Medical Services 
Home >> Medical Specialities & Services >> Medical Services >> Gastroenterology
Gastroenterology 

The Department of Gastroenterology at Changi General Hospital, Singapore is devoted to the clinical care of patients with gastrointestinal and liver disorders. These include:

 

 

  • peptic ulcer disease
  • gastro-oesophageal reflux disease (GERD)
  • gastrointestinal bleeding
  • functional gastrointestinal disorders or digestive diseases
  • inflammatory bowel disease (IBD)
  • pancreatic and bile duct diseases
  • acute and chronic liver disease
  • gastrointestinal and liver malignancies

We are also actively involved in clinical research as well as both undergraduate and postgraduate teaching. Our division is a fully accredited training centre for Advanced Specialist Training in Gastroenterology in Singapore.

Clinical Services

The Department of Gastroenterology provides consultations as well as performs diagnostic and therapeutic procedures for patients with gastrointestinal and liver diseases. Outpatient consultations are available at general gastroenterology clinics as well as at a dedicated hepatitis B clinic.

Our specialist doctors manage in-patients in a dedicated Gastroenterology Ward and provide both intra- and inter- departmental consultative services. Elective diagnostic and therapeutic endoscopic procedures are carried out at our Endoscopy Centre.
 
A dedicated team of gastroenterologists is available around the clock for treating patients with upper or lower gastrointestinal bleeding. We have a team of specialists with special interest in hepatopancreaticobiliary (liver, pancreas, bile ducts and gallbladder) disorders. Together with the Surgical Intensive Care team, we provide liver dialysis (molecular adsorbent recirculating system (MARSĀ®) therapy) for patients with acute liver failure and decompensated cirrhosis (the final stage of the hepatitis C cycle that relates to liver damage) as a bridge to spontaneous recovery or liver transplant.

Endoscopy Centre

The Endoscopy Centre is fully equipped to offer a comprehensive diagnostic and therapeutic endoscopy service.
These include the following:

Diagnostic endoscopic procedures

  • Gastroscopy
  • Colonoscopy
  • Push enteroscopy and balloon-assisted small bowel endoscopy
  • Endoscopic ultrasound (EUS)
  • Capsule endoscopy

Interventional and therapeutic endoscopic procedures

  1. Basic therapeutic endoscopy
    • Endoscopic hemostasis for non-variceal upper and lower gastrointestinal hemorrhage
    • Endoscopic hemostasis for variceal hemorrhage
    • Endoscopic dilatation / stent placement
    • Endoscopic argon plasma coagulation
    • Polypectomy (surgical removal of polyps)
    • Percutaneous endoscopic gastrostomy (PEG) or tube feeding

  2. Therapeutic endoscopic retrograde cholangiopancreatography (ERCP)
    • Basic therapeutic ERCP (e.g.: biliary stenting, papillotomy and biliary stone extraction)
    • Advanced therapeutic ERCP (e.g.: endoscopic resection of papilla tumours, endoscopic therapy of pancreatic disorders, electrohydraulic lithotripsy for the treatment of large biliary stones (gallstones) not amenable to standard therapeutic ERCP)

  3. Interventional and therapeutic endoscopic ultrasound (EUS)
    • Endoscopic ultrasound (EUS)-guided fine-needle aspiration / injection
    • EUS-guided therapeutic drainage (e.g.: biliary drainage, pseudocyst and abscess drainage)

  4. Endoscopic treatment of gastrointestinal malignancies
    • Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) for the curative treatment of early gastrointestinal cancer and precancerous lesions
    • Palliative dilatation, stenting and argon plasma coagulation for advanced cancer

  5. Other procedures
    • pH studies for assessment of gastroesophageal reflux disease
    • Manometry studies for the assessment of esophageal motility disorders

RESEARCH INTERESTS

We are committed to clinical research in the field of gastroenterology and hepatology. We also have a dedicated research unit staffed by our clinical research associates and we are actively involved in international, multi-centre clinical trials.  View publications.


Appointment

To make an appointment, call our Appointment Centre at 6850 3333 or go to our Online Appointment Booking page.