Surgical Gastroenterology
The expert gastroenterology surgeons at the department work collaboratively with the other departments and ensure precise surgical care to the patients.
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 wherever it is indicated. The medical and surgical teams work together to bring out best results. Advanced laparoscopic surgery is performed for many diseases like gall bladder stones, hernias and gastrointestinal cancer, which is safer, precise and less time consuming when compared to the traditional surgical procedure.
Various most modern technologies 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.
The centre also performs various complex surgeries including liver transplantation on a regular basis, with very good results.
Panel of Doctors
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Dr. Sylesh Aikot
Senior Consultant
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Dr. Ramalingam T
Consultant
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Dr. Mithun V V
Associate Consultant
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Dr. Sangeet Krishna
Specialist
Tab 1
Dr. Sylesh Aikot MS, DNB, FMAS, MCh
Senior Consultant
Dr. Sylesh Aikot is a Senior Consultant Gastrointestinal Surgeon with more than 18 years of 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.He has got vast experience in liver transplant surgery and is heading the liver transplantation team of the centre.
Qualification
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
- 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
- Paralytic Ileus due to Strongyloidiasis Sylesh A, Rajan R, Subhalal N, Srikant, Lekha, Priyadarsini R. Indian J Gastroenterol. 2005 SepOct;24(5):228
- 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
- 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.
- Laparoscopic Pancreatic Necrosectomy: earlyexperience Kamalesh NP, Prakash K, Varma D, Sylesh A, Jacob M. Pancreatology 2011;11 (suppl 1): 180
- 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.
- Laparoscopic Extedned Right Hemicolectomy.Video presentation Prakash K, Kamlaesh NP, Pramil K, Sylesh A. IAGES, Ahmedabad February2012.
- Laparoscopic Low Anterior Resection for Carcinoma Rectum. Video presentation Prakash K Kamlaesh NP, Pramil K, Sylesh A. IAGES, Ahmedabad February 2012.
- 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.
- Single Incision Laparoscopic Anterior Resection for Carcinoma Rectum Prakash Kamlaesh NP, Pramil K, Sylesh AVideo presentation. Colorectal surgery in Coimbatore AMASICON July,2012.
- Laparoscopic Restorative Proctocolectomy Prakash K Kamlaesh NP, Pramil K, Sylesh A A Video presentation. Colorectal Coimbatore July 2012.
- Laparoscopic Right Hepatectomy Prakash K, Kamlaesh NP, Pramil K, Sylesh A. Video presentation. HPB Session, AMASICON, Coimbatore July 2012.
- Laparoscopic Resection of Haemangioma Liver andNose Prakash K, Kamlaesh NP, Pramil K, Sylesh A. Video presentation. HPB Session, AMASICON, Coimbatore July 2012.
- 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.
- 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
- 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 )
Dr. Sylesh Aikot
Senior Consultant
OP Days and Timings
- Mon 10:00 AM - 12:00 PM
- Wed 10:00 AM - 12:00 PM
- Fri 10:00 AM - 12:00 PM
- Operation Theatre (OT) days on Tuesday, Thursday and Saturday. Walk-in OP available from 9 am to 5 pm on OT days. -
Book an Appointment
Tab 1
Dr. Ramalingam T MBBS, MS (General Surgery), DNB (Surgical Gastroenterology)
Consultant
Dr. Ramalingam Trivikraman is a Gastrointestinal surgeon with seven years experience in the field of surgical gastroenterology and liver transplantation. He is adept with complex open and laparoscopic gastrointentinal procedures. He is well trained in Liver transplantation and has been part of a renowned Liver transplant team and has been a part of more than 250 living related and cadaveric liver transplants. His major field of interest is in Hepato-Pancreato-Biliary surgery and Liver Transplantation. He has a good academic record and has multiple publications to his credit
Qualification
- MBBS – Government Medical College, Coimbatore (2010)
- MS (General Surgery) - Government Medical College, Calicut (2015)
- DNB (Surgical Gastroenterology) - Global Hospitals, Hyderabad (2019)
Work Experience
- Senior Registrar - Gleneagles Global Hospitals, Hyderabad (March 2016-April 2019)
- Senior Resident - Govt. medical college, Kozhikode (July 2015-Feb 2016)
- Junior Resident - Govt. medical college, Kozhikode (2012-2015)
Publications
- Paper publication titled “Saccular aneurysm of the External Jugular Vein – Acase report”
- Original research article:”Validity of BISAP score in comparison to CRP inpredicting severity of Acute Pancreatitis”.
- Original research article: “Delay in diagnosis of breast cancer in a developingcountry: a single centre observational study in a tertiary care hospital in NorthKerala, India”
- Original research article: “Incidental Gall Bladder Cancer followingLaparoscopic Cholecystectomy: A South Indian tertiary care center experience” inJournal of Tropical Gastroenterology.
Awards
- Winner, Inter collegiate goldmedal exam conducted by Association of Rhinologists and Otolaryngologists, Nilgiri chapter in 2008.
- Runner up, Gold medal exam in pediatrics, conducted by Department ofPediatrics and neonatology, Govt. Medical College, Coimbatore in 2009.
- Winner, Intra collegiate medical quiz, conducted by Department of GeneralMedicine, Govt Medical college, Coimbatore in 2009
- Second Runner up, Surgical Quiz, Kerala chapter of Association of Surgeons ofIndia, 2012.
- Runner up, Surgical Quiz, Kerala chapter of Association of Surgeons of India,2013.
- Best Poster Award: “Agenesis of Gall Bladder – A Diagnostic Dilemma” atFIAGES 2017.
- One of the 30 Bursary Awardees from all over India at IASGCON, 2017,Puducherry.
Dr. Ramalingam T
Consultant
OP Days and Timings
- Mon 00:01 PM - 06:00 PM
- Wed 00:01 PM - 06:00 PM
- Fri 00:01 PM - 06:00 PM
Book an Appointment
Tab 1
Dr. Mithun V V MBBS, MS(General Surgery), DNB (Surgical Gastroenterology)
Associate Consultant
Dr. Mithun VV is a gastro-surgeon with over 7 years of experience. He gained his initial expertise as a lecturer in the Department of Surgical Gastroenterology at Calicut Medical College. He is well-equipped and involved in advanced laparoscopic surgery, along with complex hepatobiliary and pancreatic surgeries. His interests lie in laparoscopic colorectal surgeries and HPB surgeries. Additionally, he actively contributes as a member of our Liver Transplant Surgical Team.
Qualification
- MBBS – IP PAVLOV STATE MEDICAL UNIVERSITY ,St Petersburg
- MS GENERAL SURGERY- YENEPOYA MEDICAL COLLEGE , MANGALORE
- DNB SURGICAL GASTROENTEROLOGY – THE CALCUTTA MEDICAL RESEARCH INSTITUTE ,KOLKATA
Work Experience
- Worked as an Assistant Professor in Dept of Surgery in KMCT medical college -2010-2011
- Worked as a Lecturer in Dept of Surgical Gastroenterology in Govt Medical college ,Kozhikode – 2011-2012
- Worked as an Assistant Professor in Dept of Surgery in Kannur Medical college – 2012-2015
- DNB resident in Dept of Surgical Gastroenterology ,Calcutta Medical Research Institute- 2016- 2019
Publications
- Laparoscopic versus open inguinal hernia repair: A comparative study
- Drain in laparoscopic cholecystectomy in acute calculous cholecystitis: a randomised controlled study, Postgrad Med J 2020 Oct;96(1140):606-609
- Idiopathic granulomatous mastitis: diagnostic and therapeutic challenges to general surgeon. Breast Disease, 01 Jan 2015, 35(1):67-72
- Surgical Management of Cystic Duct Stump Stone or Gall Bladder Remnant Stone. The Indian Journal of Surgery, 27 Jan 2018, 80(3):284-287
- Symptomatic outcome after laparoscopic cholecystectomy : an observational study
Dr. Mithun V V
Associate Consultant
OP Days and Timings
- Wed 10:00 AM - 03:00 PM
- Fri 10:00 AM - 03:00 PM
Book an Appointment
Tab 1
Dr. Sangeet Krishna MBBS, MS (Gen Sur ), DNB (Gen Sur)
Specialist
Dr. Sangeet Krishna is a specialist in Surgical Gastroenterology department. He was trained at the prestigious Government medical college Thiruvananthapuram. He was awarded the Membership of Royal College of Surgeons by the Royal College of Edinburgh, the oldest surgical college of the world. He is skilled in both laparoscopic and open surgical procedures with highest level of standard of care.
Qualifications
- MBBS – Government medical college Thiruvananthapuram
- MS General Surgery: Government medical College Thiruvananthapuram
- DNB: National Board
- MRCS: Royal College of Surgeons Edinburgh, United Kingdom
Work Experiences
- Post graduate training of 3 years at Government Medical College Thiruvananthapuram (2019-22)
- Senior Resident in General Surgery, Government Medical College Thiruvananthapuram (2022-23)
Research
- Diagnostic accuracy of TIRADS scoring in diagnosing thyroid malignancies with histopathology as gold standard.
Dr. Sangeet Krishna
Specialist
Dr. Sylesh AikotSenior ConsultantDr. Sylesh Aikot is a Senior Consultant Gastrointestinal Surgeon with more than 18 years of 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.He has got vast experience in liver transplant surgery and is heading the liver transplantation team of the centre.
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.
OP Days and Timings
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Dr. Ramalingam TConsultantDr. Ramalingam Trivikraman is a Gastrointestinal surgeon with seven years experience in the field of surgical gastroenterology and liver transplantation. He is adept with complex open and laparoscopic gastrointentinal procedures. He is well trained in Liver transplantation and has been part of a renowned Liver transplant team and has been a part of more than 250 living related and cadaveric liver transplants. His major field of interest is in Hepato-Pancreato-Biliary surgery and Liver Transplantation. He has a good academic record and has multiple publications to his credit
OP Days and Timings
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Dr. Mithun V VAssociate ConsultantDr. Mithun VV is a gastro-surgeon with over 7 years of experience. He gained his initial expertise as a lecturer in the Department of Surgical Gastroenterology at Calicut Medical College. He is well-equipped and involved in advanced laparoscopic surgery, along with complex hepatobiliary and pancreatic surgeries. His interests lie in laparoscopic colorectal surgeries and HPB surgeries. Additionally, he actively contributes as a member of our Liver Transplant Surgical Team.
OP Days and Timings
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Dr. Sangeet KrishnaSpecialistDr. Sangeet Krishna is a specialist in Surgical Gastroenterology department. He was trained at the prestigious Government medical college Thiruvananthapuram. He was awarded the Membership of Royal College of Surgeons by the Royal College of Edinburgh, the oldest surgical college of the world. He is skilled in both laparoscopic and open surgical procedures with highest level of standard of care.
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Services & Facilities
- Liver Transplantation
Both living donor and deceased donor liver transplantation are done regularly in the department.
- 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