‘Endoscopy is now replacing surgery,’ says Dr Amit Maydeo

Many diseases, for which surgery was required in the past, can now be treated by flexible endoscopy. Earlier endoscopy was just restricted to diagnosis

‘Endoscopy is now replacing surgery,’ says Dr Amit Maydeo

As the Mumbai Live Endoscopy 2018 gets a humongous response, Dr Amit Maydeo, the director of the Baldota Institute of Digestive Sciences, Global Hospital and the course chairman of Mumbai Live Endoscopy 2018 said GI endoscopy started as a diagnostic modality. However, in last few years, technology has metamorphosed and revolutionised.

“Earlier, GI endoscopy was restricted to just diagnosis. From the point of treatment, now, endoscopes are also used for treating and not only for viewing. A variety of modalities can be done for treating pathologies inside the intestinal tract. For example, if a patient is vomiting blood we can reliably stop the bleeding. If the patient has ulcer, we can reliably stop the ulcer from causing blood loss. If there is a polyp inside, endoscopically we can go inside and cut it out,” said Dr Maydeo.

Dr Amit Maydeo Director of the Baldota Institute of Digestive Sciences, Global Hospital
Dr Amit Maydeo
Director of the Baldota Institute of Digestive Sciences, Global Hospital

He said endoscopy is now replacing surgery. “Many diseases, for which surgery was required in the past, can now be treated by flexible endoscopy. Of course, the stones which occur inside the liver or the bile duct and the pancreas can be taken out efficiently. We can treat the pathologies in the large intestine. Due to enteroscope, we have started entering in the 21 ft. long small intestine as well. The latest advanced in endoscopy, in the last 15 years was endosonography (EUS),” said Dr Maydeo.

He further said the new advancement in EUS is dissection in last five years.

“Endoscopists are slowing turning into surgeons. Surgeons are giving up open surgery and getting into endoscopy. Gastroenterologists are turning from diagnostic Gastroenterologist to interventional gastroenterologist. And dissection type of procedures that is endoscopic surgery is now evolving as an independent speciality,” said Dr Maydeo.

Talking about the endoscopic surgery, Dr Maydeo said more and more diseases will be treated by doing a flexible endoscopy.

“Open surgeries will not be required.  A classic example is now the treatment of obesity. Till now, we used to put laparoscope from outside and cut the stomach. The procedure was called as sleeve gastrectomy. Today, we demonstrated sleeve gastroplasty. Which means going in through the mouth, which takes stitches and the stomach size is reduced. Once it is done, a weight loss around 30 kg over six months can be experienced. So, the future is endoscopic surgery where open surgery is going to get replaced,” said Dr Maydeo.