::Departments : Super Specialities : Medical Gastroenterology
 
 MGE DEPARTMENT DETAILS
History of the Department
The Madras Medical College and Government General Hospital is a prestigious tertiary care institution which serves people from distant and remote places. It has been offering excellent care to the poor and underprivileged sections of the society. Medical Gastroenterology is an important Super Specialty Department that was started in 1971 by Prof. N. Madanagopalan, Father of Gastroenterology in this part of the world. The Department has been receiving patients not only from the entire state of Tamilnadu but also from the neighbouring States. The other medical college hospitals in the city have also been benefiting from our services e.g. GRH, DDHD.
Since its inception in 1971 the department has grown by leaps and bounds.Patients with various GI disorders, liver, pancreatic diseases and GI malignancies are being offered excellent curative as well as palliative care which is even better than some of the best private Hospitals.
The Department has also been conducting Subspecialty Clinics in Gastroenterology. This is the first Government Hospital in the state that is running clinics in pancreatic, hepatobiliary and motility disorders.
The Department also serves as training and teaching center for D.M. Postgraduates. Six D.M. post graduates are admitted per year. The Department also offers training for M.D Postgraduates & Medical officers from various centers in the state who undergo short term training in investigative procedures. It also offers teaching for the nursing staff and students of B.Sc and M.Sc, nursing.
Endoscopic procedures are done daily - they include diagnostic , therapeutic upper GI endoscopy ,Side viewing scopy ,ERCP and colonoscopy. Endoscopies are done as elective procedures and also for emergency GI problems like GI bleeds, foreign body ingestion, corrosive ingestion, cholangitis etc.
Therapeutic endoscopy procedures and interventions are done for bleeding ulcers, sclerotherapy and banding for bleeding varices. Dilatations and Nasogastric tube
placements are being done everyday as a palliative treatment modality for patients with advanced oesophageal malignances. Other procedures like Oesophageal stenting, Biliary and pancreatic stenting, Foreign Body removal, Polypectomies, Nasogastric and Nasojejunal tube placements are also being done.
Academic activities
Type of course – Medical
Course handled –
??? Post graduates – DM ( Medical Gastroenterology)
??? Teaching and training programme for MD postgraduates for 20 days in Medical Gastroenterology
??? Teaching and training programme for nursing students
 
Intake
DM (Medical Gastroenterology) – 6 students per year
Eligibility
- Should have acquired M.D/DNB-Gen Medicine (or) M.D/DNB- Pediatrics Degree from a recognised university
 
Course Duration
- D.M. Medical Gastroenterology – 3 years
 
Selection Procedure
- Common Entrance Examinations conducted by the Selection committee ,Directorate of Medical Education and counselling.
 
Affiliated University
- The Tamil Nadu Dr MGR Medical University, Chennai
 
University Examination details
- Part 1- Basic Science examination at end of 2nd year
- Part 2- Final year examination including clinical examination at end of 3rd year
 
Academic curriculum
The purpose of the specialty course in Gastroenterology is to train physicians to become independent consultants and, if necessary, academician teachers in the diagnosis, management and investigative research of diseases of the gastrointestinal tract. Needless to say, this training can be given only to those with
prior post-graduate training in Internal Medicine or Paediatrics. While many gastrointestinal diseases are common all over the globe, India has others that are either far more common here or are rarely reported from other countries. Further, there are issues such as poverty and levels of hygiene that impinge on decision making in this environment.
The term “gastrointestinal diseases” includes diseases of the gastrointestinal lumen from the mouth to the anal canal (though the diseases of the mouth are usually left to other specialists), diseases of the liver and biliary tree, diseases of the pancreas and of the peritoneum. There are diseases from other systems which often manifest with gastrointestinal symptoms and these too come under the purview of the gastroenterologist.
The skills that are critical for a qualified gastroenterologist are the following -
1) Clinical skills: This includes skills arriving at a diagnosis, judicious planning and interpretations of investigations, decision making and optimizing treatment in sufferers from specific gastrointestinal diseases and maintaining a “follow-up” on patients. It also includes preventive therapy in close relatives or communities affected by or under threat of a particular disease. Further, gastroenterologists in India need to be trained to balance the financial constraints that patients have against the use of expensive investigative tools and therapies, while keeping patients fully informed about the illnesses they suffer from and the options available.
 
The best way to acquire these skills is to work full time in the gastroenterology training centre and be available for emergencies on rotation. One of the most fruitful ways of becoming a competent consultant is to offer to see the consultation requests from other departments on behalf of the gastroenterologist consultant concerned, provided the case is discussed with him/her before offering advice to the requesting department.
2) Manual skills: Endoscopic procedures are a major part of investigative and therapeutic gastroenterology. All gastroenterologists should have hands-on training in the basic upper and lower gastrointestinal endoscopic procedures
 
 
and in less specialized therapeutic procedures such as oesophageal dilatation, sclerotherapy, variceal ligation and percutaneous endoscopic gastrostomy. It is desirable that, in their specialty training period, gastroenterologists should also be trained in routine diagnostic pancratico-biliary endoscopy. This gives them a base from which they can pursue a career in specialized gastroenterology later on, if they so wish. Trainees should also know how to do non-endoscopic procedures such as percutaneous liver biopsy and pneumatic dilatation safely. In centers where ultrasonography is available with the gastroenterologist, ultrasound guided procedures may be added to the list of desirable skills. Gastroenterologists in some centers also do transjugular liver biopsies and angiographic procedures but this is best developed in a radiology department and is not something that a trainee gastroenterologist should avidly look forward to. Motility studies and pH monitoring studies are becoming more commonplace and students are well advised to learn these skills in addition to endoscopy.
3) Research skills: This includes the capacity to identify research problems, frame research questions, know how to find sources of the requisite background information and sift the “chaff from the wheat” from this information, plan studies, execute them, analyze the data and write a report on the findings and their interpretation. The University now requires the submission of a Dissertation or report on a research project by each candidate training in gastroenterology.
 
Academic Schedule
- 1st year PG’s ward rounds, Endoscopy observation, in and out patient care. Speciality postings including Radiodiagnosis, Pathology ,Paediatric gastroenterology, surgical gastroenterology and IMCU
- 2nd Year PG’s in and out patient care, Endoscopy - diagnostic work.Special postings in Advanced endoscopy techniques
- 3rd year PG’s Endoscopy diagnostic and therapeutic, in and out patient care
 
Monday Case discussion (by Professor & HOD)
Tuesday Topic discussion- final year
Wednesday Topic discussion- 2nd year and Journal club
Thursday Case discussion (by Additional Professor)
Friday Case discussion (by Asst. Professors) and Weekly theory test
Saturday Grand rounds
 
Periodic academic activities
- Monthly CME’s by the DM Post Graduates
- Maintenance of log book
- Regular clinical Examinations
- Dissertation work
- Participation and paper presentations in State and National conference by faculty and PG students
- Attending National and International GE and Endoscopic Workshops
- Combined Medico Surgical Gastroenterology rounds
- TEACHING CD - “NMG” (Notes of Medical Gastroenterology) released every year and distributed to all DM / MCh / MD students
 
 
Research & Publications 1 Images - Disseminated Intrabdominal Hydatidosis – Indian J Gastroenterol 2009( May-June): 28(3) : 88- 92, Mahadevan B,Mohammed ali,Ganesh P ,Padmanabhan P,Caroline selvi K ,Premkumar K
2. Acute abdomen in a Septuagenerian Indian J gastroenterology DOI 10.1007/s12664-012-0173.5. Biggs saravanan ,Mohammed ali,Anbalagan Amudhan
 
 
3. Case report - Primary pancreatic choriocarcinoma presenting as pancreatitis. Journal of pancreas 2012marc10:13(2):217 -218. Biggs Saravanan ,malrvizhi murugesan ,Mohammed ali ,Padmanabhan P
4. Frantz Tumour – Tropical gastroenterology 2011:32(4):327- 328. Biggs saravanan Mohammed ali,Ganesh P ,Padmanabhan P,Caroline selvi K ,Premkumar K
5. Interesting and unusual cases of chronic abdominal pain-intermittent gastric volvulus. Open Journal of Gastroenterology, 2012, 2, 200-205 OJGas doi:10.4236/ojgas.2012.24040 Published Online November 2012. Sivasankaran Vadivel Kumaran, Thangavelu Pugazhendhi, Mohammed Ali
 
 
 
 
 
Papers presented by Post graduates in various conferences S no Year Name of the conference Presented by Title
1 2007 ISGCON 48th ,annual conference, Bangalore Remakrishnakumar Utility of Rockall score in 400 cases of UGI bleed
2 2007 ISGCON48th ,annual conference, Bangalore Ramkumar Ascitic fluid ADA-diagnostic test in tuberculous ascites
3 2007 ISGCON48th ,annual conference, Bangalore Antony Joe Upper gastrointestinal mucosal lesions in chronic kidney disease patients
 
 
4 2007 ISGCON48th ,annual conference, Bangalore Mahadevan A clinical study on Hepatocellular carcinoma.
5 2008 ISGCON 49th annual conference Antony Joe A Pilot Study On Minimal Hepatic Encephalopathy
6 2008 ISGCON49th annual conference Gokul POLYVINYL ENDOPROSTHESIS PLACEMENT FOR A CASE OF POST-COLOPLASTY ANASTOMOTIC STRICTURE
7 2008 Asia-Pacific digestive week,Delhi Mahadevan A clinical and endoscopic study on acute caustic injury of the upper gastrointestinal tract
8 2008 Asia-Pacific digestive week, Delhi Antony Joe Post laparoscopic cholecystectomy bile duct injuries – our experience
9 2009 SGEI, Hyderabad Mahadevan Telescopic Oesophageal stenting
10 2009 ISGCON,50th annual conference, Kolkata Vinoth A CASE OF MESENTERIC ISCHEMIA FOLLOWING GLUE INJECTION
11 2009 ISGCON, 50th annual conference, Kolkata Vinoth AN UNUSUAL COMPLICATION OF HYPEREMESIS GRAVIDARUM
12 2009 ISGCON, 50th annual conference, Kolkata Kani Giant Esophageal diverticulum
13 2009 ISGCON,50th annual conference, Kolkata Karthikeyan COLONOSCOPY AND MR COLONOGRAPHY – A COMPARATIVE STUDY
14 2009 ISGCON,50th annual conference, Kolkata Gokul ILEO – CAECAL TUBERCULOSIS (TB) – A MULTIFACETED DISEASE
15 2010 INASL Gokul Unusual case of chronic hepatitis-due to Herbal medications
16 2010 ISG Tamilnadu chapter Annual conference Vinoth IPSID case series
17 2010 ISGCON 51st annual conference, Hyderabad Vinoth INTERESTING CASES OF SUBACUTE INTESTINAL OBSTRUCTION
18 2010 ISGCON51st annual conference,Hyderabad BiggsSaravanan Interesting cystic lesions of pancreas
19 2010 ISGCON51st annual conference,Hyderabad Kani Sheik A CASE OF COMPLICATED CHRONIC PANCREATITIS
20 2010 ISGCON51st annual conference,Hyderabad Malarvizhi An Interesting case of pancreatitis -EXTRA GONADAL NON GESTATIONAL CHORIOCARCINOMA
21 2011 ISGCON52nd Annual conference,Coimbatore BiggsSaravanan AN OPEN LABEL COMPARATIVE STUDY BETWEEN XYLOCAINE LOZENGES AND XYLOCAINE SPRAY IN PATIENTS UNDERGOING UPPER GASTROINTESTINAL ENDOSCOPY IN A TERTIARY CARE CENTER
22 2011 ISGCON52nd Annual conference,Coimbatore Malarvizhi An Interesting Case of Hepatopulmonary Syndrome- A Case Report
23 2011 ISGCON52ndAnnual conference,Coimbatore Anand INTRAABDOMINAL MESOTHELIOMA – A CASE REPORT
24 2011 ISGCON52nd Annual conference,Coimbatore Hemamala Comparative analysis of clinical profile in young and old cirrhotics
25 2011 ISGCON52nd Annual conference,Coimbatore Senthilkumar Gastric polyps –case series
26 2011 ISGCON52nd Annual conference,Coimbatore Shafeeque Oesophageal Tuberculosis - Interesting case series report
27 2011 ISGCON52nd Annual conference,Coimbatore Radha Complications of PEG
28 2011 Women Doctors conference Hemamala 3rd dimensional nonsurgical endotherapy for pancreatic disorders
29 2011 Women Doctors conference Radha Tubes and pricks to improve quality of life
30 2012 ISGCON 53rd Annual conference,Jaipur Hemamala Yield of endoscopy in uncomplicated dyspepsia and threshold for initial endoscopy in Indian patients
31 2012 ISGCON53rd Annual conference,Jaipur Anand Oral sulphate solution for colon preparation- Comparative study
32 2012 ISGCON53rd Annual conference,Jaipur Shafeeque Adult Hirschsprung’s Disease –Interesting case series
33 2012 ISGCON53rd Annual conference,Jaipur Arvind CASE REPORT: ESOPHAGO JEJUNAL ANASTOMOTIC LEAK MANAGED WITH SEM STENT
34 2012 ISGCON53rdAnnual conference,Jaipur Radha Differential diagnosis of nodular lesions in endoscopy
35 2012 ISGCON53rdAnnual conference,Jaipur Senthilkumar PERCUTANEOUS BILIARY SELF EXPANDING METALIC STENTING- NEW TECHNIQUE
36 2012 ISGCON53rd Annual conference,Jaipur Rajayogesh Endotherapy in Pancreatitis - An Audit
37 2012 ISGCON53rd Annual conference,Jaipur Vadivel Recent trends in epidemiology of gastric cancer
38 2012 ISGCON53rd Annual conference,Jaipur Vadivel Interesting case of abdominal pain- gastric volvulus
39 2012 ISGCON53rdAnnual conference,Jaipur Rajesh Kumar Incidence of barrettsesophagus in nodular lesions in esophagus
40 2012 ISGCON53rd Annual conference,Jaipur N A rajesh Interesting case of refractory IBD-HermanskyPudlak syndrome
41 2012 ISGCON53rd Annual conference,Jaipur Asif Role of Endotherapy in post surgical biliary injuries
42 2012 ISGCON53rd Annual conference,Jaipur karthikeyan Portal vein thrombosis-Interesting case scenarios
43 2012 Society of clinical anatomists-Annual conference Hemamala Ectopic opening of bileduct into duodenal bulb –Case report
44 2012 Women doctors conference Shanija Efficacy of pneumatic dilatation in achalasia cardia
45 2012 Women doctors conference Hemamala DIAGNOSTIC AND THERAPEUTIC APPLICATION OF ENDOSCOPY IN BILIARY INJURIES
46 2012 Women doctors conference Radha Recent trends in epidemiology of gastric cancer
CME workshops & Conferences
??? Jan 2008 - - Dark frontier of gastroenterology explored- Dr Rajkumar Wadhwa
??? Feb 2008 - recent advances in management of chronic Hepatitis B – Prof K Raghuram MD DM
??? Mar 2008 - Management of infections-secrets- revealed – Dr Ramasubramanian MD FRCP
??? April 2008 Budd Chiari syndrome - Postgraduates
??? June 2008- Nutrition in gastroenterology – Postgraduates
??? July 2008 – Cacrinoma stomach – Postgraduates
??? August 2008 – carcinoma oesophagus – Postgraduates
??? October 2008 – Obesity –not just apples and pears beyond- Dr Krishna Sheshadri
??? Nov 2008 – Portal Hypertension – Postgraduates
??? Dec 2008 – Abdominal TB – Postgraduates
??? Jan 2009 – GI motility disorder – Postgraduates
??? March 2009- NMJ endowment lecture on Life style disorder and digestive health – Prof KR Palanisamy
??? May 2009 – Colorectal cancer – Postgraduates
??? May 2009 – Irritable Bowel syndrome – ProfMohammed Ali and Prof Chandramohan
??? September 2009 – Alcoholic Liver disease – Postgraduates
??? December 2009 – Peptic ulcer disease seminar – Postgraduates
??? September 2010 – Newer advances in pancreas diseases- Postgraduates
??? Nov 2010- Electrolyte imbalance in cirrhosis- Prof Eapen
??? Jan 2011- Recent management in Hepatitis B treatment – Dr Dharmesh Kumar
??? March 2011- NMJ endowment lecture on recent advancement in oesophageal carcinoma- Prof Ahmed Ali
??? July 2011 – Cholestatic disorders – Postgraduates
??? Sep 2011 – Radiological imaging in Pancreatic diseases – Postgraduates
??? Jan 2012- Hepatocellular carcinoma – recent trends – Postgraduates
??? May 2012- Malabsorption – Postgraduates
 
July 2012 – PG clinics in Gastroenterology and Hepatology – Postgraduates
??? August 2012-Seminar on cholestasis – Postgraduates
??? October 2012 – Neuroendocrine tumors of pancreas – Postgraduates
Prizes & Awards won
Prof Madhanagopalan Prize exam for DM/DNB postgraduates
??? 2008 – Dr. Rema Krishnakumar
??? 2010 – Dr. B.J.Gokul
??? 2011 – Dr. B. Vinoth
 
Services offered
- NO of units in Department – 2
- OP days and timings - ALL days except Sunday ,Morning 8am to 12 noon
- IP unit and Admission day ( unit wise)- 1st unit – Monday,Wednesday and Friday. 2nd unit – Tuesday,Thursday and Saturdays
- Bed strength of Department : Unit 1 – 15( 10 male and 5 female) ,Unit -11 – 15 ( 10 male and 5 female)
- Average OP per month ( both units) – 3200
- Average OP per year ( both units ) - 38400
- Average IP per month (both units ) - 250
- Average IP per year (both units ) - 3000
- Speciality clinics conducted by department
o Pancreatic clinic - Wedenesday
o Motility /luminal clinic- Thursday
o Hepatobiliary clinic - Saturday
 
 

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