By Kage Team | 26 May 2026

Gastroenterology has been transformed in the past two decades. Conditions that once required major open surgery — from early stomach cancers to complicated biliary stone disease — can now be treated through a flexible tube passed through the mouth or rectum, with no incision, no general anaesthesia, and same-day discharge. Advanced endoscopic technology has brought precision, safety, and speed to GI care that was inconceivable a generation ago.
At KIMS Advanced Gastroenterology & Endoscopy — KAGE — KAGE, at KIMS Hospitals, Secunderabad, Secunderabad, Hyderabad, we have assembled the most comprehensive suite of modern gastroenterology treatments and technology in Hyderabad — under the expert guidance of Dr. Sreekanth Appasani (20+ years of interventional gastroenterology experience) and our specialist team.
This blog is a guide to the cutting-edge treatments available at KAGE for patients seeking the most advanced GI care in Hyderabad.
Diagnostic Technology at KAGE
Olympus X1 HD Endoscope and Fuji ELUXEO 7000 — 4K Imaging
KAGE uses the Olympus X1 HD endoscope and Fuji ELUXEO 7000 with Blue Light Imaging (BLI) for upper GI and lower GI examinations — providing 4K-equivalent resolution that identifies subtle mucosal lesions invisible on standard equipment. Narrow Band Imaging (NBI) and chromoendoscopy are used to characterize polyps and detect early dysplasia.
FibroScan — Non-Invasive Liver Staging
FibroScan measures liver stiffness and fat content in 10 minutes without biopsy. It is the gold standard for non-invasive liver fibrosis assessment at KAGE — enabling accurate staging of fatty liver, hepatitis, and cirrhosis without the risks, discomfort, or cost of a liver biopsy.
High-Resolution Manometry
Assesses esophageal and anorectal motility with unprecedented precision — diagnosing achalasia, diffuse esophageal spasm, ineffective esophageal motility, and dyssynergic defecation. Essential for planning POEM and biofeedback therapy.
24-Hour pH Metry
The gold standard for objective GERD diagnosis — measures esophageal acid exposure over 24 hours, correlating symptoms with acid events.
SpyGlass Cholangioscopy
A 'camera within a camera' — direct visual examination inside the bile ducts, enabling targeted biopsy of biliary strictures and laser lithotripsy of difficult bile duct stones at KAGE.
Capsule Endoscopy
A swallowable camera capsule that images the entire small intestine — the only way to visualize the small bowel without surgery. Used for suspected small bowel Crohn's disease, unexplained GI bleeding, and small bowel polyps.
Endoscopic Ultrasound (EUS)
Ultrasound probe integrated into the endoscope tip — provides exquisitely detailed imaging of the pancreas, bile ducts, submucosal GI tumors, and lymph nodes. Enables EUS-guided fine needle aspiration (FNA) for tissue diagnosis.
Advanced Therapeutic Procedures at KAGE
POEM — Peroral Endoscopic Myotomy
POEM is a revolutionary endoscopic treatment for achalasia — a swallowing disorder in which the lower esophageal sphincter fails to relax. POEM creates a tunnel through the esophageal wall and cuts the sphincter muscle — permanently relieving the obstruction — without any external incision. Dr. Sreekanth Appasani is one of Hyderabad's most experienced POEM operators.
ESD — Endoscopic Submucosal Dissection
ESD allows complete, en-bloc resection of early GI cancers and large polyps from the esophagus, stomach, or colon — without surgery. It requires extraordinary endoscopic skill and is available at KAGE for appropriate patients.
EMR — Endoscopic Mucosal Resection
For large flat polyps and superficial tumors — removes them safely and completely during colonoscopy or upper endoscopy at KAGE.
ARMA and GERDx — Endoscopic Anti-Reflux Procedures
Minimally invasive endoscopic procedures that tighten the lower esophageal sphincter to reduce acid reflux — without surgery. Available exclusively at few advanced centers in Hyderabad, including KAGE.
ERCP with SpyGlass, EHL, and Laser Lithotripsy
ERCP with the full suite of biliary interventions — stone extraction, stent placement, biliary dilatation, and for difficult stones — SpyGlass-guided electrohydraulic or laser lithotripsy. Dornier ESWL for pancreatic duct calculi.
EUS-Guided Procedures
EUS-guided biliary drainage, cystogastrostomy (pancreatic pseudocyst drainage), gastrojejunostomy (for gastric outlet obstruction), and radiofrequency ablation — advanced minimally invasive interventions reducing the need for surgery in complex GI and biliary conditions.
Bariatric Endoscopy — Endoscopic Sleeve Gastroplasty (ESG)
A non-surgical, endoscopic weight loss procedure that reduces stomach volume using sutures placed through an endoscope — available at KAGE for appropriate obesity clinic patients.
Biofeedback Therapy
For anorectal motility disorders, dyssynergic defecation, and IBS with defecatory dysfunction — non-pharmacological, non-invasive retraining of pelvic floor muscles using real-time physiological feedback.
Conclusion
Experience Hyderabad's most advanced gastroenterology at KAGE, KIMS Hospitals, Secunderabad. Call: +91-7288842255
Frequently Asked Questions
KAGE is distinguished by: the depth of its advanced endoscopic capability (POEM, ESD, EMR, ARMA, GERDx, SpyGlass, EUS-guided procedures); equipment quality (Olympus X1 HD and Fuji ELUXEO 7000); DM-qualified specialist gastroenterologists with published research; dedicated specialty clinics (IBD, Pancreas, Motility, Liver, Alcohol, Corrosive Injury, Women's GI, Obesity); and Dr. Sreekanth Appasani's 20+ years of interventional gastroenterology expertise.
Yes — POEM (Peroral Endoscopic Myotomy) for achalasia is available at KAGE, KIMS Hospitals, Secunderabad, Secunderabad. It is performed by Dr. Sreekanth Appasani — one of Hyderabad's most experienced POEM operators.
Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical weight loss procedure — a suturing device passed through an endoscope reshapes the stomach from the inside, reducing its volume by approximately 60–70%, without any external incision or scar. It is suitable for patients with BMI 30–40 who have not responded to lifestyle modification alone. KAGE's Obesity Clinic evaluates suitability for ESG.
Yes — ESD (Endoscopic Submucosal Dissection) performed at KAGE allows complete resection of early-stage gastric and colorectal cancers that are confined to the mucosal layer — without surgery. This is only appropriate for carefully selected early-stage cancers confirmed by staging. Your KAGE gastroenterologist will advise whether endoscopic treatment is appropriate for your specific case.
Book a consultation at C/O Gastroenterology Dept, KIMS Hospitals, 1-8-31/1, Minister Road, Secunderabad, Hyderabad – 500003. Open Monday to Saturday, 9:00 AM to 5:30 PM. Call +91-7288842255. Your gastroenterologist will assess your case and recommend the most appropriate diagnostic and therapeutic approach.
