The Department of Surgical Gastroenterology
About the Department
The department of surgical gastroenterology at JIPMER was established in the year 2010 with an aim to provide advanced treatment, for quality training and research in the field of surgical gastroenterology. The department aims at leading this domain in the country. It is located in the JIPMER super specialty block. It is a 30 bedded clinical facility with three full-time faculty, six resident doctors, one Post-doctoral fellow, Junior residents, 33 nursing staff and other supporting staff. The department manages patients with complicated surgical problems in the GI tract and has outpatient clinics, general and special wards, intensive care unit and operation theatre. Superspeciality degree program is run with an uptake of two trainees per year. Systematically residency teaching programs and continuing nursing education programs are conducted. The department runs facilities such as simulation laboratory, Liver clinic, stoma clinic and a diet clinic. State of the art infrastructure and equipment’s are available to fulfil the needs of complicated patients. Relevant Patient-centered research is one of the foremost priorities of the department. Planned expansion in terms of new services, programs and infrastructure development are ongoing. Patients are treated at a highly subsidized rate. The Quality of patient care and safety are maintained at the highest level.
The Department of Surgical Gastroenterology has been conceptualized with three sanctioned faculty posts - one professor/additional professor and two assistant professors and six senior resident posts. The Department was started on 3rd of March 2010 with joining of Dr V Ranjit Hari as Assistant Professor. Dr. Vikram Kate, Professor of Surgery was appointed as the faculty in charge. Dr Vishnu Prasad, Additional Professor in General surgery, was deputed to the department in May 2010. Dr Biju Pottakkat, joined as Assistant Professor on 30th of June 2011. Dr V Ranjit Hari was relieved of his duties on 14th of June 2013. Dr. R Kalayarasan joined as Assistant Professor on 15th of July 2013 as an ad-hoc consultant, which was regularized on 26th of novemeber2013. Dr. Biju Pottakkat was promoted as Associate Professor on 01st of July 2014 and later recruited as Additional Professor on 09th of September 2014. Subsequently Dr Vikram Kate was relieved from the post of faculty in charge and Dr Biju Pottakkat took over as Head of the department on 01st of December 2014. Dr Sandip Chandrasekar served as Assistant Professor from 02nd February 2015 to 27th January 2018 on ad hoc basis. Dr.Senthil.G joined as Assistant professor on 14th of April 2017.
Dr Senthil.G and Dr Alwin Gunaraj joined as senior residents on 1st of June 2010. The MCh Surgical Gastroenterology course commenced from 16th of August 2011 with two sanctioned seats per year. Dr Pradeep Joshi and Dr Salil Kumar Parida were the first Mch trainees of the department. Since January 2015, single Mch candidate is taken for each session commencing from January and July of every year. Junior residents are posted on periodic basis in the department, to aid in the clinical work. One year Post-Doctoral fellowship in HPB surgery course commenced from July 2017, with single candidate uptake per year. Dr.N. Subrahmaneswara Babu was awarded PDCC fellowship in HPB. From January 2019 the annual intake of MCh residents would be increased to 3 seats per year including one sponsored candidate.
The outpatient clinics commenced from March 2010 and the inpatient facilities was started with eight general beds including two intensive care unit beds. Operation theatre services were initiated from June 2010. A dedicated surgical gastroenterology ward with 16 beds and 6 beds Intensive care unit became functional from 2nd of August 2012. The department office commenced functioning from 9th of March 2011.
Endoscopy services became operational at the same time. Additionally four general and four pay wards were included to expand the services. Dedicated ostomy services were begun by 6th of June 2013. Specialized dietary services started on 01st of November 2014. Obesity & metabolic surgery programme was started on 24th of March 2015 and has been catering bariatric
The first Cadaveric liver transplantation was done in 2017. The liver transplantation facility has liver clinic, dedicated liver transplant ICU with 3 bed and 2 beds for pre transplant liver patient. The recipients are worked up systematically by interdisciplinary transplant team, optimized and listed for transplant. The recipients are managed by a dedicated team comprising of coordinator and specialized transplant ICU nurses. The department offers holistic liver transplant care at a lower cost.
The state of the art of Robotic surgery using Davinci Xi commenced from August 2017 offering advanced minimally invasive gastrointestinal surgery. The department serves as the pioneer in performing advanced Robotic procedures at a subsidized cost across the country.
The department of surgical gastroenterology at JIPMER is envisioned to act as the leader in the specialty in the country. The goal is to act as a department of excellence in patient care, teaching and research.
Patient care: The aim is to develop innovative strategies in diagnosis and treatment of common surgical diseases involving gastrointestinal tract which are common in Southern India. The core areas include cancer of liver, chronic pancreatitis, portal hypertension and cancer of esophagus. The innovations include new concepts in etiology, re-look into the existing definitions and descriptions, novel diagnostic and evaluation algorithms and new management strategies. Existing standard operating procedures for a particular disease will be relooked and modifications will be suggested. Developing new concepts in equipment and instrument designs will be a priority.
Teaching: The aim is to include new systems of teaching in superspeciality training. Endoscopy and percutaneous interventions will be part of the training. Simulation methods will be used in a big way in training the procedures. Short and long-term goals of training in Mch curriculum will be specified with due emphasis to recent advances. Specialty nursing to focus at departmental level rather than nursing college level will be explored adopting the methodology of ‘post qualification nurses training’ and the curriculum would be developed with a concept of ‘qualification in specialty’.
Research: Newer research initiatives to address lacunae in available scientific information is the priority of department. Also Research focusing nursing care is being undertaken. Research into systems and practices will be performed, so as to create new models in ‘delivering care’ for the country.
- Quality and safety in patient care
- Patient first approach in services
- Inter area co-ordination
- Equipment mutual sharing policy
- Unit wise concept in department as well as area functioning
- Transparency in concepts, plan and executions
- Policy of internal audit of systems and practices
- Faculty consultant system in individual patient care
- Paper less policy, electronic transfer and storage policy for information and communication
- Ecofriendly policy
- Promotion of research and development in all areas
- Promotion of Hindi and Tamil among staff
- Policy of staff wellness
- Extra mile project – work beyond duty apart from duty
Clinical management- The department is planning to start specialty divisions in two areas-
- Minimally invasive surgery
- HPB surgery and transplantation
The concepts has been approved in the year 2012. The facilities for dedicated minimally surgery unit and liver transplantation are under construction in the superspeciality extension block. Two dedicated modular operation theatres with OT integration will be built for the emerging requirement of telecommunication and real time transmission. Transplant intensive care units are under construction.
Department of excellence for systems and practices-
Various domains of the department functioning will be completely governed by new systems and practices which include standard operating procedures, checklists and guidelines in all functionalities. These systems can be viewed as a model for other departments inside and outside the institute.