Medical Gastroenterology - Institute of Digestive Sciences

Basic Endoscopic Services

Our team of widely experienced and highly trained doctors here at Health City Cayman Islands can give you a firm, clear understanding of your core health by using endoscopic procedures to look inside your body to better assess and detect problems.

Upper GI Endoscopy

This minimally-invasive examination precisely views and examines your upper digestive system which consists of the inside lining of your esophagus, your stomach, and the first section of your small intestine (duodenum).

  • Esophageal Variceal Ligation
  • Bleeding Peptic Ulcer
  • Screening for Cancer and for Baretts Oesophagitis
  • Therapeutic endoscopy for Gastrointestinal bleeding
  • Stenting for oesophageal cancers
  • Dilatation of strictures of the oesophagus
  • Esophageal, Duodenal and Pyloric Dilatations
  • Intraluminal Foreign Body Removal     


  • Screening for Cancer
  • Evaluation and Treatment of Polyps and Precancerous Conditions
  • Advanced Procedures for Polyp and Tumor Removal
  • Argon Plasma Coagulation (APC) for Bleeding Lesions
  • Stenting for Cancer- Bridging for Surgery and for Palliation
  • Evaluation of Inflammatory Bowel Disease - Crohn’s And Ulcerative Colitis
  • Treatment of Haemorrhoids – Banding and Sclerotherapy


Using an enteroscope, this endoscopic examination may help to see further into the digestive tract for the diagnosis and treatment of diseases affecting small intestine, the part of the intestine which is beyond the reach of the standard upper GI endoscopy and colonoscopy.

Luminal stenting procedures for esophagus duodenum and colon

Bariatric endoscopy (Intragastric balloon insertion)

Diagnostic and Therapeutic Endoscopic Ultrasonography (EUS)

  • Characterization of intramural, Pancreatic, biliary, retroperitoneal and pelvic tumours
  • Diagnostic biopsies and cytology of extraluminal masses (Abdominal and Mediastinal)
  • Drainage of pancreatic pseudocyst, biliary drainage, intraabdominal abscesses etc
  • EUS guided choledochoduodenostomy and hepaticogastrostomy
  • EUS guided coiling and glue injection for gastric varices and vascular aneurysm

Diagnostic and Therapeutic Endoscopic Retrograde Cholangio 

Pancreatography (ERCP)

  • Diagnosis of Congenital Pancreatic Ductal Anomalies, Biliary Strictures
  • Biliary and Pancreatic Stenting
  • Removal of Bile Duct Stones
  • Cytology of Biliary Tumours

‘Spy-Glass’ Choledochoscopy

  • Laser lithotripsy for large bile duct stones
  • Biopsy of biliary tumours

High resolution manometry

  • Diagnosis of esophageal motility disorders, GERD, Anorectal disorders

Endoscopic submucosal dissection for submucosal tumours

Endoscopic mucosal resection for mucosal tumours

Per Oral Endoscopic Myotomy (POEM) for diffuse esophageal spasm and Achalasia Cardia

Percutaneous Transhepatic Cholangiography and Biliary Drainage (PTC and PTBD)

Liver Biopsy (Percutaneous, EUS guided and Trans Jugular)

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