Gastroenterology and Endoscopy

Gastroenterology is a branch of medicine that focuses on the examination, diagnosis, and treatment of diseases of the gastrointestinal tract.

Indications for a visit

Here are some common symptoms, which may require a consultation with a gastroenterologist physician.

• Pain or discomfort around the stomach. If you have frequent pain in the upper or lower abdomen, and if the pain is long-lasting, intense, or accompanied by other symptoms, it may indicate various gastrointestinal problems.
• Changes in appetite. Loss of appetite, or excessive hunger, and other changes in eating habits may be associated with gastrointestinal issues.
• Digestive disorders: Persistent digestive problems such as acid indigestion, constipation, or diarrhea.
• Unusual color, the presence of blood or undigested food particles, as well as the changes in texture of the stool, can be signs of dysfunction in the gastrointestinal tract.
• Sudden and unexplainable weight loss
• Non-specific symptoms, such as tiredness, fatigue, fever, and loss of energy.

When noticing similar symptoms, it is recommended to consult a gastroenterologist to get a professional evaluation, diagnosis, and, if necessary, treatment.

Gastroenterological service in Nairi MC

The service has set a goal to provide a comprehensive preventive examination of organ systems to detect diseases at early stages. Highly informative radiological methods are used: roentgenography, roentgenoscopy, computed tomography, and magnetic resonance imaging.

Nairi Medical Center provides outpatient and inpatient treatment as part of the gastroenterological service, meanwhile, there are also conditions for day-case treatment. The inpatient care process includes treatment with medications, nutritional therapy, and physiotherapy in accordance with the latest international standards. An individual scheme of treatment and nutrition is developed for each patient.

Surgery gastroenterology

Surgical treatment is carried out with the use of the most recent and minimally invasive methods, ensuring minimal damage to organs during surgery and, consequently, a rapid post-operative recovery. The service performs planned surgical interventions for patients with hernias on the anterior abdominal wall or esophageal hiatus, as well as operations on the stomach, liver, gall bladder, pancreas, liver, and rectum, and emergency surgical care is provided around the clock.

The highest levels of comfort are ensured in the post-operative wards. They are equipped with a centralized oxygen supply, monitoring systems of respiration, blood pressure, heart rate, and ECG, as well as a system for emergency nursing calls.

The specialists take trainings in prestigious clinics in Europe and America.

The service carries out open and laparoscopic-endoscopic surgeries:

• laparoscopic removal of the esophagus and its replacement with a gastric tube, in case of esophageal oncological lesions.
• during widespread tumor diseases, lymph dissection, atypical resections, and placement of gastrostomy - in order to maintain the patient's nutrition during various diseases,
• in cases of pancreatitis, pancreatic necrosis, cysts, and tumors of the head, body, and tail of the pancreas - distal and proximal resections (currently, only Prof. A. Adamyan performs this operation in Armenia),
• liver resections, removal of echinococcal cysts of any location,
• reconstructive surgeries of the bile ducts during choledocholithiasis, strictures, and tumor lesions,
• dissection of the small intestines with manual and instrumental anastomose placement, extraction, and closure of enterostomies,
• abdominal-perineal ectomy of the rectum, primary and inferior resection of the rectum, formation of anastomoses, and colostomy extraction and closure,
• operations on hernias, complicated by intestinal obstruction, and with prosthetic mesh,
• during complex combined surgical pathologies (laparoscopic nephrectomy, adrenalectomy, etc.), a multidisciplinary surgical team (gynecologists, oncogynecologists, urologists, etc.) performs operations simultaneously, or stage-by-stage,
• treatment of obesity laparoscopically (gastric banding, sleeve-gastrectomy, gastric bypass surgery, and BIB-intragastric balloon placement).

The service carries out colorectal surgery, performing diagnosis, conservative and surgical treatment of acute and chronic diseases of the rectum and colon, including treatment of patients suffering from severe conditions such as colon cancer, inflammatory or diverticular disease.

Exceptional surgical interventions are performed

• combined laparoscopic and transanal surgeries of rectal tumors,
• laparoscopic resection of the stomach in the case of ulcers and tumor pathologies,
• laparoscopic pancreaticoduodenal resection during oncological lesions of the pancreatic head, bile duct, and the papilla of Vater,
• bariatric interventions,
• Transoral diverticulectomy for Zenker's diverticulum.

Patients are diagnosed and treated with specialized devices and based on clinical, laboratory (general blood, biochemical, immunological, cytological), and instrumental examinations (ultrasound, endoscopic examinations, such as gastroscopy and colonoscopy, and highly informative radiological methods, such as roentgenography, roentgenoscopy, computed tomography, and magnetic resonance imaging).

You can register for a consultation with a gastroenterologist in Yerevan by calling 8900 or visiting Paronyan Street, 21 building.