Trustwell Institute of Gastro Sciences
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Department of Medical Gastroenterology at Trustwell Hospitals, has dedicated, qualified,
experienced team which provides accurate clinical evaluation; state of art endoscopy services with
focus on high end technology; emphasis on patient safety; disinfection protocols; with high ethical
values. We have excellent support team which includes experienced GI surgeons, Interventional
radiologist, GI pathologist, ICU specialist and Anaesthesiologists. Our Nutrition and Dietetics
Department offers individually tailored advice regarding nutrition especially for patients with complex
GI disorders and associated problems like Renal and liver cell failure.
- Interventional Radiology Services
- Percutaneous Ultrasound or CT guided aspiration, drainage and biopsies.
- PTBD - TACE (Trans Arterial Chemo Embolization), TARE
- Intra – operative ultrasonography - Hepatic venous stenting in Budd Chiari syndrome
- Percutaneous RF ablation of liver tumors
- Esophageal and Anorectal manometry for patients with Gastro esophageal Reflux Disease.
- Esophageal stricture dilatation
- Esophageal stent placement
- Balloon dilatation for Achalasia
- EMR/ ESD for early esophageal cancer
- Balloon placement for treatment of obesity
What We Treat
Centre for Biliary diseases
Cholangitis
Cholangitis is an inflammation of the bile duct system, caused by a bacterial infection. Every person with cholangitis may have slightly different signs and symptoms. But some of the common symptoms are tiredness and fatigue, itchy skin, dry eyes & dry mouth.
Baloon dilatation by endoscopic therapy is one the option to treat cholangitis.
Biliary fistula
A biliary fistula is a type of fistula in which bile flows along an abnormal connection from
the bile ducts into nearby hollow structure. It can occur as a complication following
biliary trauma. A bile duct stricture is commonly treated by placing a small stent within
the bile duct to keep it open. This procedure can be performed at the time of diagnosis
with miniaturized surgical instruments inserted through the ERCP endoscope
Common bile duct stone
Common bile duct stone is the presence of gallstones in the common bile duct. This
condition can cause jaundice and liver cell damage. Treatment is by
choledocholithotomy and endoscopic retrograde cholangiopancreatography (ERCP)
Colorectal diseases
Inflammatory bowel diseases
Inflammatory bowel disease is an umbrella term used to describe disorders that involve
chronic inflammation of your digestive tract. Diarrhea, Fever, fatigue, Abdominal pain
and cramping, Blood in your stool, Reduced appetite, Unintended weight loss are some
of the common symptoms of the disease. IBD treatment usually involves either drug
therapy or surgery.
Colonic polyps
A small clump of cells that forms on the lining of the colon or rectum. Most are harmless,
but some can develop into cancer. Colon polyps often don't cause symptoms. Regular
screening tests, such as colonoscopy, can help ensure that polyps are identified and
removed before they can develop into cancer.
Colonic obstruction/bleeding
Colon obstruction occurs when there is a blockage in the rectum that prevents food or
gas from passing through. This leads to swelling of the intestine. If the blockage and
swelling are severe, the bowel can rupture, or the blood supply to the bowel can be cut
off. A complete obstruction may require surgery or stenting.
Pancreatic diseases
Pancreatic cysts
Pancreatic cysts are saclike pockets of fluid on or in your pancreas. Persistent
abdominal pain, which may radiate to your back. Nausea and vomiting, Weight loss,
Feeling full soon after you start eating are few of the common symptoms of pancreatic
cyst. Conservative management is preferred in small-sized, asymptomatic, and shortlasting pseudocysts, whilst surgical management is often indicated when the cysts are
larger in size, symptomatic, long-lasting, or when complications occur.
Chronic pancreatitis
Chronic pancreatitis is inflammation of the pancreas that does not heal or improve—it
gets worse over time and leads to permanent damage. Pain in the belly, Diarrhea,
Nausea and vomiting, Weight loss are few common symptoms. Treatment for
pancreatitis can include medication, endoscopic therapies, or surgery.
Acute pancreatitis with pseudocysts
A pancreatic pseudocyst is a fluid-filled sac that forms in the abdomen comprised of
pancreatic enzymes, blood, and dead tissue. Nausea, vomiting, loss of appetite, weight
loss, diarrhea, fever, jaundice are few common symptoms. Treatments of pancreatic
pseudocysts include conservative treatment, surgical drainage, which can be performed
through either laparoscopic or endoscopic drainage.
Pancreatic cancer
Several types of growths can occur in the pancreas, including cancerous and
noncancerous tumors. it often doesn't cause symptoms until after it has spread to other
organs. Pancreatic cancer treatment options are chosen based on the extent of the
cancer. Options may include surgery, chemotherapy, radiation therapy or a combination
of these.
Liver diseases
Traumatic Liver injury
The most apparent symptom of a liver injury is an abdominal pain in the right, upper
quadrant of your abdomen. The pain is worse when you take a deep breath. Other
symptoms include nausea and vomiting. Management of liver trauma may vary widely
from nonoperative management with or without angioembolization to damage control
surgery which is mainly centered on stopping the bleeding from the organ.
Cirrhosis and portal hypertension
Portal hypertension is a leading side effect of cirrhosis. It slows your blood flow and puts
stress on the portal vein. Treatment focuses on preventing or managing the
complications, especially the bleeding from the varices. Diet, medications, endoscopic
therapy, surgery, and radiology procedures all have a role in treating or preventing the
complications.
Viral hepatitis
Viral hepatitis is an infection that causes liver inflammation and damage. Symptoms
ocan include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark
urine, light-colored stools, joint pain, and jaundice. The primary management includes
Anti viral drug therapy.
Alcoholic liver disease
Alcoholic liver disease is a term that encompasses the liver manifestations of alcohol
overconsumption, including fatty liver, alcoholic hepatitis, and chronic hepatitis with liver
fibrosis or cirrhosis. Treatment involves stopping drinking alcohol.
Esophagus and Stomach
Foreign body removal
Esophageal foreign bodies cause dysphagia and sometimes lead to perforation.
Endoscopy is by far the most commonly used means of removal and is usually the
procedure of choice.
Banding of esophageal varices
Esophageal varices are enlarged veins in the esophagus. They're often due to
obstructed blood flow through the portal vein, which carries blood from the intestine,
pancreas and spleen to the liver. During variceal banding, a doctor uses an endoscope
to place an elastic ring that looks like a rubber band around an enlarged vein. Banding
the vein in this manner will cut off blood flow through the vein.
Polyps
Polyps are abnormal tissue growths that most often look like small, flat bumps or tiny
mushroomlike stalks. Rectal bleeding, can be a sign of colon polyps along with Change
in stool color. The best way to treat colonic polyps is to remove them during
colonoscopy.
Barrett’s esophagus
Barrett's esophagus is a condition in which esophagus becomes damaged by acid
reflux, which causes the lining to thicken and become red. Frequent heartburn and
regurgitation of stomach contents, Difficulty swallowing food are few of the common
symptoms. Endoscopic resection is a preferred mode of treatment, to remove damaged
cells to aid in the detection of dysplasia.

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With our Doctor’s – You are in Experienced Hands. When you book an appointment with us, you get the assurance of best Doctors in Bangalore, supported by the latest technology and a world class service.
Specialization and Expertise
Colorectal Diseases
Pancreatic Diseases
Liver Diseases
Esophagus and Stomach
Team of Medical Gastroenterology Specialists



MBBS, MD, DM, DNB - Medical Gastroenterology
Senior Consultant – Medical Gastroenterology

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What Our Patient's Say About Us
I met Dr. Manish for my father's bariatric surgery. He is a very nice
person and explain each and every thing very nicely. My father was
now very healthy and happy. Thank You doctor.
Sandeep Konar
I went to Dr. Joshi due to my excess weight gain. He is very nice
and humble. He explained each and every thing and adviced me to
for a bariatric surgery and after that now I am feeling very healthy and
confident.
Binay Udayar
Dr. Joshi is the best gastroenterologists in Bangalore. I had consult
him for my digestive problem and he had explained each and every
thing very clearly and then started my treatment and now I am
recovering and feeling healthy.. Thank you Dr. Joshi
Gaurav Yadhavar
Previous
Next
I met Dr. Manish for my father's bariatric surgery. He is a very nice
person and explain each and every thing very nicely. My father was
now very healthy and happy. Thank You doctor.
Sandeep Konar I went to Dr. Joshi due to my excess weight gain. He is very nice
and humble. He explained each and every thing and adviced me to
for a bariatric surgery and after that now I am feeling very healthy and
confident.
Binay Udayar Dr. Joshi is the best gastroenterologists in Bangalore. I had consult
him for my digestive problem and he had explained each and every
thing very clearly and then started my treatment and now I am
recovering and feeling healthy.. Thank you Dr. Joshi
Gaurav Yadhavar Previous
Next
Blogs
Healthcare blogs by Trustwell Hospital Consultants to educate the patients on all aspects of lifestyle and common diseases
Digestive Disorders: Symptoms, Causes & Treatment Options
By pooja@vmsoftsys.comMay 25, 2023
Digestive disorders refer to a range of conditions that affect the digestive system, which includes the esophagus, stomach, liver, gallbladder, pancreas, small intestine, and large intestine. These disorders can cause discomfort, pain, and other unpleasant symptoms, and may significantly impact a person’s quality of life. Trustwell Hospitals, Institute of Gastrosciences has excellent infrastructure and doctors …
Digestive Disorders: Symptoms, Causes & Treatment Options Read More »
Scrotal Pain and Its Causes
By adminDecember 14, 2022
Scrotal Pain and Its Causes Testicular pain can be caused by a sudden injury, inflammation, sexually transmitted infections, or an emergency condition. This condition can cause a dull ache in the scrotum, sometimes along with swelling Common Causes – Epididymoorchitis ( Infection and inflammation of testes and Epididymis) Torsion testes ( Twisting of testes around its …
Heart Attack in Young
By adminSeptember 27, 2022
Myocardial infarction in persons under the age of 45 years accounts for 6% to 10% of all myocardial infarction. Frequency of MI in younger subjects The Framingham Heart Study : Incidence of an MI over a 10 year follow-up was 12.9/1000 in men 30 to 34 years old and 5.2/1000 in women 35 to 44 …
Role of Vitamin D
By adminSeptember 20, 2022
As we all know Vitamin D is vital to the body’s functioning. A deficiency in this Vitamin can cause problems and hamper our lifestyle. It is normally more severe during the winter season. The most important and freely available source is Sun’s rays. It is the most abundant source of Vitamin D. During the winter …
Kidney Infections and Its Management
By adminMay 20, 2022
The most common cause of kidney infections is Bacteria. It enters your urinary tract through the tube that carries urine from your body (urethra) and can multiply and travel to your kidneys. Bacteria from an infection elsewhere in your body also can spread through your bloodstream to your kidneys. Pyelonephritis is a condition (Infection of …
What is Vertigo
By adminMay 17, 2022
Vertigo is a feeling of imbalance. You may feel like you are spinning or the world around is spinning. It is more often caused due to issues related to the inner ear or the Brain. Some of the most common causes are. BPPV It is known as benign paroxysmal positional vertigo. It is a condition …