Patients admitted for certain investigations and invasive radiological interventions are provided day-care facilities
a.) Patients undergoing US/CT guided biopsy or FNAC from abdominal lesions
b.) Patients undergoing percutaneous transhepatic biliary drainage
c.) Patients undergoing 24 hour pH studies
d.) Patients undergoing endoscopic interventions: dilatation, biliary stenting, EUS FNAC, etc.
2. Routine in-patient admissions (General Ward: D6 / Private Wards)
a.) Evaluation and work up of GI and HPB patients for surgery
b.) Evaluation of prospective liver recipents before Transplant listing
c.) Patients participating in ongoing research protocols for neoadjuvant chemoradiotherapy as part of their treatment for esophageal carcinoma/gall bladder carcinoma
3. Emergency admissions
Emergency referals from other hospitals with the following conditions:
a.) Gastrointestinal bleeding: variceal and non-variceal
b.) Acute pancreatitis
c.) Complicated abdominal trauma
d.) Complications of abdominal surgery done elsewhere: biliary injury, enterocutaneous GI fistulae, abdominal sepsis/gi bleeding, etc.
e.) For establishing enteral access for nutrition in patients with absolute dysphagia, etc
f.) Complications following previous GI surgery/radiological intervention
4. Intensive Care Unit
The deparment has a 8-bedded ICU in D6 ward which is fully staffed with nursing, physiotherapy and paraclinical staff. It is equipped to provide invasive/non-invasive ventilatory support, critical care and hemodynamic monitoring and care for the comatose patient. Apart from the nursing staff the ICU is manned by a two Senior Residents on 24- hour duty, supported by another Senior Resident on cover duty. Supervision of ICU functioning is done on a daily basis by the Faculty on call. All patients undergoing elective/emergency surgery are managed postoperatively in the ICU for atleast 48-72 hours before being moved to the general ward depending upon the clinical recovery and magnitude of the surgery.
5. Liver Transplantation
The Department was instrumental in getting the Transplantation of Human Organs Act passed in 1994. The first orthotopic liver transplantation was done in January 1996. Since then we have developed a clinical liver transplantation facility at the AIIMS. Currently the focus is on performing deceased donor liver transplantation. Joint Multi-disciplinary Meetings (GI Surgery, Gastroenterology, Anaesthesiology, Paediatric surgery, Psychiatry) are held on a regular basis for listing prospective recipients (1st and 3rd Friday of every month). Within the department we have designated Donor and Recipient teams. Departments of Gastroenterology and Anaesthesiology provide the hepatology and anaesthesiology support. Transplantation journal clubs are held every week and clinical deceased-donor orthotopic liver transplants are carried out as and when deceased donors become available. Once transplantation is done the patient is managed in Special Isolation HDU in D6 ward with dedicated nursing and 24-hr Resident support.