colorectal surgery in Kerala
Surgical Gastroenterology The expert gastroenterology surgeons at the department work collaboratively with the other departments and ensure precise surgical care to the patients.
 

Surgical Gastroenterology

The department of Surgical Gastroenterology under the Institute of Liver and Gastro Sciences offers surgical management of diseases and conditions that affect the stomach, intestines and liver, collectively called as the digestive system. We offer personalized surgical care to patients with common as well as complex gastrointestinal conditions by applying minimally invasive technologies. The medical and surgical teams work together to bring out best results. Advanced laparoscopic surgery is advised for the common bile duct stones, which is safer, precise and less time consuming when compared to the traditional surgical procedure.

Various other most modern techniques are being used in the department in order to make the surgeries more precise and of fewer complications so that the patient can return to normal life within a short period of time. Curative and palliative surgeries for Gastrointestinal malignancies and Bariatric Surgery for Morbid Obesity and Metabolic Syndrome are performed on a regular basis in the department.

Panel of Doctors

Surgical Gastroenterology

Panel of Doctors
Dr. Sylesh Aikot MS, DNB, FMAS, MCh ( Senior Consultant )

Dr. Sylesh Aikot is a Senior Consultant Gastrointestinal Surgeon with more than 10 years experience in the field of gastrointestinal surgery. He has got vast experience in all gastrointestinal procedures including liver transplantation and has worked in many hospitals in and outside the state. Dr Sylesh has a brilliant academic track record and has got many publications and research papers to his credit. He is a crafted surgeon noted for his marvellous surgical skills. He is a good laparoscopic surgeon as well, and is one of the few surgeons in the country routinely performing complex surgeries like totally laparoscopic Whipple’s Pancreaticoduodenectomy.

Qualification

He completed MBBS and MS from Government Medical College, Calicut and MCh Gastrointestinal Surgery from Government Medical College, Trivandrum with gold medal. He was also awarded DNB degree by the National Board of Examinations, New Delhi and FMAS in laparoscopic surgery.

Work Experience
  • Consultant in Gastrointestinal Surgery: PVS Memorial Hospital, Cochin, India: March 2010 – April 2015.
  • Consultant in Gastrointestinal Surgery: MIMS Hospital, Calicut, India: April 2009 – March 2010.
  • Consultant in Gastrointestinal Surgery: S.U.T Super Speciality Hospital, Trivandrum, India: Sept 2007 – April 2009.
  • MCh trainee in Surgical Gastroenterology: Medical College Hospital, Trivandrum: Sept 2004 – Sept 2007.
  • Senior Lecturer in Surgery: Academy of Medical Sciences, Pariyaram, Kerala : June 2003 – Aug 2004.
  • M.S. Trainee in Surgery: Medical College Hospital, Calicut, India: May 2000 – May 2003
Publications
  • 1.Previous Cholecystectomy is not a contraindication for right lobe liver donation ­ Sylesh Aikot, , Neerav Goyal, Manav Wadhavan, Subhash Gupta. ­ Liver Transplantation 2013; 19 ( 6) , S 209
  • 2. Paralytic Ileus due to Strongyloidiasis ­ Sylesh A, Rajan R, Subhalal N, Srikant, Lekha, Priyadarsini R. ­ Indian J Gastroenterol. 2005 Sep­Oct;24(5):228
  • 3. Postoperative Liver Failure Rate after Liver Resection for Hilar Cholangiocarcinoma in the Absence of Preoperative Biliary Drainage­ Rajan, Ramesh, Natesh, Bonny, A.Sylesh , Kumar, Arun R S, Sindhu N, Subhalal A P, Kuruvilla. ­ HPB, 2008; 10:178
  • 4. Effect of learning curve in patient selection and outcome following laparoscopic colorectal resection: Analysis of 235 elective laparoscopic colorectal resections in a tertiary care unit ­ Pramil K, Kamalesh NP, Vipin IS, Sylesh A, Manoj Jacob, Prakash K. ­ IASG National Conference, Jaipur 2011.
  • 5. Laparoscopic Pancreatic Necrosectomy: earlyexperience ­ Kamalesh NP, Prakash K, Varma D, Sylesh A, Jacob M. ­ Pancreatology 2011;11 (suppl 1): 1­80
  • 6. The drain fluid amylase­volume ratio is a better predictor for pancreatic fistula than value of amylase alone on Day 3 after pancreaticoduodenectomy ­ Kamalesh NP, Pramil K, Vipin IS, Sylesh A, Manoj Jacob,Prakash K. ­ IASG National Conference, Jaipur 2011.
  • 7. Laparoscopic Extedned Right Hemicolectomy.Video presentation ­ Prakash K, Kamlaesh NP, Pramil K, Sylesh A. ­ IAGES, Ahmedabad February2012.
  • 8. Laparoscopic Low Anterior Resection for Carcinoma Rectum. Video presentation ­ Prakash K Kamlaesh NP, Pramil K, Sylesh A.­ IAGES, Ahmedabad February 2012.
  • 9. Laparoscopic Myotomy with Anterior Fundoplication for Achalasia Cardia ­ Prakash K Kamlaesh NP, Pramil K, Sylesh A. . ­ Video presentation. UPPER GI SESSION in AMASICON Coimbatore, July 2012.
  • 10. Single Incision Laparoscopic Anterior Resection for Carcinoma Rectum ­ Prakash Kamlaesh NP, Pramil K, Sylesh A­Video presentation. Colorectal surgery in Coimbatore AMASICON July,2012.
  • 11. Laparoscopic Restorative Proctocolectomy ­ Prakash K Kamlaesh NP, Pramil K, Sylesh A A ­ Video presentation. Colorectal Coimbatore July 2012.
  • 12. Laparoscopic Right Hepatectomy ­ Prakash K, Kamlaesh NP, Pramil K, Sylesh A. ­ Video presentation. HPB Session, AMASICON, Coimbatore July 2012.
  • 13. Laparoscopic Resection of Haemangioma Liver andNose ­ Prakash K, Kamlaesh NP, Pramil K, Sylesh A. ­ Video presentation. HPB Session, AMASICON, Coimbatore July 2012.
  • 14. Does Case selection & outcome following laparoscopic colorectal resection change after initial learning curve? ­ Prakash K, Kamlaesh NP, Pramil K, Sylesh A. ­ oral presentation in the COLORECTAL SESSION in AMASICON 2012.
  • 15. Dense calculi formation resulting in impaction of pancreatic stent: a rare complication due to an unretrieved stent. ­ Prakash Kurumboor, Kamalesh NP, Pramil K, Sylesh Aikot, Prakash Zacharias, Ramesh GN, Mathew Philip. ­ Indian J Gastroenterol, May 2011
  • 16. Prevalence and patterns of diverticulosis undergoing colonoscopy in a southern Indian hospital­ Kamlaesh NP, Prakash K, Pramil K, Sylesh A, Prakash Zacharias, Ramesh GN, Mathew Philip ­ Indian J Gastroenterol (in press )
OP Days and Timings
Mon 10:00 am - 12:00 pm, 02:00 pm - 04:00 pm
Wed 10:00 am - 12:00 pm, 02:00 pm - 04:00 pm
Fri 10:00 am - 12:00 pm, 02:00 pm - 04:00 pm

Dr. George Mathew Sebastian MBBS, MS(General Surgery), MRCS (England), DNB (Surgical Gastroenterology) (Junior CONSULTANT)

Dr. George is a Surgical Gastroenterologist with training and experience inallgastrointestinal surgical procedures including liver transplantation. His areas of interest are in advanced laparoscopic surgeries and liver transplantation. He is a member of Royal college of Surgeons of England.

Qualification
  • MBBS – Government Medical College, Kottayam, 2006
  • MS (General Surgery)–Government Medical College, Kottayam, 2011
  • MRCS – Royal College of Surgeons of England, 2013
  • DNB (Surgical Gastroenterology) – Lakeshore Hospital, Kochi, 2016
Work Experience
  • Senior Registrar – Lakeshore Hospital , Kochi (Feb 2016 – Dec 2016)
  • Registrar – PVS Memorial Hospital , Kochi (July 2012 – Feb 2013)

Services & Facilities

Services & Facilities
    • Hepatic Resection:

      Hepatic/liver resections are done commonly for liver tumours. It requires good preoperative planning, meticulous surgery and intensive postoperative care for good results. The following procedures are done regularly in the department.

      • Major Hepatectomy for Hepatocellular and Cholangiocarcinoma
      • Gall Bladder Cancer Surgery
      • Choledochal Cyst Surgery
      • Gall Bladder Stone Surgery (Laparoscopic Cholecystectomy)
    • Pancreatic surgery:

      A good number of the pancreatic surgeries are done laparoscopically in the department.

      • Whipples Pancreaticoduodenectomy for Carcinoma Pancreas and Periampullary Carcinoma
      • Frey’s Lateral Pancreatojejunostomy for Chronic Pancreatitis
      • Distal and Median pancreatectomy
      • Pancreatic Necrosectomy and surgery for Pseudocyst
    • Luminal GI Surgery:

      These procedures are done for lesions of Esophagus, Stomach, Small Intestine and Colon. Most of these procedures are done laparoscopically. They include

      • Thoraco-Laparoscopic Esophagectomy for Esophageal Cancer
      • Laparoscopic Surgery for Achalasia Cardia
      • Laparoscopic Fundoplication for Hiatus Hernia/ GERD
      • Radical Gastrectomy for Gastric Cancer
      • Small Bowel Resections/Strictureplasty
      • All types of laparoscopic Colonic and Rectal Resections
      • Lap. Restorative Proctocolectomy with Ileal Pouch Anal Anastomosis (IPAA) for Ulcerative Colitis / FAP
    • Bariatric and Metabolic Surgery:

      Today, with sedentary lifestyle and bad food habits, obesity is a problem faced by many across age groups. Obesity leads to various health problems like Diabetes, Hypertension, Sleep Apnoea and so on.

      Bariatric Surgery is an absolutely safe and secure method that gives quick results. This type of surgery actually minimizes the size of the stomach so that intake is lessened as one gets the filled feeling with just a little food.

    • Advanced GI Laparoscopy:

      This unit is a specialised centre for all GI laparoscopic procedures. Surgeries Commonly performed in the department are:

      • Laparoscopic Anterior Resection for Carcinoma Rectum
      • Laparoscopic APR for Anal Canal Tumours
      • Laparoscopic Colonic Resections (Hemicolectomy, Segmental Colectomy)
      • Laparoscopic Restorative Proctocolectomy with IPAA for Polyposis Coli
      • Thoraco-Laparoscopic Surgery for Esophageal Cancer
      • Laparoscopic Surgery for Achalasia Cardia (Cardiomyotomy)
      • Laparoscopic Fundoplication for Gastroesophageal Reflux Disease (GERD)
      • Laparoscopic Surgery for Inguinal Hernia (Lap TEP & TAPP repair)
      • Laparoscopic Mesh Repair for Incisional & Umbilical Hernia
      • Laparoscopic Cholecystectomy
      • Laparoscopic CBD exploration for CBD Stone
      • Laparoscopic Surgery for Choledochal Cyst
      • Laparoscopic Gastrectomy
      • Laparoscopic Resection for Liver Lesions
      • Diagnostic Laparoscopy
      • Laparoscopic Adhesiolysis
      • Laparoscopic Appendicectomy
      • Laparoscopic Bariatric/Obesity Surgery
      • Laparoscopic Splenectomy
      • Laparoscopic Whipples Pancreatoduodenectomy
      • Laparoscopic Pancreatectomy
      • Laparoscopic Pancreatic Necrosectomy
    • Equipment / Facility

      The operations suites are well equipped with all most modern facilities. This state of art theatre complex is well equipped to perform all major GI surgeries like Liver Resections, Liver Transplantation, Pancreatic Resections and all advanced GI Laparoscopic Surgeries.

      • High Definition 3-Chip Camera system from Karl-Storz
      • Ultrasonic Dissector for Liver Resection from Stryker
      • Gen X system of Harmonic Scalpel and Enseal of Ethicon
      • Force Triad-Ligasure Vessel Sealing System of Covidien
      • Intraoperative Ultrasound from Aloka
      • Argon Plasma Coagulator from ERBE
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