16^th International Conference on Digestive Disorders and Gastroenterology October 09-10, 2019 Osaka, Japan

Bariatric Surgery is the surgery carried out to treat people with over and extreme obesity. Studies reveal that, Bariatric surgery is effective way to surgically reduce the excess obesity in population and reduced death rates due to severe obesity.

There are diverse types of Bariatric surgeries performed. Surgery will be performed either in “open” approach or “laparoscopic” approach.

There are four varieties of surgery

1. Adjustable gastric banding (AGB)
2. Roux-en-Y gastric bypass (RYGB)
3. Biliopancreatic diversion with a duodenal switch (BPD-DS)
4. Vertical sleeve gastrectomy (VSG)

Each surgery has its own pros and cons and depends on various patient factors.

Clinical nutrition is one of neglected areas of Gastroenterology. Gastrointestinal system plays an adequate role in fundamental nutrition. Nutrition is gastrointestinal diseases and clinical care is very important. The Clinical Nutrition in Gastrointestinal track cover Nutritional assessment, general nutrition, Management of intestinal failure, nutritional support and Obesity control.

Colorectal diseases consist of wide range of conditions and ailments. The severity of it can vary from mild to life threatening. Studies have revealed that early detection and diagnosis of colon and rectal diseases can significantly enhance outcomes and survival rates. treatments for patients suffering from various colon and rectal diseases, such as annual fissures, rectal prolapse, fecal incontinence, ulcerative colitis, and more can be treated using the advanced procedures of colorectal surgery.

Gastrointestinal problems are extremely common during the period of pregnancy. The increased levels of female sex hormones cause nausea, heartburn, vomiting, constipation, and motility disturbances kind of symptoms. Usually these symptoms can be treated change in life style or change dietary habits. Liver diseases can be co incidental or pregnancy specific. Treatment of chronic condition such as IBD or chronic liver diseases is essential during this phase in woman.

Gastrointestinal Endoscopy is a procedure through which the doctors can be able to watch inside the gastrointestinal track. Gastrointestinal endoscopy can be performed either an inpatient or an outpatient setting. Through this process assess the problems of gastrointestinal track such as ulcers, Inflamed mucous, abnormal growth, bleeding in colon. Endoscopy has various names depending the which part of the digestive system doctor seeks to inspect.

The immune reaction of the gastrointestinal tract to the external stimulus or the failure to respond is an important aspect of the function of gastrointestinal tract system. The area of gastrointestinal disorders is currently having development in terms of research. Scientific progress in the area of gut immune system and the immune abnormalities includes the latest developments in organ transplantation of the liver and gut, HIV infection of the gut, and the recently discovered disease H. pylori gastritis.

Gastrointestinal oncology is the fifth most common cancer in the world. It is also called as gastrointestinal cancer. It refers to malignant conditions of gastrointestinal track.GI Cancer is the most common form of cancer. The treatment of GI Cancer depends on the type of cancer, its stage and development. There various types of GI cancer such as liver cancer, esophageal cancer, stomach cancer, Biliary track cancer and may more.

The surgery performed on the parts of gastrointestinal track is named as gastrointestinal surgery. There are two Specialties in gastrointestinal surgery Upper gastrointestinal (GI) surgery and Colorectal surgery.

Upper gastrointestinal (GI) surgery covers surgery on esophagus, stomach, liver, pancreas, gall bladder and small intestine. Where as colorectal surgery covers majorly laparoscopic surgery.

Imaging of the gastrointestinal track is a new technique and continues to evolve. Radiological and Non-radiological are added to the list. Current imaging techniques of GI track include Upper GI track Radiography. Upper GI radiography is the X-ray examination of the esophagus, stomach and small intestine. Images are produced using special form of X-ray called fluoroscopy.

Molecular biology has become an essential part of basic and clinical gastroenterology.  Huge spectrum of infectious, inherited and cancerous gastrointestinal diseases is now can be studied by the use of molecular methods. This includes molecular chain reaction, Hybridization and DNA sequence analysis. The inference of new molecular data for the understanding of the pathobiology in gastrointestinal diseases have become essential for studies.

Inflammatory bowel diseases is an umbrella term which is used to describe the disorders that involve chronic inflammation of the lining of the gastrointestinal track. There are two major types of IBD. One is Ulcerative colitis and crohns diseases. IBD can be debilitating and sometimes can even lead to life threatening complications.

Neuro-Gastroenterology encircles the study of brain, the gut and their interactions in relevance to the consideration and management of gastrointestinal motility and functional gastrointestinal disorders. Neuro-gastroenterology is associated with the complex motility and sensory disorders of the gastrointestinal tract. These conditions include: dysphagia related to ineffective esophageal motility, gastroesophageal reflux, gastroparesis, cyclic vomiting syndrome, Hirschsprung’s disease, intestinal pseudo-obstruction slow transit constipation and pelvic outlet disorders related to constipation

Pancreatic Disease are the pancreatitis, which is caused by the inflamed pancreas. Pancreatic damage happens when digestive enzymes are activated before they are released into small intestine and start attacking pancreas. There usually are two kinds of Pancreatitis, they are acute and chronic.

The division of Pediatric Gastroenterology, Hepatology and Nutrition is dedicated to providing the highest quality medical care and state of the art techniques in the treatment of the gastrointestinal, liver and Nutritional Disorders. It aims to provide Exceptional care and service to the infants, children and adolescents with disorders of stomach, intestine, colon, Liver, Pancreas and Nutrition.

HPB stands for Hepato-Pancreatic-Biliary Surgery - meaning surgery of the liver, pancreas and biliary system. HPB surgeons help to diagnose and treat patients with conditions such as liver cancer (primary or secondary), pancreatic cancer, pancreatitis, bile duct cancer and gallstones. 

HPB surgery requires technical expertise in challenging operations that have significant risk of major complications. Further, an association between volume of operations performed (both by the individual and hospital) and surgical outcome has been well established in relation to operations such as major hepatic and pancreatic resections.

Helicobacter pylori (H. pylori) infection is a typical infection which is the major cause of peptic ulcer disease and gastric cancer. Most people with H. pylori infection will never have any signs or symptoms. Diagnosis of this disease can be done using blood test, breath test, stool test, scope test. Treatment can be done using Proton pump inhibitors, Histamine (H-2) blockers, Bismuth subsalicylate. Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most widely used drugs and their widespread use is associated with increased gastro-intestinal toxic effects such as ulceration, hemorrhage, perforation and death. Using of Lansoprazole in the prophylaxis of acid aspiration during elective surgery is one the advance treatment in Digestive diseases.