Professor Dr. S.M.G. Kibria
Upper GI · Lower GI · Polypectomy · Cancer screening
Direct visual examination of the digestive tract — the most accurate way to diagnose, treat, and screen for many GI conditions including cancer.
A flexible endoscope with a high-definition camera and light passes through the mouth (upper GI) or rectum (colonoscopy) to inspect the digestive tract directly. Biopsies, polyp removal, bleeding control, and stricture dilatation can all be performed in the same session. The most accurate diagnostic and therapeutic tool in modern GI medicine.
Both diagnostic and screening indications are common. The following warrant assessment.
Each procedure is tailored to the indication, performed with HD endoscopes and conscious sedation.
Inspection of the oesophagus, stomach, and first part of the small bowel. Biopsies for H. pylori, coeliac, or cancer screening. 5–10 minutes under sedation. Diagnoses ulcers, gastritis, reflux disease, and cancers.
Examination of the entire large bowel and last bit of small intestine. The single best test for colorectal cancer prevention. Polyps detected can be removed in the same sitting. 20–40 minutes under sedation.
Polypectomy, control of bleeding, dilatation of strictures, removal of foreign bodies, banding of varices — all performed during a diagnostic procedure when needed, avoiding a separate operation.
Limited examination of the rectum and lower colon. Useful for assessing bleeding from the rectum, ano-rectal symptoms, and inflammatory bowel disease. Often performed without sedation.
Endoscopy and colonoscopy are typically day-case procedures. Here's how the day unfolds.
Upper GI: 6-hour fasting. Colonoscopy: clear fluid diet and prescribed bowel preparation. Stop blood thinners as advised. Arrange a companion to drive you home.
Arrive 30 minutes before. Pre-procedure assessment, IV cannula, conscious sedation administered. You'll be relaxed, possibly asleep, throughout.
5–10 minutes for gastroscopy, 20–40 minutes for colonoscopy. Biopsies, polypectomy or other therapy in the same sitting. Continuous monitoring of vital signs.
Recovery in a quiet area until sedation wears off. Mild bloating from air settles within an hour. A snack and drink. Discussion of immediate findings with Prof. Kibria.
Histopathology results from any biopsies/polyps in 3–5 days. Follow-up consultation to discuss results and surveillance plan. Most patients are back to normal activity the next day.
Endoscopy examines the upper GI tract (oesophagus, stomach, duodenum) via the mouth. Colonoscopy examines the entire colon via the rectum. Each addresses different symptoms.
No — both are performed under conscious sedation. Most patients have no recollection of the procedure.
2 days before: low-residue diet. Day before: clear fluids and prescribed bowel preparation. Stop blood thinners and iron as advised. Clear bowel is essential.
Age 45–50 for average-risk individuals, every 10 years if normal. Earlier and more frequently with family history of colorectal cancer or polyps.
Most polyps are removed during the same procedure (polypectomy) and sent for histological analysis. No separate operation needed.
Upper GI: 5–10 minutes. Colonoscopy: 20–40 minutes. Plan on 2–3 hours total with sedation and recovery. Companion must drive you home.
Yes — modern conscious sedation is very safe with continuous monitoring. Don't drive or operate machinery that day.
Performed at partner hospitals in Dhaka with full HD endoscopic equipment. Call +880 1711-402445.
Whether you need a surgical consultation, a second opinion, or emergency care — Professor Dr. SMG Kibria and his team are here for you.