Ramkhamhaeng 2 Hospital's Gastroenterology and Hepatology Department is dedicated to providing high-quality, international-standard healthcare. We offer modern medical practices with advanced equipment for swift and comprehensive services, complemented by caring and professional staff.

The Gastroenterology and Hepatology Department

     Recognizing these challenges, Ramkhamhaeng 2 Hospital established a comprehensive and integrated Gastroenterology and Hepatology Department. This department aims to systematically address these issues and promote public health, enabling early detection and appropriate treatment through patient self-care under the guidance of specialized physicians.

Comprehensive Care and Treatment Services

• Consultation services: for gastrointestinal issues and abnormalities.
• Diagnostic and treatment services: for gastrointestinal diseases.
• Endoscopy procedures: at our fully equipped Endoscopy Center.
• Surgical treatment: using advanced laparoscopic techniques, including post-operative care and rehabilitation.
• Health advice: on gastrointestinal care and vaccination against related diseases, such as Hepatitis A and B.

Hepatitis A and B Vaccination Services

     The Gastroenterology and Hepatology Department offers Hepatitis A and B vaccinations for individuals without immunity and those at risk. This includes family members with a history of liver disease, occupations involving close contact with Hepatitis patients, and dialysis patients. You can contact the center for immediate consultation or service.

Indicative Symptoms for Treatment at the Gastroenterology Department:

• Suspected symptoms of a gastrointestinal disorder.
• Need for detailed assessment of gastrointestinal function.
• Persistent or non-improving gastrointestinal symptoms.
• Seeking medical confirmation of diagnosis and treatment plans for informed decision-making.
• Desire for endoscopic examination and treatment by a specialist.
• Seeking consultation and advice from a specialist on gastrointestinal health and prevention.

Common Gastrointestinal and Liver Conditions Treated

• Pediatric GI disorders
• Peptic Ulcer
• Colitis
• Stomach Cancer
• Esophageal Cancer
• Colon Cancer
• Liver Cancer
• Viral Hepatitis
• Alcoholic Liver Disease
• Liver Cirrhosis
• Gastrointestinal Infections
• Gastroenteritis (Diarrhea)
• Abnormal Bowel Movements, Chronic Constipation (Irritable Bowel Syndrome, Constipation)
• Pancreatitis
• Gallstones, Cholangitis
• Cholangiocarcinoma (Bile Duct Cancer)

Advanced Diagnostic and Treatment Technologies

1.  Non-Invasive Radiological Diagnostics (No oral/IV contrast)

• Ultrasonography: Such as Ultrasound Upper Abdomen, to examine abnormalities in upper abdominal organs (liver, pancreas, gallbladder, bile ducts, spleen, kidneys).

2.  Radiological Diagnostics (Oral/IV contrast required)

• Barium Swallowing Study: To assess swallowing, aspiration, esophageal motility, and esophageal abnormalities.
• Upper GI Series: To evaluate swallowing, esophagus, entire stomach, and duodenum.
• Long GI Series: To evaluate swallowing, entire stomach, and small intestine, checking for inflammation and other abnormalities.
• Barium Enema (BE): To examine large intestine abnormalities.
• Computerized Tomography (Spiral CT Scan) and Magnetic Resonance Imaging (MRI).

3.  GI Endoscopy (for diagnosis and treatment)

• Gastroscopy: Endoscopic examination of the esophagus, stomach, and duodenum for diagnosis.
• Colonoscopy: Endoscopic examination of the large intestine for diagnosis and treatment.
• Sigmoidoscopy: Endoscopic examination of the lower large intestine for diagnosis and treatment.
• Polypectomy: Endoscopic removal of small polyps in the stomach, large intestine, or duodenum.
• EVS, EVL (Endoscopic Variceal Treatment): Endoscopic treatment of esophageal varices by injection or banding.
• PEG (Percutaneous Endoscopic Gastrostomy): Endoscopic placement of a feeding tube into the stomach through the abdominal wall, avoiding surgery.
• Diagnostic ERCP (Endoscopic Retrograde Cholangiopancreatography): Endoscopic diagnosis and treatment of biliary and pancreatic duct system diseases (e.g., bile duct stones, bile duct cancer, chronic pancreatitis), avoiding surgery.
• Therapeutic ERCP (Sphincterotomy, Stone Extraction): Endoscopic treatment of biliary conditions, such as bile duct cancer and gallstones.

4.  Other Specialized Services

• GI Pathology: Accurate pathological diagnosis.
• Interventional Radiology: X-ray guided minimally invasive treatments, avoiding surgery.
  • TOCE (Transcatheter Oily Chemo-embolization): Used when liver tumors are too large for surgical removal. A radiologist inserts a microcatheter into the hepatic artery directly to the tumor, delivering chemotherapy and embolizing the primary blood supply to the tumor to prolong survival. In some cases, if the tumor shrinks and does not metastasize, surgical removal may then be possible.
• FNA (Fine Needle Aspiration) and Liver Biopsy: Aspiration and biopsy of liver tissue and cells for analysis in cases of suspected liver cancer or inflammation.
• Urea Breath Test (UBT): To detect Helicobacter pylori (H. pylori) infection, a common cause of peptic ulcers and stomach cancer. This is a non-invasive breath test measuring 13C.

please schedule an appointment in advance to check doctor schedules and receive initial consultation advice. Gastroenterology Department is pleased to serve you.

For more information, please contact
 GI Department 1st Floor Ramkhamhaeng 2 Hospital
Tel: 02-032-3888 | Line Official: @ram2