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Dr. Ankit Anand – Best Gastroenterologist in Jalandhar

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Deep Small Bowel Access

Enteroscopy in Jalandhar — The Small Bowel Blind Zone

Six metres of small intestine sit beyond the reach of standard endoscopy and colonoscopy. Enteroscopy is how that gap gets examined — and treated.

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OverviewEnteroscopy uses specialised long scopes, with or without balloon assistance, to examine the small intestine — the segment standard endoscopy and colonoscopy cannot reach.
Who needs itUnexplained iron-deficiency anaemia, obscure GI bleeding, abnormal capsule endoscopy findings, or suspected small bowel Crohn’s or tumours.
Duration45 to 120 minutes under IV sedation or general anaesthesia — longer than standard endoscopy because of the depth of access required.
RecoveryOne day observation. Mild bloating is common. Biopsy results in 3 to 5 days, discussed at follow-up.
45–120 minutes Sedation or general anaesthesia Rare expertise in Punjab Diagnose and treat together
When It Is Needed

Who Needs an Enteroscopy

Almost always after standard endoscopy and colonoscopy have both come back normal, and the problem has not gone away.

Obscure GI bleeding

Bleeding that upper endoscopy and colonoscopy cannot explain is, by elimination, coming from the small bowel. More on obscure GI bleeding.

Unexplained iron-deficiency anaemia

A haemoglobin that keeps falling with no visible source usually means slow small bowel blood loss.

Abnormal capsule endoscopy

The capsule finds the lesion but cannot treat it. Enteroscopy goes back to the same place and does something about it.

Suspected small bowel Crohn’s

Deep biopsies confirm the diagnosis and map disease extent. More on IBD.

Small bowel tumours or polyps

Lesions biopsied and, where suitable, removed endoscopically instead of surgically.

Altered surgical anatomy

Enteroscopy-assisted ERCP reaches the bile duct in patients whose anatomy has been surgically rearranged.

Your Visit

What Happens During Enteroscopy

Longer and more involved than a standard endoscopy, and worth it because the alternative is often exploratory surgery.

Before

Preparation

  • Bowel prep if the approach is from below (retrograde)
  • Fast 8 to 12 hours before the procedure
  • Previous capsule endoscopy images reviewed to target the segment
  • Anaesthetic assessment, since the procedure can be long
During

The procedure

  • IV sedation or general anaesthesia given
  • Long scope advanced, with balloon assistance to pleat the bowel over it
  • 45 to 120 minutes of careful, deep advancement
  • Bleeding treated, polyps removed, biopsies taken as found
After

Recovery

  • One day observation before discharge
  • Mild abdominal bloating for a day is normal
  • Biopsy results in 3 to 5 days
  • Treatment plan discussed at GastroNova Clinic follow-up
The Setting

Where Enteroscopy Is Done

Balloon enteroscopy needs specialised scopes, anaesthetic support and time on the list.

Small bowel enteroscopy in Jalandhar The small bowelSix metres, beyond standard reach
Balloon enteroscopy equipment in Jalandhar Balloon enteroscopePush, single and double balloon
Enteroscopy procedure room at Innocent Hearts Hospital Procedure roomAnaesthetic and ICU support
In the Same Session

What Is Treated Once the Scope Is There

Getting deep into the small bowel is the hard part. Once there, treatment happens immediately.

Bleeding control

Argon plasma coagulation or clips applied to angiodysplasia and ulcers deep in the small bowel.

Deep biopsy

Tissue taken from lesions that no other test can reach, confirming Crohn’s, coeliac or malignancy.

Polyp removal

Small bowel polyps snared endoscopically instead of surgically.

Stricture dilation

Narrowed segments dilated, frequently avoiding a bowel resection in Crohn’s.

Enteroscopy-assisted ERCP

The bile duct reached in patients with surgically altered anatomy.

Capsule retrieval

A retained capsule endoscope recovered endoscopically rather than operatively.

Enteroscopy is a long procedure, and that is by design

Reaching deep into six metres of small bowel takes time, which is why the procedure can run to two hours and why general anaesthesia is sometimes used. Perforation risk is low but real, so it is performed only where there is a clear indication, with ICU backup available. Mild bloating for a day afterwards is expected, not a complication.

Where It Is Done

Enteroscopy Is Done at Innocent Hearts Hospital

Long procedures need anaesthetic support and a hospital around them.

Procedure centre

Innocent Hearts Hospital

Balloon enteroscopy and deep small bowel work
Near Wadala Chowk, Nakodar Road, Jalandhar 144003
  • Procedure timings
  • Mon–Sat10:00 am – 5:00 pm
  • Gastro ICU24 / 7
Book This Procedure Directions
A note on scope

This is a small bowel procedure — Hepatolean is a liver product

To be direct, since patients ask: Hepatolean Advance Liver Pro+ is a sugar-free liver-care protein Dr. Ankit formulated for fatty liver patients. It has no role in small bowel disease, obscure GI bleeding or enteroscopy recovery, and nothing here should be read as suggesting otherwise. If chronic blood loss has left you anaemic, the treatment is finding and stopping the bleed, plus iron replacement — discuss that at your follow-up.

What it actually is
Patient FAQs

Enteroscopy — Frequently Asked Questions

Why can't a normal endoscopy or colonoscopy see the small bowel?
Upper endoscopy reaches the duodenum and colonoscopy reaches the end of the small bowel from below. Between them sits roughly six metres of jejunum and ileum that neither scope can cover. Enteroscopy bridges that gap.
What is the difference between capsule endoscopy and enteroscopy?
A capsule is a swallowed camera that photographs the small bowel — excellent for finding a lesion, but it cannot treat anything. Enteroscopy is a scope that goes to the same place and can biopsy, band, coagulate or remove.
Is it painful?
No. It is done under IV sedation or general anaesthesia. Mild abdominal bloating afterwards is common and settles within a day.
How long does it take?
45 to 120 minutes, considerably longer than standard endoscopy, because the scope has to be advanced deep into a very long, mobile organ.
Will I need surgery afterwards?
Often not, and that is the point. Bleeding can be coagulated, polyps snared and strictures dilated endoscopically — procedures that would otherwise have required an operation.
Is enteroscopy available in Jalandhar?
Yes, at Innocent Hearts Hospital. It is uncommon expertise in Punjab, which is why patients are often referred here for it.

Bleeding No One Can Explain? Look at the Small Bowel

If your endoscopy and colonoscopy were both normal and your haemoglobin keeps dropping, book an OPD consultation and bring both reports.

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