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Gastroenterology: Procedures and Specialists

 Gastroenterology Treatments Abroad

Surgical procedures are more affordable outside the United States. People who require procedures like endoscopy, colonoscopy, ERCP, cholesystectomy, hernia repair and gall bladder surgery, often look for hospitals in other countries for cost savings. Thailand, Mexico, India and Israel are popular destinations for Gastroenterology Treatments.

gastroenterology human intestine

Gastroenterology diagnosis and surgery are promptly treated by experienced and certified teams of professionals. Foreign patients receive excellent services, including interpreters, private nurses along with family visit packages. With all things considered the total costs are still around 30 percent less than in U.S. hospitals.

What is Gastroenterology?

The American College of Gastroenterology defines the medical discipline of Gastroenterology as the study of the function and diseases of the esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. It involves three main aspects: medical and surgical, and the relationship maintained between them.

Gastroenterologist specialists and consultants need to have a deep and detailed understanding of the normal physiology of those organs and the motility through the intestines and gastrointestinal tract, to maintain:

  • Healthy digestion
  • Absorption of nutrients
  • Removal of waste
  • Metabolic processes.

A gastroenterologist involves diagnosis using endoscopy and minimally invasive interventions. Specialists also need to have a clear understanding of ailments affecting the organs of the gastrointestinal system like:

  • peptic ulcer disease
  • gastric cancers
  • esophageal cancers
  • achalasia
  • Barret’s esophagus
  • colon polyps
  • colon and bowel cancers
  • pancreatitis
  • pancreatic cancers
  • cholecystitis
  • biliary tract disease
  • gallbladder stones and cancer
  • hepatitis
  • gastroesophageal reflux
  • colitis
  • nutritional problems and malabsorption
  • Irritable Bowel Syndrome (IBS)
  • a host of other disease conditions

Training in Gastroenterology Procedures

Gastroenterology consultants have a comprehensive training during the three year residency in Internal Medicine. After medical school (eight years of pre-medical and medical education) and internal residency, they can follow the specialized training called Fellowship. These numbers add up to a total of 5-6 years after medical school. It a rigorous programme where students learn the deepest understanding of diseases from experts. Gastroenterology procedures and training consists of learning:

  • Endoscopy – sigmoidoscopy, upper endoscopy and colonoscopy.
  • Endoscopic biliary Examination – ERCP or endoscopic retrograde cholangiopancreatography.
  • EMR or Endoscopic mucosal resection, endoscopic ultrasound (EUS).

Gastroenterology Procedures

Gastroenterologists are capable of performing a wide range of surgical and non-surgical procedures. Traditional gastroenterologists do not perform surgery but usually refer the procedure out to surgeons. In many international hospitals, however, some surgeons specialize in this area.

Medical gastroenterology is a sub-specialty in Liver disease, Dyspepsia, Inflammatory bowel disease, Functional disturbances of the gut and cancer.

Some risky treatments are:

  • Appendectomy: An appendectomy is the removal of the appendix from the body through surgery.
  • Laparoscopy: It can be used to diagnose digestive disorders including cancer.
  • Lleostomy: treating bowel cancer, Crohn’s disease, bowel obstruction, congenital defects.

Other procedures such as advanced endoscopy are performed in order to view the digestive tract from the mouth down to the bowel.


  • Polypectomy
  • Esophageal
  • Intestinal dilation and hemostasis.
  • Liver Biopsy: Involves ultrasound to locate the liver and is done to determine fibrosis and grade and stage of liver inflammation.

Three specialies:

  • The upper gastrointestinal tract
  • The lower GI tract
  • The liver, bile ducts and pancreas.

gastroenterology Woman Hospital Consultation

Medical Diagnosis and Certification

Diagnosis is a test supported medical decision and the proper recommendations in order to treat patients. These procedures are overseen by societies like the American College of Gastroenterology, the American Society for Gastrointestinal Endoscopy or the American Board of Internal Medicine.

Gastroenterology specialists complete the fellowship and qualify to take the certification test. The examination is granted by the American Board of Internal Medicine.

Personal qualities should include:

  • Medical interest
  • Flexibility
  • Communication skills
  • Team working, shift systems, hand-over of cases.

Gastroenterological societies

  • World Gastroenterology Organization
  • American College of Gastroenterology
  • American Gastroenterological Association
  • American Society for Gastrointestinal Endoscopy
  • British Society of Gastroenterology

Research resources and Journals

  • Annals of Gastroenterology & Hepatology
  • Scandinavian Journal of Gastroenterology

List of Gastro's procedures Abroad