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What is gastroenterology?

Gastroenterology is a subspecialty of internal medicine.
It relates to the study of the function and diseases of the gastrointestinal tract and the digestive system.

Gastroenterology involves a detailed understanding of:

  • the gastrointestinal organs
  • the movement of material through the stomach and intestines
  • the digestion and absorption of nutrients
  • the removal of waste from the body
  • the liver

A gastroenterologist is a medical professional who specializes in diseases and conditions that affect the digestive organs and structures.

These parts of the body include the:

  • esophagus, or food pipe
  • stomach
  • small intestine
  • colon
  • rectum
  • pancreas
  • gallbladder
  • bile ducts
  • liver

To become a gastroenterologist, a doctor must complete a 3 year internal medicine residency after medical school. Following this residency, they will undertake 2–3 years of intense, specialized training called a fellowship.
Once they become qualified, gastroenterologists often work closely with other healthcare professionals to provide care to a wide range of people.

A gastroenterologist may work with:

  • hepatologists, who specialize in the liver
  • radiologists, who specialize in imaging
  • oncologists, who specialize in cancer

What conditions do gastroenterologists treat?

These specialists treat a number of conditions affecting the GI system. This can include:

  • acid reflux
  • ulcers
  • IBS
  • hepatitis C
  • polyps, or growths, which typically occur in the large intestine
  • jaundice, or a yellowing of the skin
  • hemorrhoids
  • bloody stool
  • pancreatitis, or a rare disease causing inflammation of the pancreas
  • colon cancer

What procedures do gastroenterologists perform?

These specialists perform a range of nonsurgical procedures. This can include:

  • endoscopic ultrasounds to examine the upper and lower GI tract, as well as other internal organs
  • colonoscopies to detect colon cancer or colon polyps
  • endoscopic retrograde cholangiopancreatography to identify gallstones, tumors, or scar tissue in the bile duct area
  • sigmoidoscopies to evaluate blood loss or pain in the bowel
  • liver biopsies to assess inflammation and fibrosis
  • capsule endoscopies to examine the small intestine
  • double balloon enteroscopies to examine the small intestine