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Comprehensive
Gastrointestinal & Liver Care

COMPREHENSIVE GASTROINTESTINAL & LIVER CARE

What is Gastrointestinal
& Liver Care?

Gastroenterology and Liver Care is a highly specialised field of medicine dedicated to the comprehensive diagnosis, treatment, and management of disorders affecting the digestive system. This includes the oesophagus, stomach, intestines, liver, pancreas, gallbladder, and bile ducts. By integrating cutting-edge diagnostics, minimally invasive procedures, and advanced therapeutic interventions, this discipline addresses a wide spectrum of conditions ranging from common gastrointestinal disorders to complex hepatobiliary diseases.

Mawar Medical Centre offers comprehensive care, from routine screenings to advanced procedures, ensuring optimal digestive health for our patients.

COMPREHENSIVE GASTROINTESTINAL & LIVER CARE

Who Can Benefit from Our Gastrointestinal & Liver Care Services?

Our specialised gastroenterology and liver care services are designed for individuals experiencing a broad spectrum of digestive and hepatobiliary conditions, including but not limited to:

Persistent Digestive Disorders

Chronic acid reflux, indigestion, bloating, abdominal pain, diarrhoea, constipation, and irritable bowel syndrome (IBS).

Liver Diseases

Hepatitis (viral, autoimmune, or alcoholic), fatty liver disease, liver cirrhosis, and other chronic liver conditions requiring expert monitoring and management.

Pancreatic Disorders

Acute and chronic pancreatitis, pancreatic cysts, and pancreatic tumours requiring precise diagnosis and targeted intervention.

Gallbladder & Biliary Tract Conditions

Gallstones, bile duct strictures, cholecystitis, and other conditions affecting the gallbladder and bile ducts.

Unexplained Gastrointestinal Symptoms

Sudden weight loss, persistent nausea, unexplained jaundice, rectal bleeding, and anaemia that may indicate underlying gastrointestinal disorders.

Gastrointestinal Cancer Screening & Prevention

Individuals with a family history of colorectal, pancreatic, or liver cancer, as well as those with risk factors such as obesity, smoking, excessive alcohol consumption, or prolonged gastrointestinal symptoms.

Our Advanced Gastrointestinal & Liver Diagnostic Services

FibroScan – Advanced, Non-Invasive Liver Health Assessment

Mawar Medical Centre is proud to be the first private hospital in Negeri Sembilan to offer FibroScan, a revolutionary, non-invasive liver diagnostic technology that provides rapid and accurate assessment of liver health. Using ultrasound elastography, FibroScan measures liver stiffness, enabling the early detection of liver diseases such as fibrosis, cirrhosis, and fatty liver disease, without the need for a traditional liver biopsy. This cutting-edge diagnostic tool offers a safer, faster, and more comfortable alternative for patients, ensuring effective disease monitoring and treatment planning.

Comprehensive Gastrointestinal & Liver Care

Who Can Benefit from FibroScan?

Patients with Chronic Liver Conditions

Those diagnosed with fatty liver disease, hepatitis B or C, cirrhosis, or other chronic liver diseases.

Individuals at Risk of
Liver Disease

Those with diabetes, obesity, excessive alcohol consumption, or metabolic syndrome who need regular monitoring.

Patients Requiring Ongoing Liver Monitoring

Those undergoing long-term treatment for liver disorders who need regular, non-invasive assessments.

FibroScan

How Does the FibroScan Procedure Work?

With FibroScan at Mawar Medical Centre, patients can benefit from cutting-edge, non-invasive liver assessment, ensuring early detection, precise diagnosis, and personalised care from a Consultant Gastroenterologist and Hepatologist for a healthier future.

How Does the FibroScan Procedure Work?

  • The procedure is quick, painless, and completely non-invasive, eliminating the need for needles or surgery.
  • Patients do not require anaesthesia or fasting, ensuring convenience and comfort.
  • A handheld probe is placed on the skin over the liver, emitting low-frequency ultrasound waves to measure liver stiffness in just a few minutes.
  • Immediate results allow specialists to evaluate liver health on the spot, facilitating timely medical intervention and personalised treatment plans.

Endoscopic Ultrasound (EUS)

Precision Imaging for Gastrointestinal & Hepatobiliary Care

Endoscopic Ultrasound (EUS) is an advanced diagnostic procedure that combines endoscopic technology with high-frequency ultrasound imaging to provide exceptionally detailed views of the digestive tract and surrounding structures, including the pancreas, liver, bile ducts, and lymph nodes. This highly specialised technique is particularly valuable for evaluating conditions that may not be adequately assessed with standard imaging methods such as CT scans, MRI, or traditional ultrasound.

Who Can Benefit from EUS?

EUS is a vital tool in the diagnosis and management of various gastrointestinal and hepatobiliary conditions, including:

Pancreatic Disorders

Detection of pancreatic cysts, tumours, or inflammation.

Biliary & Liver Diseases

Detailed imaging of bile ducts and liver abnormalities.

Gastrointestinal Tumours

Identifying and staging cancers in the oesophagus, stomach, and intestines.

Lymph Node Assessment

Evaluating lymphatic involvement in cancers or infections.

Unexplained Abdominal Pain

Investigating persistent digestive discomfort with high precision.

Patients at High Risk for Surgery

For those who may not be candidates for more invasive diagnostic or therapeutic procedures due to other health conditions, EUS provides a minimally invasive alternative.

Endoscopic Ultrasound (EUS)

How is EUS Performed?

The procedure is conducted under sedation to ensure patient comfort.

A thin, flexible endoscope equipped with an ultrasound probe is gently inserted through the mouth to obtain real-time, high-resolution images of internal structures.
If needed, EUS-guided biopsies (fine-needle aspiration or biopsy) can be performed to collect tissue samples for further evaluation, enhancing diagnostic accuracy.

Endoscopic Ultrasound (EUS)

Why Choose EUS?

Provides superior detail compared to conventional imaging.

Reduces discomfort and recovery time.

Enables early detection and precise diagnosis of tumours and abnormalities.

Assists specialists in determining the best course of action for complex conditions.

With Endoscopic Ultrasound (EUS) at Mawar Medical Centre, patients benefit from state-of-the-art, high-precision imaging, enabling early detection, accurate diagnosis, and personalised treatment strategies for complex gastrointestinal and hepatobiliary conditions.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

Advanced Diagnosis & Treatment for Biliary and Pancreatic Disorders

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a highly specialised, minimally invasive procedure that integrates endoscopy with fluoroscopic imaging (X-ray) to diagnose and treat disorders affecting the bile ducts, gallbladder, and pancreas. This cutting-edge technique enables healthcare professionals to accurately identify and manage a range of conditions, including biliary obstructions, gallstones, strictures, pancreatic duct abnormalities, and certain types of tumours.

Unlike conventional imaging techniques, ERCP offers both diagnostic precision and therapeutic intervention in a single session. By using a flexible endoscope equipped with a camera, the specialist gains real-time visualisation of the bile and pancreatic ducts, allowing for targeted treatments such as:

Extracting gallstones or bile duct stones that cause blockages.

Inserting stents to relieve obstructions in the bile or pancreatic ducts.

Expanding narrowed bile ducts to restore normal function.

Collecting samples for further pathological examination.

Endoscopic Retrograde Cholangiopancreatography

Why Choose ERCP?

Minimally Invasive

Avoids the need for open surgery while offering precise treatment.

Comprehensive & Efficient

Combines diagnosis and intervention in a single procedure, reducing the need for multiple tests or treatments.

Rapid Recovery &
Short Hospital Stay

Most patients can return to
normal activities within a few days.

Effective Management of Complex Conditions

Essential for treating jaundice, unexplained abdominal pain, and post-surgical complications.

Endoscopic Sleeve Gastroplasty (ESG)

A Revolutionary
Non-Surgical
Weight Loss Solution

Mawar Medical Centre is proud to offer Endoscopic Sleeve Gastroplasty (ESG)—an innovative, non-surgical, and minimally invasive weight-loss procedure designed to help individuals achieve significant and sustainable weight reduction. As a leading alternative to traditional bariatric surgery, ESG involves the use of an endoscope inserted through the mouth to suture the stomach, effectively reducing its size. This modification allows patients to eat less, feel full faster, and manage their weight more effectively without undergoing major surgery.

Who is Eligible for ESG?

ESG is recommended for individuals who:

  • Have a Body Mass Index (BMI) of 30–40 and struggle with weight loss despite diet and exercise.
  • Are looking for a non-surgical alternative to bariatric surgery.
  • Do not have severe acid reflux, a large hiatal hernia, or major gastrointestinal disorders.

Benefits of ESG

Minimally Invasive

No external incisions, ensuring faster recovery and a lower risk of complications.

Quick & Efficient

Performed under sedation, the procedure takes approximately 60–90 minutes.

Significant Stomach Volume Reduction

ESG reduces stomach capacity by around 70%, helping control food intake.

Improves Health Conditions

Effective in managing obesity-related conditions such as diabetes, hypertension, and sleep apnoea.

ESG vs. Other Weight Loss Methods

When compared to Gastric Bypass or Sleeve Gastrectomy, ESG offers a less invasive approach without the removal of stomach tissue, making it a safer option with a lower risk profile. It also outperforms weight-loss medications in delivering long-term, sustainable results. For individuals struggling with obesity, ESG serves as an effective bridge between lifestyle changes and surgical interventions.

Endoscopic Sleeve Gastroplasty (ESG)

Empowering Our Community with Better Health

At Mawar Medical Centre, we believe that health and well-being are at the heart of a thriving community. With the introduction of Endoscopic Sleeve Gastroplasty (ESG), we are proud to offer a safe, effective, and non-surgical weight-loss solution that empowers individuals to take control of their health. By providing accessible and innovative care, we are not just transforming lives—we are building a healthier, stronger community together.

Related Services

Meet Our
Gastronintestinal and Hepatologist Consultant

View Profile

Dr. Sattian Kollanthavelu

Internal Medicine, Gastroenterology & Hepatology