, abdominoperineal resection and transanal procedures
- Emergency Abdominal Surgery: The department operates a 24/7 emergency service for acute abdominal conditions. Common presentations include:
- Hollow viscus perforation including gastric, duodenal, and colonic peritonitis
- Acute intestinal obstruction from adhesions, hernia, or volvulus
- Abdominal trauma - blunt and penetrating injuries to solid organs and bowel
- Acute appendicitis - laparoscopic appendicectomy
- Acute mesenteric ischaemia and post-operative complications requiring revision
Treatment Modalities
- Laparoscopic and Minimally Invasive Surgery: Through three to four small port incisions a high-definition camera and purpose-built instruments allow the surgeon to operate with the same anatomical access as an open incision but without the associated tissue disruption. Blood loss is lower, wound infection rates are lower, post-operative pain is significantly reduced, and patients go home sooner. At CARE CHL Hospitals, laparoscopic techniques are applied to cholecystectomy, hernia repair, anti-reflux surgery, appendicectomy, colectomy, splenectomy, adrenalectomy, and other abdominal procedures where the approach is technically appropriate.
- Endoscopic and Interventional Procedures: A considerable proportion of biliary, upper GI, and colorectal pathology can be resolved without surgery at all. ERCP clears bile duct stones that would otherwise require operative common bile duct exploration. Colonoscopic polypectomy removes precancerous polyps during a routine endoscopy. Endoscopic drainage manages pancreatic pseudocysts without an abdominal incision. The surgical and gastroenterology teams at CARE CHL Hospitals work together on these cases.
- Open Surgery: Major hepatic resections, oesophagectomy, Whipple's operation, and reconstructive bowel surgery require open access as the exposure needed for safe oncological resection or complex reconstruction cannot be achieved through ports. Our surgeons are as comfortable with open technique as with laparoscopic, which is precisely why they can make the right choice for each case without defaulting to one approach or the other.
- Multidisciplinary Oncology Care: GI cancers are reviewed at a tumour board where surgical, medical, and radiation oncologists, radiologists, and pathologists discuss each case before a treatment plan is finalised. Surgery is not always the first step and neoadjuvant chemotherapy, radiation, or targeted therapy may precede operative intervention depending on the cancer's stage and biology. This sequencing is determined by evidence, not departmental preference and it is what distinguishes institutional oncology care from individual specialist decision-making.
- Liver Transplantation: CARE CHL Hospitals runs an active liver transplant programme covering both deceased donor and living-related donor transplantation. Dr. Ganguly has been part of the transplant surgical team since the programme's inception performing donor hepatectomy, back-table preparation, and recipient surgery in collaboration with the hepatology, anaesthesia, and critical care teams. Post-transplant care, immunosuppression management, and long-term follow-up are handled through a dedicated transplant medicine pathway.
- Post-operative Care and Rehabilitation: ERAS (Enhanced Recovery After Surgery) protocols including early oral feeding, early mobilisation, multimodal analgesia and minimal use of drains and catheters are applied to eligible patients. These evidence-based pathways reduce complication rates and shorten hospital stays without compromising safety. Dietetic input, physiotherapy and wound management are part of the post-operative plan from day one, not afterthoughts arranged at discharge.
Our Surgical Gastroenterology Team
Our team includes trained hepatopancreaticobiliary and liver transplant surgeons with subspecialty gastroenterology training from institutions recognised internationally for liver transplant outcomes, including experience gained at leading centres across Hyderabad. Our consultants have been actively involved with the liver transplant programme at CARE CHL Hospitals since its commencement, participating in both cadaveric and living-related donor transplants. Their surgical practice covers complex liver and pancreatic resections, advanced laparoscopic procedures, and gastrointestinal oncology.
Our areas of clinical focus include:
- Liver transplantation - both deceased donor and living-related donor
- Complex HPB surgery - major hepatic resections, pancreaticoduodenectomy (Whipple's procedure), distal pancreatectomy
- Laparoscopic and minimal access gastrointestinal surgery
- Digestive tract cancer surgery - oesophageal, gastric, colorectal, hepatic, and pancreatic malignancies
- Coloproctology -colorectal and anorectal surgery
- Emergency abdominal surgery - perforation, peritonitis, intestinal obstruction, abdominal trauma
The department is supported by additional consultants and a surgical team with experience across the full scope of elective and emergency gastrointestinal surgery, working in close collaboration with gastroenterology, oncology, radiology, and critical care.
Subspecialty surgical gastroenterology requires focused training that goes beyond general surgical credentials. Here is what patients at CARE CHL Hospitals, Indore, have access to:
- Consultants with subspecialty training spanning HPB surgery, liver transplantation, laparoscopic and minimal access surgery, coloproctology and gastrointestinal oncology - a depth of expertise not commonly available outside major centres
- Advanced laparoscopic programme covering cholecystectomy, hernia repair, anti-reflux surgery, colectomy, splenectomy, adrenalectomy, and HPB procedures, using high-definition imaging systems
- Advanced diagnostic suite including endoscopy, ERCP, EUS, CT, MRI, MRCP, ultrasound, and histopathology without the need for external referrals
- Close collaboration with gastroenterology, oncology, radiology, anaesthesiology and critical care for complex multisystem cases
- NABH accreditation covering patient safety, infection control, surgical protocols and clinical governance
- 24-hour emergency surgical cover for acute abdominal presentations like perforation, obstruction, cholecystitis, and trauma
- Cashless insurance and TPA facilities for eligible patients
- Surgical gastroenterology at CARE CHL Hospitals is a superspeciality in its own right, dealing with the surgical management of the full range of digestive tract-related problems - largely through minimally invasive techniques:
- Surgery for liver tumours and cysts
- Surgery for portal hypertension
- Surgery for chronic pancreatitis
- Management of pancreatic cysts and tumours
- Choledochal cyst and biliary stricture repair
- Surgical treatment of ulcerative colitis and Crohn's disease
- Management of mesenteric cysts and dermoid tumours
- Management of retrorectal cysts
