Gastroenterology
Tbilisi
Gastroenterology care in Tbilisi is available at 2 hospitals in the Voumed network.
Gastroenterology diagnoses and treats diseases of the digestive system, from the esophagus, stomach and intestines to the liver, gallbladder, bile ducts and pancreas, mostly without open surgery. It blends careful clinical assessment with endoscopy, imaging and laboratory work to find the cause of a symptom and treat it as early as possible. Many patients travel for this care to reach experienced endoscopy teams, advanced equipment and the ability to complete several investigations in a short, well organised visit. Because much of the work is performed through a flexible camera rather than an incision, a large part of digestive medicine is done as a day case, and a single appointment can combine diagnosis and treatment. The field is as much about prevention and screening as it is about treating established disease.
At a glance
- Sub-specialties
- upper digestive disease, inflammatory bowel disease, liver disease (hepatology), pancreas and bile duct disease, therapeutic endoscopy, gastrointestinal oncology
- Common tests and procedures
- gastroscopy, colonoscopy, biopsy, polyp removal, ERCP and bile duct clearance, endoscopic ultrasound, breath and stool tests
- Common reasons to travel
- experienced endoscopy teams, fast access to scans and scopes, one visit that combines several tests
- Typical visit or stay
- most endoscopy is a day case with a few hours of observation, more complex sessions may need an overnight stay
- Sedation
- light sedation for most scopes, deeper sedation or anaesthesia for longer therapeutic procedures
- Typical first step
- a consultation with review of symptoms and prior reports, then a tailored endoscopy or imaging plan
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Technologies and equipment
FibroScan
FibroScan is a non-invasive, ultrasound-based device that measures how stiff the liver is, which reflects the degree of scarring, or fibrosis, and at the same time estimates the amount of fat in the liver. It offers a fast, painless alternative to a liver biopsy, with no incision or needle, and it assesses a larger area of the organ than a tiny tissue sample would. A probe is simply placed on the skin over the liver while the patient lies down, and a numerical result is available within minutes. It is widely used to detect and follow liver conditions and to guide and monitor treatment.
Endoscopic Ultrasound (EUS)
Endoscopic ultrasound (EUS) combines endoscopy and ultrasound in a single thin instrument, allowing the deeper layers of the digestive tract and the organs and tissues around it to be examined in detail. By placing a tiny ultrasound probe at the tip of an endoscope and guiding it inside the body, very close to the area of interest, it produces highly detailed images of structures such as the pancreas, bile ducts and nearby lymph nodes that can be hard to see from the outside. When needed, a fine needle can take a sample for the laboratory during the same procedure, all without any surgical incision.
pH-metry (Reflux Diagnosis)
pH-metry is a diagnostic test that confirms reflux disease by directly measuring how much acid reaches the food pipe (oesophagus) over an extended period. It is especially useful when standard endoscopy looks normal but a person still has reflux-type symptoms, because it captures acid exposure that a single snapshot examination would miss. In a common modern version, a tiny pH capsule is attached to the lower oesophagus during a brief endoscopy under sedation, then records acid levels for about 24 to 48 hours before detaching on its own and passing naturally. The result gives an objective picture of whether, and how often, acid is reaching the oesophagus.
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