Digestive and Liver Diseases Department

Committed to providing international quality health services with medical expertise and modern medical equipment, we are ready to provide prompt and comprehensive services by professional and specialized staffs.

Currently, the situation of diseases in the gastrointestinal tract and liver has intensify; thus, leading to a difficulty in treatment and care. Growing risk factors such as food, air, modern lifestyle together with genetic transmission has become a problem to people’s way of living.

Ramkhamhaeng Hospital has established Digestive and Liver Diseases Center in order to tackle the problem with a comprehensive system and to enhance the health and wellness of the general public. By taking care of oneself under the guidance of specialized physicians along with adequate treatment in the early stage, the general public will be able to understand the disease and receive treatment in accordance with the guidelines.

One-stop service

Consultation services on gastrointestinal problems and disorders
Diagnosis and treatment of gastrointestinal diseases
Endoscopy of the gastrointestinal tract at Endoscopy Center
Laparoscopic surgery which also include rehabilitation care after surgery.
Advice for gastrointestinal health and vaccination against gastrointestinal diseases such as hepatitis A and B.

Digestive and Liver Center, Ramkhamhaeng Hospital provides hepatitis A and B vaccination services. This can be prevented in people who are not immune and have risk factors such as familial history of liver disease or close contact with hepatitis patients. and having close occupations with hepatitis patients. For more information, please contact Digestive and Liver Disease Center.

Digestive Center also provides services for the following cases:

Suspected symptoms of gastrointestinal diseases
Monitoring the functioning of gastrointestinal tract.
Prolonged symptoms of digestive tract
Doctor’s diagnosis and treatment to support treatment decisions.
Endoscopic examination and treatment by a specialized doctor.
Consultation and advice from health-care specialist for self-care and prevention of gastrointestinal diseases.

Gastrointestinal tract diseases

Pediatric GI
Peptic Ulcer
Colitis
Stomach Cancer
Esophageal Cancer
Colon Cancer
Liver Cancer
Hepatitis Hepatitis
Alcoholic Liver Disease
Liver Cirrhosis
GI Infections
diarrhea, gastroenteritis,
Irritable Bowel Syndrome, Constipation
Pancreatitis Pancreatitis
Gallstones cholangitis , cholangitis
Cholangio Carcinoma

Modern Equipment

1. Special diagnostic radiology examination without the use of radiation agents.

Ultrasonography such as Ultrasound upper abdomen to examines abnormalities in the upper abdominal organs, including liver, pancreas, gallbladder, bile ducts, spleen and kidneys.

2. Special diagnostic radiological examination with the use of radiation agent.

Barium swallowing examination, examination of swallowing and choking, examination of esophageal peristalsis and esophagus disorder.
Upper GI examination, examination of swallowing function and esophagus, examination of stomach and duodenum
Long GI examination, examination of swallowing function, inspection of stomach and small intestine to check on inflammation and disorders.
BE (Barium Enema) examination to check for colon abnormalities

3. Computerrised Tomography (Spiral CT Scan) and Magnetic Resonance Imaging (MRI)

GI Endoscopy
Gastroscopy for diagnosis of diseases of the esophagus, stomach and duodenum
Colonoscopy for diagnosis and treatment of diseases of the colon
Sigmoidoscopy for diagnosis and treatment peripheral colitis
Polypectomy for removal of small tumors in the stomach, colon and duodenum through digestive tract endoscopy
EVS, EVL (Endoscopic variceal treatment) for treatment of esophageal aneurysms
PEG (Percutaneous endoscopic gastrostomy) for insertion of a feeding line through the abdomen to avoid surgery
Diagnostic RECP (Endoscopic retrograde cholangiopancreatography) for diagnosis and treatment of diseases of the biliary tract and pancreas using endoscopy to avoid surgery.
Therapeutic ERCP (Sphincterotomy, Stone extraction) for treatment of bile ducts such as cholangiocarcinoma and gallstones

4. GI Pathology: accurate pathological examination

5.Intervention Radiology: Use of X-ray techniques in non-surgical treatment.

TOCE (Transcatheter oily chemo-embolization) is applied in cases where the tumor cannot be surgically removed due to large size. The method is usually done by a radiologist by inserting a small cord through the liver artery to administer chemical directly into the tumor and to block the main blood vessel that feeds the tumor. In some cases, when the tumor is smaller and does not spread elsewhere, surgery may be performed to remove it altogether.
FNA (Fine needle aspiration) and Liver Biopsy. Performing biopsy on the liver for diagnosis of tissue and cell in case of suspicious lump which can turn into liver cancer or inflammation.

6.The Urea Breath Test is used to detect Helicobacter pylori (H.pylori) infection.

At present, it is found to be one of the causes of gastric ulcer and stomach cancer. This is a breath examination without endoscopy (measuring amount of 13C)