(a) Tertiary care for Gastrointestinal and Liver diseases

(b) To Start Super specialty programmed (DNB) in gastroenterology.

(c) Liver transplantation.

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Introduction

The 21st century has been rightly termed as the era of super specialty with organ specific managements and dedicated super specialty Hospitals to cater the same and with rapid and exponential developments in technology and artificial intelligence too playing its part in the field of Medicine especially in digestive diseases.

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Even in this new era it’s noteworthy to mention that medical facilities are facilities are comparatively poorer in Manipur and also other Northeastern States at large.

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The Digestive system is the largest organ system in the body. The digestive system comprises of the long tube starting from the Mouth to the distal end (anus) and structures connecting with it like Liver, Spleen, GB and Pancreas. Being an organ system comprising of so many parts like Mouth, Food pipe (Esophagus), Stomach, Amall intestine, Large Intestine, Gall bladder, Pancreas, Liver and Spleen, there are a multiple of diseases affecting each part of the digestive system from a simple disease like Inflammation to a deadly cancer.

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The burden of digestive disease affecting the entire population globally is very high and we are no exception for example there is not a single individual in the planet who has not experienced an episode of the pain abdomen, vomiting, constipation or diarrhea which all comes under the domain of digestive disease. However, these are the lighter aspects of digestive disease.

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The more severe ones like Gastrointestinal (GI) bleeding which can cause immediate death if not attended immediately. In fact, GI bleeding (Upper GIB) is a common medical emergency that we face in a place like Manipur due to excessive use of over-the-counter painkillers medications and alcohol users leading to the Liver Cirrhosis and variceal bleeding.

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Other disease like pancreatitis, which has a very high mortality, needs a dedicated GI ICU to manage these difficult cases.

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Disease like Choledocholithiasis (Bile duct stone) can be easily managed by an expert Endoscopist with Endoscopic Therapy, thereby avoiding mutilating surgery and exuberant cost to the patient.

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Liver disease is a very important issue due to ever increasing pandemic of obesity and its complication like Cirrhosis leading to End Stage Liver Disease (ESLD) and Liver Cancer. The continues onslaught of chronic Hepatitis B and C still contributing a fair share of Liver Cirrhosis and Liver Cancer.

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The Menace of alcoholism leading to Liver cirrhosis and its complication is a major social issue in Manipur. The only treatment of End Stage Liver Disease (ESLD) in Liver transplantation, which is done only in few Metropolitan cities, but none in the Northeastern states so far.

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Cancers involving the digestive system like Oral Cancers, Esophageal Cancers, Colon Cancers, GB and Bile duct Cancers, Pancreatic cancers, Liver cancers contributing to a huge burden to the overall cancer in the body. In fact, Northeastern states including Manipur has been term as cancer capital of India.

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In need for the standard treatment of many digestive disease including Liver Transplant and Cancers. People from our state flock to every Metropolitan city to save their lives for those who can afford, and the poor are left to the mercy of God.

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It would be endless to write the burden of the digestive diseases currently facing in our state, but this is just a view of the current scenario. Solution to all these can start with one small step to setup one stop center to all these needs.

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Despite the tremendous need for a digestive diseases and Liver center there are none in Manipur, so far and as a whole in the entire North-east.

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So we have dreamt of setting up a one stop centre and cater, all the ailments of the digestive tract and Liver disease ranging from benign to inflammatory diseases to management of gastrointestinal cancer and also Liver transplantation thereby providing service under one roof to the needy patient and also reducing the outflow of patients to get outside treatment who faces the hurdle to get treatment outside because of being a land locked state and hilly terrain other than the large financial cost incurred.

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Also medical facilities without continuing medical education is futile and we intend to train students who have completed their medical courses (MD Medicine) to become future Gastroenterologist and hepatologist to serve the north-east or entire nation whatever they work.

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Justification

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We stand to provide both basic and advance facilities:

The Basic facilities being;

ENDOSCOPY:

1. UPPER GI ENDOSCOPY

2. COLONOSCOPY

3. PUSH ENTEROSCOPY

4. CAPSULE ENDOSCOPY

5. SIDE VIEWING ENDOSCOPY

6. ENDOSCOPIC VARICEAL LIGATION (EVL)

7. POLYPECTOMY

8. HAEMORRHOIDAL BANDING

9. ENDOSCOPIC SCLEROTHERAPY

10. FUNDAL VARICEAL GLUE INJECTION

11. COLONIC TRANSIT STUDY

12. ANORECTAL MANOMETRTY AND BIOFEEDBACK.

13. STRICTURE DILATATION.

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Surgery/Gastrointestinal Surgery:

 

*Cholecystectomy (LAP and OPEN)

*Appendectomy (LAP and OPEN)

*Hemicolectomy (LAP and OPEN)

*Splenectomy (LAP and OPEN)
*Esophagectomy (LAP and OPEN)

*Abdomino Perineal Resection

*Lower Anterior Resection

*Ultra lower Anterior Resection.

*Gastric Bypass surgery.

*Small Intestinal Resection.