DIGESTIVE HEATH & ENDOSCOPY, KENYA – The Centre for Digestive (Gastroenterology & GI Surgery) and Liver Diseases in Nairobi, is managed by Dr Stephen Mbugua Kairu - Consultant Physician & Gastroenterologist. Dr Kairu has high specialty training and experience in assessment, treatment and care for the patients with disorders of the liver and digestive tract. Our surgical services include the performance of specialized and complex GI surgical procedures for the management of diseases of various parts of the GI tract, including gastroenterology and gastrointestinal surgery.

DIGESTIVE HEATH & ENDOSCOPY has a highly qualified team supported by state of the art equipment such as video endoscopes, laparoscopic surgical equipment, provided for treatment of a wide range of liver and digestive disorders from the simplest to the most complex. We specialize in latest technological advances in the treatment of conditions involving:
The pancreas, liver, gallbladder, esophagus, stomach, small intestine and colon

Our Services Include:
1. Gastroenterology Services
• Liver diseases - acute and chronic liver disease (cirrhosis) due to hepatitis B, C and A and alcohol
• Management of liver failure and portal hypertention
• Treatment for acute and chronic pancreatitis
• Upper and lower gastrointestinal bleeding
• Esophageal disorders such as hiatus hernia, reflux motility disorders, varices
• Gastric and duodenal disorders such as peptic ulcer
• Intestinal and colorectal diseases including motility disorders, bleeding, malabsorbtion, infections, irritable bowel disease, colitis, Crohn’s disease and ulcerative colitis

2. Endoscopic Services
• Diagnostic esophago-gastric and colonoscopy
• Therapeutic endoscopic management of upper (peptic ulcer, varices) and lower gastrointestinal bleeding
• Endoscopic gastrostomy
• Dilatation and stenting for strictured of the esophagus, stomach/duodenum and colon
• Endoscopic retrograde cholangiopancreaticography (ERCP) – diagnostic and therapeutic with extraction of stones, dilatation of strictures and placement of stents

SURGICAL SERVICES:

DISEASE OF ESOPHAGUS:
Achalasia: Laparoscopic Heller S Cardiomyotomy
GERD: Laparoscopic Fundoplication
Corrosive Structure: Esophageal Replacement i.e. Coloplastic /Gastric Conduit
Malignancy: Radical Oesophagectomy

DISEASE OF STOMACH:
Acid Peptic Disease: Laparoscopic Highly Selective Vagotomy, Trunal Vagotomy and Gastrojejunostomy
Foreign Body: Laparoscopic removal of foreign body
Malignancy: Radical Gastrectomy

SMALL BOWEL:
Appendix: Laparoscopic Appendectomy
Benign/ Malignant Disease: Diagnostic laparoscopic, Resection and Anastomasis

LARGE BOWEL:
Inflammatory Bowel Disease: Laparoscopic/Open Total Proctocolectomy
Rectal Prolapse:Laparoscopic Rectopexy
Malignancy: Radical Colectomy, Anterior Resection, Low Anterior Resection, APR (Open + Laparoscopic)
Hemorrhoids: Stapled Hemorrhoidectomy
Proctology: Fistulotomy/Seton Placement for Fistula in Anus, Lateral Internal Sphincterotmy for anal Fissure.

DISEASES OF LIVER:
LIVER RESECTION
a) Benign Disease: Hydatid Disease, Adenoma, Hemangioma
b) Malignant Disease: Hepatocellular Carcinoma, Metastatic Colorectal
Cancer, Metastatic or Primary Neuro Endocrine Tumor

DISSEASE OF GALL BLADAR AND BILE DUCT: Laparoscopic Cholecystectomy, Laparoscopic/ Open CBD Exploration, Cholecystectomy, Management of Acute Bile Duct Injuries, Bile Duct Strictures, Choledochal Cyst Excision, Radical Cholecystectomy, Surgery for Bile Duct Cancer

DISEASE OF PANCREAS
Management of Auto Pancreatic and its complications
Pseudocyst Pancreas: Laparoscopic Cystogastrostom/Cystojejunostomy
Infected Pancreatic Necrosis: Lap / Open Pancreatic Necrosectomy
Chronic Pancreatic: Frey’s Procedure
Pancreatic Tumor: Whipple Procedure, Distal Pancreatectomy