DDC Center Virtual Book_EN

Bumrungrad International Hospital

D igestive D isease C enter

Introduction

7 Today’s changes in lifestyle and environment — combined with risk factors such as diet and genetics — have contributed to the growing prevalence of digestive and liver diseases. These conditions can directly affect patients' quality of life, and in some cases, require highly specialized care. we provide comprehensive and focused care. With more than dedicated subspecialty clinics,

Recognizing this, Bumrungrad International Hospital is committed to improving care through a team of experienced specialists who treat over 42,000 patients annually.

Gastrointestinal Motility Center

Digestive Disease (GI) Center

Endoscopy Center

Pancreatic Care Clinic

Inammatory Bowel Disease (IBD) Clinic

GI Genetics Clinic

Liver Disease Clinic

Digestive Disease (GI) Center

This center provides care for common gastrointestinal issues from the esophagus to the rectum. Conditions include abdominal pain, diarrhea, constipation, and bloating. We use advanced diagnostic technology, such as AI-assisted endoscopy, which increases polyp detection up to 16% , helping reduce the risk of colorectal cancer. Detecting just 1% more polyps can reduce colon cancer risk by up to 3% . If polyps are found in the colon or stomach, they can be immediately removed and sent for analysis — all done via endoscopy without open surgery.

Common Conditions:

Gastritis

Caused by H. pylori infection or long-term use of painkillers. Symptoms include stomach pain, bloating, and heartburn.

GERD (Gastroesophageal Reux Disease) Occurs when stomach acid flows back into the esophagus, causing heartburn, sour burps, and difficulty swallowing.

Gastrointestinal Motility Center Functional gastrointestinal disorders are commonly seen and include the following conditions:

Acid reux

Irritable bowel syndrome

Non-ulcer dyspepsia

Bloating

Gastroparesis

Chronic constipation

with a 60% success rate — and 24-hour esophageal pH monitoring, which measures the frequency and duration of acid reflux. Our specialists select the most appropriate diagnostic tools for each patient to ensure accuracy and targeted treatment.

Most patients can be managed by general physicians, but some experience persistent symptoms affecting quality of life despite multiple treatments. Our center offers advanced diagnostics and therapies, such as biofeedback therapy — which helps treat chronic constipation

Endoscopy Center

We provide state-of-the-art endoscopy services for both the upper and lower gastrointestinal tract — including the esophagus, stomach, small intestine, and colon. Endoscopes are inserted through the mouth or rectum and can detect abnormal tissue or lesions.

These procedures also allow for immediate treatment or biopsy collection without surgery. Minimally invasive endoscopy reduces recovery time and lowers complication risks. We performed over 19,200 procedures in 2023.

Common Conditions:

Colon Polyps

GI Bleeding Seen as black stools or bloody vomit, often from ulcers or inflammation.

Gastrointestinal Cancers Occurs in the esophagus, stomach, or intestines. Symptoms include

Abnormal tissue growths that may become cancerous.

weight loss and vomiting blood.

Treatments:

Diagnostic and therapeutic endoscopy, including colonoscopy and upper GI endoscopy

Radiofrequency ablation

Polypectomy (polyp removal)

for bleeding and abnormal tissue

the American Society for Gastrointestinal Endoscopy (ASGE), Our Endoscopy Unit is certied by

making us the first hospital in Thailand and Southeast Asia to receive this recognition.

It reflects our commitment to patient safety, infection control, and excellence in detection and care.

Pancreatic Care Clinic

This program focuses on the treatment of pancreatic diseases such as pancreatitis, pancreatic cancer, and gallstones. Our Multidisciplinary Tumor Board brings together specialists from various fields to create the most effective treatment plans. We also offer genetic testing for those at high risk of pancreatic cancer, as well as care from radiologists, pathologists, and pancreatic surgeons with extensive expertise.

Common Conditions:

Gallstones and Bile Duct Stones Can lead to abdominal pain, jaundice, or bile duct infections

Acute and Chronic Pancreatitis Inflammation caused by gallstones or alcohol

Pancreatic Cancer

Pancreatic Cysts Fluid-filled sacs that may become cancerous

Symptoms include jaundice, weight loss, and persistent abdominal pain

Treatments:

Pancreatic surgery

Chemotherapy and immunotherapy

Endoscopic Ultrasound (EUS)

Endoscopic Retrograde Cholangiopancreatography (ERCP) To remove stones or insert stents to open blocked ducts

GI Genetics Clinic

Colorectal cancer is the fourth most common cancer in Thailand. About 5% of cases are hereditary, caused by faulty genes inherited from parents.

We offer proactive genetic testing to detect abnormal genes early — especially valuable for cancer patients, those with a family history of cancer,

or individuals wanting preventive care. Screening by blood test is recommended between ages 40–45.

Common Conditions:

Hereditary Colorectal Cancer Caused by gene mutations

Lynch Syndrome Increases risk of colon, endometrial, and other cancers

Familial Adenomatous Polyposis (FAP) Causes numerous polyps starting in youth

Inflammatory Bowel Disease (IBD) Clinic IBD includes chronic inflammatory conditions of the digestive tract, with unclear causes. The two main types are

Ulcerative Colitis (UC) Crohn’s Disease (CD) and

These conditions can lead to serious complications if untreated.

Key Symptoms:

May also involve joint inflammation or liver issues

Severe diarrhea

Bloody or mucus-filled stool

Abdominal cramps

Liver Disease Clinic The liver is the body’s largest internal organ and plays a vital role in detoxifying blood, supporting immunity, and regulating metabolism. Poor diet and harmful substances can directly impact liver health.

Common Liver Conditions:

Liver Cancer

Acute Hepatitis

Chronic Hepatitis Liver Tumors

Fatty Liver Disease

Treatment Options: • Medications • Chemoembolization (injecting chemotherapy into liver vessels) • Radioembolization (inserting radioactive particles into the liver) • Liver transplant

• Maintain a healthy weight • Avoid saturated fats • Eat omega-3 rich foods • Drink plenty of water • Exercise regularly Tips for Liver Health:

Success Rates

Colonoscopy:

Adenoma Detection: Our rate is

High effectiveness with a cecal intubation rate of 98.3 %, exceeding the U.S. benchmark of 95%.

compared to the U.S. standard of 30%. 33.3 %,

and

ERCP (Endoscopic treatment of bile and pancreatic ducts): success rate with only well below the U.S. threshold of 4%. 3.54 %

100 %

being serious complications,

& Technology

Innovation

2021

FTRD (Full-Thickness Resection Device):

Removes early-stage or precancerous polyps up to 3 cm without surgery.

Minimally invasive reflux treatment done through the mouth. TIF (Transoral Incisionless Fundoplication):

ESG (Endoscopic Sleeve Gastroplasty):

Non-surgical weight loss procedure. Patients can lose over 20% of their weight or 30–40% when combined with medication.

2022

Uses external shock waves to break large duct stones into smaller pieces, making them easier to pass. Shock Wave Lithotripsy for Pancreatic Duct Stones:

2023

Endoscopy-Guided Pancreaticogastrostomy: Creates a passage between the pancreas and stomach for easier fluid drainage in cases of duct blockages.

2024

AI-Assisted Colonoscopy:

Real-time AI image analysis to improve detection of polyps and abnormal lesions.

Endoscopy-Guided Gastrojejunostomy: Uses ultrasound-guided endoscopy to connect the stomach to the small intestine, helpful for patients with obstructions due to cancer or strictures.

Experience a Cutting-Edge Approach to Colon Cancer Treatment Without Surgery

Permanently amazed by the effective identification for precise treatment

A thorough doctor with a multidisciplinary team leads to a lasting positive outcome

Light at the end of the tunnel

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