Dr Jayendra Shukla Gastroenterologist, Hepatologist and Endoscopist

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Dr Jayendra Shukla Gastroenterologist, Hepatologist and Endoscopist Dr Jayendra Shukla MBBS
MD Medicine ( KGMU Lucknow)
DM Gastroenterology ( PGIMER Chandigarh)

A 70 year old male presented with melena for 2 months, multiple blood transfusions and an average hemoglobin of 4-5 gm/d...
29/09/2025

A 70 year old male presented with melena for 2 months, multiple blood transfusions and an average hemoglobin of 4-5 gm/dl. UGI endoscopy revealed Ancylostoma duodenale worm infestation causing GI bleed, same features in capsule endoscopy. Patient improved with deworming.

Ancylostoma duodenale, a hookworm, attaches to the small intestinal mucosa and feeds on blood, causing chronic gastrointestinal bleeding. Repeated mucosal injury leads to occult or overt GI bleed, iron deficiency anemia, fatigue, and weakness. Severe infestations may result in significant morbidity, particularly in malnourished or immunocompromised patients.

EUS-guided rendezvous for pancreatic duct stenting is a minimally invasive technique used when ERCP access fails. Under ...
26/09/2025

EUS-guided rendezvous for pancreatic duct stenting is a minimally invasive technique used when ERCP access fails. Under endoscopic ultrasound, the pancreatic duct is punctured, and a guidewire is advanced into the duodenum. This facilitates subsequent ERCP cannulation, allowing stent placement, ensuring ductal drainage, and reducing complications in difficult cases.

EUS- rendezvous done for a difficult PD cannulation
Guidewire came out of minor papilla
Cannulated and stent placed

Recently we performed ARMA for GERD in a 23 year old patient with Hill's grade 2 hiatus and significant worsening of QOL...
20/09/2025

Recently we performed ARMA for GERD in a 23 year old patient with Hill's grade 2 hiatus and significant worsening of QOL due to GERD symptoms.

Antireflux mucosal ablation (ARMA) is an endoscopic technique for gastroesophageal reflux disease (GERD). It involves ablation of gastric mucosa around the gastroesophageal junction, inducing scarring and tissue contraction. This enhances the antireflux barrier, reducing acid reflux. ARMA is minimally invasive, safe, and effective in selected patients with refractory GERD.

Endoscopic ampullectomy is a minimally invasive technique used to remove ampullary adenomas and select early-stage ampul...
15/09/2025

Endoscopic ampullectomy is a minimally invasive technique used to remove ampullary adenomas and select early-stage ampullary tumors. Performed via duodenoscopy, it allows en bloc or piecemeal resection. Complications include bleeding, pancreatitis, perforation, and cholangitis. Pancreatic and biliary stenting may reduce risks. Careful patient selection and expertise are essential.

This patient presented with Anemia, on UGI endoscopy multiple polyps with superficial ulcer found, biopsy and IHC proved neuroendocrine tumor.
One large ampullary lesion was also present.
Polyps removed with EMR, ampullary lesion removed with Ampullectomy. PD cannulation could not be done, watched for pancreatitis and bleed. Uneventful post op period.

Another POEM ( per-oral endoscopic myotomy) for Achalasia cardia type 2 with sigmoid morphology,
29/07/2025

Another POEM ( per-oral endoscopic myotomy) for Achalasia cardia type 2 with sigmoid morphology,

An old patient with UGI bleed. UGI endoscopy revealed a deep ulcer with fibrotic base, Padlock ( OTSC) clip applied. Ins...
18/07/2025

An old patient with UGI bleed. UGI endoscopy revealed a deep ulcer with fibrotic base, Padlock ( OTSC) clip applied. Instant and durable hemostasis.

Over-the-scope clip (OTSC) is an advanced endoscopic device used to control duodenal ulcer bleeding. It provides strong mechanical compression, especially effective for large or refractory bleeds. OTSC offers improved hemostasis compared to conventional clips, reducing the need for surgery or angiographic embolization in high-risk gastrointestinal bleeding cases.

Post pancreatic tumor resection collection formationEUS guided single time aspiration of the collection done.
29/03/2025

Post pancreatic tumor resection
collection formation
EUS guided single time aspiration of the collection done.

EUS guided coil and glue for fundal varicesJust before the procedure varices started to bleedLeading on to decrease in s...
27/03/2025

EUS guided coil and glue for fundal varices

Just before the procedure varices started to bleed
Leading on to decrease in size of varices.
Endoscopic glue could not be done due to profuse bleed and clot obstructing the view.
Went for EUS guided technique, small coils placed with glue injection, bleeding and flow in varices stopped.
Extra glue injected later endoscopically.

Endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) and fine-needle biopsy (FNB) are minimally invasive tech...
13/03/2025

Endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) and fine-needle biopsy (FNB) are minimally invasive techniques used to obtain tissue samples from organs or lymph nodes. FNA uses a thin needle to aspirate cells, while FNB retrieves larger core samples, providing more histological information for diagnosis and treatment planning.

Recently did EUS-FNA in a young female with pancreatic cyst, fluid came out to have highly raised CA 19-9, and EUS-FNB in an old patient with peripancreatic and splenic hilum lymph nodes, came out to be high grade malignancy.

Another successful POEM (per oral endoscopic myotomy) for a 36 year old male patient with type 2 Achalasia cardia.
23/01/2025

Another successful POEM (per oral endoscopic myotomy) for a 36 year old male patient with type 2 Achalasia cardia.

Address

Apollomedics Superspeciality Hospitals
Lucknow
226013

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm
Saturday 9am - 5pm

Telephone

+916394063787

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