Integrated Care Services
At Gut Instincts, patient care is not confined to a single specialty. Every individual is treated through an integrated model involving surgeons, hepatologists, gastroenterologists, interventional radiologists, and radiation oncologists. This multidisciplinary collaboration ensures that complex gastrointestinal, hepatobiliary, and pancreatic conditions receive the most precise, comprehensive, and evidence-based treatment.
Our goal is to provide seamless coordination—from diagnosis and endoscopic interventions to advanced surgical and radiotherapy procedures—so that patients receive the best possible outcomes through truly personalized care.
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Liver Transplant Services
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Orthotopic liver transplantation (deceased or living donor): Performed for patients with end-stage liver disease, acute liver failure, or select liver cancers, this complex procedure involves replacing the diseased liver with a healthy donor organ.
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Extended hepatectomy for hepatic tumors: Advanced surgical techniques allow removal of large portions of the liver for tumor resection while ensuring adequate functional reserve, often as part of curative or bridging therapy before transplantation.
Medical Gastroenterology
Comprehensive diagnostic and therapeutic endoscopic services support early diagnosis, treatment, and management of gastrointestinal and hepatopancreatic conditions.
Procedures include:
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Diagnostic and therapeutic upper GI endoscopy
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Colonoscopy for diagnostic, polypectomy, stricture dilation, or stent placement
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Endoscopic retrograde cholangiopancreatography (ERCP) for bile duct and pancreatic diseases
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Endoscopic ultrasound (EUS) for high-resolution imaging and tissue sampling
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Argon plasma coagulation (APC) for control of gastrointestinal bleeding
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Endoscopic variceal ligation/banding for esophageal varices
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Capsule endoscopy for small bowel visualization
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Esophageal, pyloric, and colonic stent placements
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Percutaneous endoscopic gastrostomy (PEG) tube insertion for enteral nutrition
Interventional Radiology
Minimally invasive, image-guided interventions play a vital role in both diagnosis and therapy for complex abdominal and hepatobiliary diseases.
Procedures include:
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Image-guided biopsies (liver, pancreas, and mass lesions)
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Percutaneous transhepatic cholangiography (PTC) and biliary drainage (PTBD)
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Biliary stenting for obstruction or stricture management
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Percutaneous cholecystostomy for acute cholecystitis
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Transjugular intrahepatic portosystemic shunt (TIPS) for portal hypertension
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Embolization procedures for gastrointestinal bleeding, varices, and tumors
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Radiofrequency/microwave ablation for hepatic lesions
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Transarterial chemoembolization (TACE) and radioembolization (TARE) for liver tumors
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Percutaneous drainage of abscesses or fluid collections
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Gastrostomy or jejunostomy tube placements for feeding support
Radiotherapy
Precision radiation therapy is an essential part of multimodal treatment for gastrointestinal and hepatobiliary malignancies, aiming to maximize tumor control while minimizing damage to surrounding tissues.
Techniques include:
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External beam radiation therapy (EBRT) for GI malignancies including esophageal, gastric, colorectal, pancreatic, and hepatobiliary cancers
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Intensity-modulated radiation therapy (IMRT) for targeted precision
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Image-guided radiation therapy (IGRT) with CT or cone-beam CT for accurate dose delivery
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Stereotactic body radiation therapy (SBRT) for small to medium liver and pancreatic tumors
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Palliative radiation therapy for symptom relief in advanced GI cancers (pain, obstruction, bleeding)