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Liver and Digestive Institute

The Liver and Digestive Institute Building 1, 2nd Floor
Daily (7 days /week) - 08:00 - 18:00
66 (0) 2022-8822-3
info@samitivej.co.th

Clinical Outcome

  • Of the 3,800 endoscopic colon and stomach cancer screening procedures carried out at Samitivej each year, 0% have resulted in any complications (latest colonoscopy statistics as of December 2018)
  • Our NBI technique enables polyp detection at speeds up to 2 times faster than traditional detection techniques
  • 61.46% adenoma detection rate (latest colonoscopy statistics as of December 2018)

Standards recommended by the American Society for Gastrointestinal Endoscopy (ASGE).

Our liver and digestive system experts work together with a team of specially trained medical staff and use leading technologies to provide international standard diagnoses and treatments, from identifying the causes of illnesses in their initial stages through delivering highly technical treatment of digestive disorders. They work quickly, accurately and safely to ensure efficiency in the treatments we provide, improving our patients’ quality of life. Endoscopy experts are also on hand to consult alongside specialist physicians on the diagnosis and treatment of colon cancer. We offer treatment for Thais and foreign nationals using the latest medical equipment and technology, and meeting international standards accepted by medical professionals throughout the world. Our hospital has received Joint Commission International (JCI) accreditation.

The Liver and Digestive Institute at Samitivej Hospital has displayed a continued commitment to raising the level of treatment we provide. We have entered into a partnership with Sano Hospital, a leading hospital from Japan noted for its high level of expertise in the field of digestive endoscopic procedures, as well as in the analysis of the digestive mucosal wall, especially through image enhanced endoscopy. Prof. Yasushi Sano, Director of Sano Hospital and Director of the Liver and Digestive Institute, has a proven track record in his native Japan and is an innovator in terms of epithelium classification methods used to diagnose colonic polyps, making him highly regarded among Western physicians. Most recently, Samitivej Hospital has adopted two techniques from Japan which raise the standard of our services. The first technique, Narrow Band Imaging (NBI), is used to assist diagnosis of colorectal polyp irregularities that have the potential to develop into colon cancer. Not only can this technique detect polyps that are not yet protruding from the mucosal wall, but it also works up to 2 times faster than traditional detection techniques. The second technique we have adopted from Sano Hospital is endoscopic submucosal dissection (ESD), a form of minimally invasive, one-time surgery aimed at removing large polyps. The surgery, which does not involve opening up the patient’s abdomen, can be used to treat colon polyps and early stage stomach cancer. Crucially, the Liver and Digestive Institute is one of just a few private hospitals capable of carrying out liver transplants for patients suffering from serious liver conditions. Success rates for our liver transplantation procedures are as high as 90%, and most patients are able to make a full recovery.

The Liver and Digestive Institute uses innovative, state-of-the-art medical equipment necessary to provide speedy, accurate and reliable screening for a complete range of gastrointestinal and liver disorders including liver infections, alcohol poisoning, cirrhosis, fatty liver disease, pancreatitis, gallstones, stomach cancer, colon cancer, and many more related conditions. Our team of expert medical staff has experience from within Thailand and abroad. The Liver and Digestive Institute, located on the 1st Floor of The Japanese Hospital, Samitivej Sukhumvit Hospital, has a permanent staff of 11 doctors and 15 nurses working across 13 screening rooms, 5 endoscopy rooms and 10 recovery rooms.

The Liver and Digestive Institute provides services to both Thai and foreign nationals, with Japanese patients making up the largest percentage of the latter group. Each year, Samitivej Hospital provides treatment for up to 135,000 Japanese nationals, an average of 400 per day, making Samitivej Hospital the largest private care provider for Japanese people outside of Japan. We employ Japanese speaking medical staff who provide treatment and rehabilitation services in a warm, caring environment. We offer a range of convenient facilities which we believe can play a crucial role in helping our patients make a speedy return to full health. We assign a personal nursing assistant to each patient entering our hospital for treatment to ensure there is always someone close by who has a deep understanding of the patient’s situation and is fully aware of the subtle and important details of their treatment.

Our Services

We offer diagnosis and treatment of all liver, pancreatic, gastrointestinal and gallbladder diseases and conditions, including:

  • Hepatitis A, B, C
  • Fatty liver disease
  • Genetic liver disorders
  • Liver cirrhosis
  • Liver infections, such as abscesses
  • Liver cancer at any stage
  • Gastrointestinal reflux disease (GERD)
  • Stomach ulcers
  • Chronic gastrointestinal infections, including inflammatory bowel disease (IBD)
  • Acute and chronic diarrhea
  • Upper and lower gastrointestinal bleeding
  • Hemorrhoids and anorectal malformations
  • Gastrointestinal irregularities including irritable bowel syndrome (IBS) and stomach pain
  • Esophageal irregularities, including achalasia
  • Acute and chronic pancreatitis
  • Gallstones and bile duct stones
  • Cancer of the stomach, large intestine, small intestine, esophagus, pancreas or gallbladder

Our services incorporate a full range of tools, technologies and screening techniques including:

  • Image diagnosis (X-ray, ultrasound, CT scan and MRI)
  • FibroScan
  • Percutaneous suction liver biopsy
  • Liver disease treatment
  • Narrow Band Imaging (NBI) used to diagnose colon cancer. Details of NBI technology.
  • Endoscopic surgery and endoscopic analysis of various disorders, such as gastrointestinal tumors, bile duct disorders, etc.
  • Endoscopic submucosal dissection (ESD) technique, a form of minimally invasive endoscopic surgery aimed at removing large polyps in a single procedure, without the need for open-abdomen surgery. The technique can be used to treat both colon and stomach cancers. Traditionally, when doctors detect an abnormality in the form of a regular polyp during an endoscopic procedure, they will remove the polyp immediately. However, there are limitations. Where polyps are large in size, a patient would have to undergo a separate operation to remove the large polyps or tumors. This is where ESD can be extremely helpful, as the technique enables surgeons to remove large polyps from the colon and stomach without the need for further surgery. ESD therefore reduces the risk of complications related to open-abdomen surgery, such as scarring, while also dramatically shortening hospital rehabilitation stays and reducing overall recovery time. All of this means patients can make a fast, safe and problem-free return to their daily lives.
  • The use of X-rays to screen and treat liver and digestive disorders
  • Percutaneous ethanol injection (PEI) used in the treatment of liver cancer
  • Transarterial oily chemoembolization to treat hepatocellular carcinoma
  • Transarterial embolization used to treat acute bleeding in the liver and digestive system
  • Radiofrequency ablation (RFA) used to screen for and treat liver cancer
  • Surgery to treat liver, bile duct and digestive disorders
  • High resolution impedance manometry
  • 24-hour impedance monitoring
  • Small intestine function screening
  • Biofeedback
  • Diagnosis of digestive disorders through capsule endoscopy
  • Colon cancer surgery
  • Endoscopic surgery
  • Targeted therapy

Medical equipment and technology

  • Abdominal X-ray and ultrasound scanner
  • CT scanner
  • MRI scanner
  • Endoscopic gastrointestinal screening equipment
  • Capsule endoscopy gastrointestinal screening equipment
  • Esophageal manometry device
  • Gastrointestinal biopsy screening equipment
  • Surgical equipment and highly trained surgeons available to perform traditional and endoscopic surgery
  • Dialysis machinery
  • FibroScan device used to analyze liver membrane density and steatosis

 

The Liver and Digestive Center 4th Floor
Daily (7 days /week) - 07:00 - 20:00
66 (0) 2378-9084-5
info.srinakarin@samitivej.co.th

Digestive diseases are becoming increasingly common

And serious complications may develop if they remain untreated. The Liver and Digestive Center is ready to provide diagnosis, therapy and treatment of a variety of liver and digestive diseases such as virus infections, alcoholism, cirrhosis of the liver, fatty liver, pancreatitis, gallstones and cholangitis. Our center is fitted out with advanced medical equipment and staffed by teams of experienced doctors and nurses.

our services

  • Diagnosis and treatment of liver, pancreas and gallbladder diseases such as Hepatitis A, B, C, D, and E; liver abnormality caused by alcohol, drugs, and herbs; cirrhosis; fatty liver disease; pancreatitis; cholelithiasis; and cholangitis
  • Diagnosis of bile duct diseases using an endoscopy and dye injection to look for gallstones or cholangiocarcinoma (Diagnostic ERCP)
  • Treatment of bile duct diseases incuding cholangiocarcinoma and cholelithiasis using an endoscopy (Therapeutic ERCP) such as for Sphincterotomy or Stone Extraction
  • Diagnosis and treatment of digestive system diseases such as gastro esophageal reflux disease (GERD), peptic ulcer, gastrointestinal infection , inflammatory bowel disease, and diarrhea
  • Testing for Helicobacter Pylori infection of the stomach without endoscopy
  • Diagnosis and treatment of gastrointestinal infection using an endoscopy
    • Gastroscopy and testing for Helicobacter Pylori infection of the stomach
    • Colonoscopy
    • Polypectomy
    • Percutaneous Endoscopic Gastrostomy
    • EVS, EVL (Endoscopic Variceal Treatment): Treatment of bleeding from enlarged varices in the digestive tract caused by cirrhosis, acute variceal bleeding in the digestive tract
  • Gastrointestinal Wireless Capsule Endoscopy
  • FNA (Fine Needle Aspiration) and Liver Biopsy: Inserting a needle and removing a liver tissue and cells for biopsy if lumps are found, liver cancer is suspected, or liver inflammation is present
  • Treatment of liver cancer by Percutaneous Ethanol Injection (PEI)
  • Treatment of diseases through X-ray techniques instead of surgery such as:
    • Transcatheter Oily Chemoembolization (TOCE): a type of chemotherapy in which chemical agents are directly injected into the cancerous tumor by inserting a small tube through the hepatic artery that feeds directly into the liver cancer. TOCE is an alternative treatment that does not require surgery
    • Transanterial Embolization (TAE): Treating of acute variceal bleeding in the digestive tract and liver by injecting gel foam to block the artery of patients who cannot undergo another operation
    • Radio Frequency Ablation (RFA): Treatment of liver cancer by using radio waves
  • Surgical treatment of gastrointestinal and liver diseases such as liver disease and gallbladders as well as diseases of the bile duct, esophagus, stomach, small intestine, and large intestine
  • Working with the latest medical technology, our team of physicians can provide more precise diagnosis so that our patients receive the right treatment in a timely manner before the disease can spread.
  • X-ray and Ultrasound
  • Spiral CT Scan, Virtual Colonoscopy for diagnosing disease in the large intestine without the need for an endoscopy procedure
  • Magnetic Resonance Imaging (MRI)
  • GI Endoscopy for diagnosing and treating gastrointestinal disease using an endoscopy
  • Gastrointestinal Wireless Capsule Endoscopy
  • GI Pathology
  • GI Surgery and Laparoscopic Surgery
  • GI Oncology
  • Liver Support Therapy: Liver Dialysis

 

The Liver and Gastroenterology Center 4th Floor
Everyday 07.00-18.00
+6638-320-300 Ext. 1410-2
infossh@samitivej.co.th

The Liver and Digestive Institute specializes in endoscopy and offers fullcycle diagnostic services and treatment for diseases related to the liver and gastrointestinal (GI) system, such as viral hepatitis, alcoholic hepatitis, cirrhosis, fatty liver disease, pancreatitis, gallstone-related diseases and many more. Samitivej also specializes in cutting edge and tertiary treatments such as liver transplants. Today, liver transplants have a success rate of over 90% and most patients are able to resume their normal activities after recovering from the surgery.

liver-center

Samitivej has entered into collaboration with Sano Hospital, a world leader in diseases of the GI tract and the classification of epithelial tissue, particularly in patients with abnormal epithelial tissue such as colonic polyps, colon cancer and stomach cancer. The two hospitals have also launched a medical exchange program providing an opportunity for Samitivej doctors to study innovative medical techniques from their counterparts in Japan.

MOU-SANO

Samitivej has adopted NarrowBand Imaging (NBI) International Colorectal Endoscopic classification (NICE) with magnification. This technology uses specific wavelengths of green and blue light to enhance the details and other obscure aspects of a gastrointestinal endoscopy. The efficacy of colon cancer screening is increased by offering the following benefits:

  • Enables earlier identification of colorectal diseases, even in the absence of physical tumors
  • Provides more accurate diagnoses leading to more precise treatments
  • Shortens medical procedures, promotes faster recovery and reduces complications, with no need for patients to stay at the hospital
  • If abnormalities are detected, biopsies can be taken safely, without the need for unnecessary surgery

The American Society for Gastrointestinal Endoscopy (ASGE) has determined quality indicators for colonoscopy in colorectal cancer (CRC) screening, which include cecal intubation success rate, average colonoscopy withdrawal time and adenoma detection rate (ADR). All standards have been met by Samitivej hospital, with ADR especially exceeding the standard. Overall ADR is recommended to be 25%. A higher ADR indicates an endoscopist who examines colons adequately and detects polyps effectively.  Samitivej’s current ADR (updated in 2015) is at 36.4% vs. 25% industry average (as laid out by The American Society for Gastrointestinal Endoscopy) and increasing after applying the NBI with magnification technique. We are thrilled that this innovative technique has raised the standards of our practice even higher. Currently, Samitivej Hospital is performing around 2,600 colonoscopies per year with no cases of complications during or after the procedure (2016). 

Part of our holistic approach includes the extra care provided by our medical personnel. For difficult treatments, each patient will be assigned a Case Manager. This is a nurse who has a complete understanding of their case and the importance of the care they are receiving. Learn more about the experience of our Case Managers here. 

The Liver and Digestive Institute uses the latest medical innovations and technologies. We are equipped with a team of specialists who draw from years of training and experience both in Thailand and abroad to provide Thai, expatriate and international patients with the most accurate diagnoses and best treatment plans for a variety of liverrelated diseases and digestive ailments.

Located on the second floor of Samitivej Sukhumvit Hospital, the Institute has 10 specialist doctors, 12 nurses, 4 technology experts, 12 examination rooms, 5 endoscopy rooms and 10 patient recovery rooms.

Our Services

We offer diagnosis and treatment of all liver, pancreatic, gastrointestinal and gallbladder diseases and conditions, including:

  • Hepatitis A, B, C, and E
  • Chronic or cholestatic liver diseases
  • Genetic liver disease
  • Cirrhosis
  • Infections in the liver (such as liver abscesses, etc.)
  • Primary and nonprimary liver cancer
  • Gastroesophageal Reflux Disease (GERD)
  • Gastric or duodenal ulcers
  • Chronic inflammatory diseases of the small intestine (e.g. Crohns disease, ulcerative colitis)
  • Acute and chronic diarrhea or constipation
  • Upper or lower gastrointestinal bleeding
  • Hemorrhoids and anorectal disorders
  • Functional gastrointestinal disorders such as irritable bowel syndrome (IBS) and functional abdominal pain syndrome (FAPS)
  • Motility disorders of the gastrointestinal tract (e.g. achalasia)
  • Chronic or acute pancreatitis
  • Gallstones and choledocholithiasis (bile duct stones)
  • All forms of stomach, colon, small bowel, esophageal, pancreatic and gallbladder cancer

We offer a wide variety of procedures, including:

  • A variety of endoscopic and laparoscopic treatments for gastrointestinal tumors, bile duct diseases, etc. (gastroscopy, colonoscopy, enteroscopy and endoscopic ultrasonography (EUS). In cases of advanced lesion removal, endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) techniques are offered).
  • Endoscopic retrograde cholangiopancreatography (ERCP) which is used to precisely diagnose and treat abnormalities in the bile duct, leaving no surgical scars on the abdomen
  • Gastrointestinal manometry
  • Anorectal manometry
  • Anorectal biofeedback therapy
  • Gastrointestinal wireless capsule endoscopy
  • Liver biopsy
  • Liver treatment procedures
  • Treatments for liver and digestive diseases and disorders using xray techniques instead of surgery
  • Treatments for liver, bile duct and digestive diseases and disorders with surgery
    • Esophageal manometry
    • Small bowel manometry
    • surgery colon cancer
    • Endoscopy cancer
    • Colon Cancer Treatment

Our Facilities and Medical Technologies

  • Fecal immunochemical test (FIT)
  • Xray and abdominal ultrasound
  • Spiral CT scan
  • Magnetic resonance imaging machine (MRI)
  • Fibroscan for assessment of liver fibrosis
  • Gastrointestinal pathology
  • Gastrointestinal oncology
  • Liver support therapy and liver dialysis