Gastrointestinal-Endoscopy Center

     Ramkhamhaeng Hospital has established a Gastrointestinal-Endoscopy center to tackle the problem with a comprehensive system and enhance the general public's health and wellness. By taking care of oneself under the guidance of specialized physicians and providing adequate treatment in the early stages, the general public will be able to understand the disease and receive treatment according to the guidelines.

Our service

• Consultation services on gastrointestinal problems and disorders
• Diagnosis and treatment of gastrointestinal diseases
• Endoscopy of the gastrointestinal tract at the Endoscopy Center
• Laparoscopic surgery, which also includes rehabilitation care after surgery.
• Advice for gastrointestinal health and vaccination against gastrointestinal diseases such as hepatitis A and B.

Hepatitis A and B Vaccination Services

     Gastrointestinal-Endoscopy center, Ramkhamhaeng Hospital provides hepatitis A and B vaccination services. This can be prevented in people who are not immune and have risk factors such as a familial history of liver disease or close contact with hepatitis patients, and having close occupations with hepatitis patients. For more information, please contact the Gastrointestinal-Endoscopy Center.

Providing Services

• Suspected symptoms of gastrointestinal diseases
• Monitoring the functioning of the gastrointestinal tract.
• Prolonged symptoms of the digestive tract
• Doctor’s diagnosis and treatment to support treatment decisions.
• Endoscopic examination and treatment by a specialized doctor.
• Consultation and advice from healthcare specialists for self-care and prevention of gastrointestinal diseases.

Gastrointestinal Tract Diseases

• Pediatric GI  
• Peptic Ulcer
• Colitis
• Stomach Cancer
• Esophageal Cancer
• Colon Cancer
• Liver Cancer
• Hepatitis Hepatitis
• Alcoholic Liver Disease
• Liver Cirrhosis
• GI Infections
• diarrhea, gastroenteritis,
• Irritable Bowel Syndrome, Constipation
• Pancreatitis Pancreatitis
• Gallstones, cholangitis
• Cholangio Carcinoma

 

Modern Equipment

1.  Special Diagnostic Radiology Examination

Without Using Radiation Agents

• Ultrasonography, such as Ultrasound upper ab, to examine abnormalities in the upper abdominal organs, including the liver, pancreas, gallbladder, bile ducts, spleen, and kidneys.

Use of Radiation Agents

• Barium swallow examination, examination of swallowing and choking, examination of esophageal peristalsis, and esophagus disorders.
• Upper GI examination, examination of swallowing function and esophagus, examination of stomach and duodenum  
• Long GI examination, examination of swallowing function, inspection of the stomach and small intestine to check for inflammation and disorders.   
• BE (Barium Enema) examination to check for colon abnormalities

2.  Spiral CT Scan and MRI​

• GI Endoscopy
• Gastroscopy for diagnosis of diseases of the esophagus, stomach, and duodenum
• Colonoscopy for diagnosis and treatment of diseases of the colon
• Sigmoidoscopy for diagnosis and treatment of peripheral colitis
• Polypectomy for the removal of small tumors in the stomach, colon, and duodenum through digestive tract endoscopy
• EVS, EVL (Endoscopic variceal treatment) for treatment of esophageal aneurysms
• PEG (Percutaneous endoscopic gastrostomy) for insertion of a feeding line through the abdomen to avoid surgery
• Diagnostic ERCP (Endoscopic Retrograde Cholangio Pancreatography) for diagnosis and treatment of diseases of the biliary tract and pancreas using endoscopy to avoid surgery.
• Therapeutic ERCP (Sphincterotomy, Stone extraction) for treatment of bile ducts, such as cholangiocarcinoma and gallstones

3.  GI Pathology: Accurate Pathological Examination

4.  Intervention Radiology

Use of X-ray Techniques in Non-surgical Treatment

4.1.  TOCE (Transcatheter oily chemo-embolization)

     TOCE is applied in cases where the tumor cannot be surgically removed due to its large size. The method is usually done by a radiologist by inserting a small cord through the liver artery to administer chemicals directly into the tumor and to block the main blood vessel that feeds the tumor. In some cases, when the tumor is smaller and does not spread elsewhere, surgery may be performed to remove it altogether.

2.  FNA (Fine needle aspiration) and Liver Biopsy 

     FNA and liver biopsy are Performing a biopsy on the liver for diagnose tissue and cells in case of a suspicious lump, which can turn into liver cancer or inflammation.

5.  The Urea Breath Test is used to detect Helicobacter pylori (H.pylori)

     At present, it is found to be one of the causes of gastric ulcers and stomach cancer. This is a breath examination without endoscopy (measuring the amount of 13C).