Gastroenterology, Hepatology & GI Surgery

Scope covers endoscopy (EGD/colonoscopy/ERCP/EUS), hepatology (hepatitis, cirrhosis, portal hypertension, HCC), and GI/HPB surgery (hernia, gallbladder, colorectal, pancreato-biliary, reflux). India offers fast access to advanced endoscopy and minimally invasive/robotic surgery at prices ~50–75% lower than Western countries. MediHeal coordinates opinions, itemized quotes, visas, travel, and follow-ups.

• Persistent GERD, peptic symptoms, dysphagia, GI bleeding, anemia, or alarm signs warranting endoscopy and targeted therapy.
• Gallstones, symptomatic hernias, appendicitis, colorectal polyps/cancer, and reflux refractory to meds requiring surgical options.
• Chronic liver disease (hepatitis, cirrhosis) with decompensation or HCC needing hepatology, interventional oncology, or surgical pathways.

• Rapid access to ERCP/EUS, advanced laparoscopy/robotics, and tumor boards at JCI/NABH-accredited centers.
• Pricing commonly ~50–75% lower than Western countries with transparent packages and shorter waits.
• International desks streamline second opinions, quotes, visas, local transfers, and staged follow-ups.

• Match to high-volume endoscopy, HPB, colorectal, bariatric, and hepatology programs based on diagnosis and complexity.
• Provide transparent, itemized quotes (devices/stents/meshes, ICU days, imaging, anesthesia, ward type) with clear inclusions/exclusions.
• Coordinate visas, airport pickup, accommodation, interpreters, and structured tele-reviews after discharge.

• Endoscopic Care— EGD/colonoscopy, ERCP for CBD stones/strictures, EUS-guided diagnostics & interventions.
• Minimally Invasive GI Surgery— Lap cholecystectomy, laparoscopic hernia repairs, fundoplication, colorectal resections; robotic where indicated.
• HPB & Oncologic Surgery— Liver resection, Whipple’s, biliary bypass; coordination with TACE/TARE and systemic therapy.
• Bariatric/Metabolic (select centers)— Sleeve, bypass, and revisional procedures with multidisciplinary work-up.
• Transplant Referral— Liver transplant evaluation and listing when criteria met (delivered via accredited transplant programs).

1. Pre-arrival

   • Share labs, ultrasound/CT/MRI/CBCT, endoscopy reports, and medication list for a remote plan with options and itemized costs.
   • For colonoscopy: get prep instructions; for ERCP/EUS: clarify device/stent choices and removal policy up front.

2. Pre-op & Admission

   • Updated labs/imaging, anesthesia clearance, ERAS counseling; anticoagulant/antiplatelet review.
   • Consent, diet/fasting guidance (NPO), and scheduling aligned to travel windows.

3. Procedure & Early Recovery

   • Day-care endoscopy/ERCP with observation; laparoscopic/robotic surgery with early mobilization & pain control.
   • Diet progression per protocol; stent/mesh details documented in the discharge file.

4. Discharge & Follow-up

   • Nutrition, wound/stoma care education; red-flag symptom review and emergency contacts.
   • Tele-follow-ups; planned returns for stent change/removal or adjuvant therapy when indicated.

1. Endoscopy/ERCP

   Same-/next-day discharge in many cases; brief diet progression; stent follow-up if placed.

2. Laparoscopic Procedures

   Mobilize within 24 hours; light activity ~1–2 weeks; desk work often sooner.

3. Open/Complex HPB Resections

   Longer inpatient recovery; activity increases over weeks with nutrition and pain management support.

• Faster diagnosis and therapy with integrated endoscopy, imaging, and surgery under one roof.
• Minimally invasive options shorten stay, reduce pain, and speed return to activity.
• Substantial cost savings and coordinated logistics for international families.

• For ERCP/EUS, confirm stent/ductal device brand/size, replacement/removal policy, and follow-up schedule in writing.

• Medical visa pathways cover gastroenterology, hepatology, and GI surgeries; documents: passport, medical records, hospital invitation, funds proof.
• Multiple-entry visas support staged care (e.g., stent changes, chemo/radiation with surgery); FRRO/FRO registration may be required for longer stays.

• Follow fasting (NPO) and bowel-prep instructions precisely; share allergy and anticoagulant lists.
• Bring prior imaging on CD/USB and endoscopy photos/videos; arrange a caregiver and nearby lodging for early recovery.
• For liver disease: update vaccinations and review antiviral/ascites management with the team.

• Dietetic counseling (small frequent meals, protein focus) and hydration; gradual activity with breathing and walking exercises.
• Wound/stoma care education; ERCP stent follow-up calendar and warning signs checklist.
• Scheduled tele-reviews; local physician handover for continuity.