Advanced Gut and Liver Care by a
Renowned Endoscopy Specialist in Ludhiana

Dr. Rajiv Grover, a top-notch gastroenterologist in Ludhiana, offers a comprehensive suite of advanced diagnostic and therapeutic interventions. With a landmark record of 110,000+ successful diagnostic and therapeutic procedures and counting, he is considered a leading authority in painless and memory-less endoscopy and colonoscopy in the region. His expertise spans the most complex gastrointestinal and hepatobiliary interventions, including EUS-guided therapies, ERCP, SpyGlass Cholangioscopy, and high-resolution Manometry.

Dr. Rajiv Grover’s Procedures Portfolio

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Upper GI Endoscopy

Dr. Rajiv Grover expertly performs painless and memory-less upper GI endoscopies for the precision-led diagnosis and treatment of complex digestive problems. In these procedures, a long, flexible endoscope tube with a tiny light and high-definition camera is used to visualize the upper gastrointestinal tract (the food pipe/ esophagus, stomach, and duodenum), helping diagnose the challenge. For functional and therapeutic purposes, small tools are attached along with the endoscope to stop bleeding, extract foreign objects, inject fluid, or take tissue samples.

Conditions UGI Endoscopy is used for:

  • GERD & IBD diagnosis
  • Dysphagia & weight loss inspection
  • Upper GI bleed management
  • Removing strictures & blockages
  • Inflammation & ulcer management
  • Tumour & polyps’ removal

Colonoscopy

Dr. Rajiv Grover leverages painless and memory-less colonoscopies for the preventive screening, diagnosis, and treatment of complex colorectal challenges. In these procedures, a long, flexible endoscope tube with a tiny light and high-definition camera is used to visualize the lower gastrointestinal tract (the colon/ large intestine, rectum, anus, and end of the small intestine), helping diagnose the challenge. For therapeutic purposes, small tools are attached along with the colonoscope to take tissue samples, remove objects and polyps, or seal wounds.

Conditions Colonoscopy is used for:

  • IBD & Diverticulosis diagnosis
  • Bowel changes inspection
  • Rectal bleed management
  • Colorectal cancer screening
  • Inflammation & infection management
  • Colorectal polyps & tumour removal

High-Resolution Manometry (HRM)

Dr. Rajiv Grover, a leading digestive disease specialist in Ludhiana, utilizes High-Resolution Manometry (HRM) for the precision-led assessment of gastrointestinal function and motility (motor function). This gold-standard diagnostic method utilizes advanced high-density sensors to track real-time muscular contractions and pressure changes within the digestive tract, converting complex physiological data into an accurate, color-coded topographical pressure map.

Conditions HRM is used for:

  • Dysphagia & Achalasia Cardia
  • Non-cardiac chest pain
  • Rumination syndrome & regurgitation
  • Lower esophageal sphincter (LES) functioning
  • Chronic & refractory constipation
  • Fecal incontinence
  • Pelvic floor dyssynergia
  • Hirschsprung's disease evaluation

24-Hour pH Impedance Metry

Dr. Rajiv Grover uses 24-hour pH Impedance Metry, the most advanced and definitive method available to accurately diagnose and evaluate GERD. A thin, flexible catheter (tube) guided into the stomach through the nose to pick up changes in acidity across the entire length of the food pipe. The catheter is placed for a period of 24 hours while the patient eats, sleeps, drinks, and performs daily activities to capture real-time data on acid levels and correlate symptoms with specific reflux events. Unlike standard tests, it helps monitor both acid & non-acid reflux over a complete 24-hour cycle.

Conditions 24-Hour pH Impedance Metry is used for:

  • Diagnosing GERD
  • Non-acid reflux detection
  • Evaluating atypical symptoms:
  • Chest pain
  • Chronic heartburn
  • Cough
  • Hoarseness
  • Pre-surgical mapping

ERCP for CBD Stone Removal

Dr. Rajiv Grover, a distinguished ERCP specialist in Ludhiana, leverages this highly specialized technique for the precision-led location and safe removal of Common Bile Duct (CBD) stones. It avoids the need for open surgery by using a flexible endoscope and real-time X-ray guidance to access the biliary system through the patient’s mouth under sedation. A small, precise incision is made to open the duct, allowing stones to be swept out using specialized baskets or balloons. Given its minimally invasive nature, ERCP typically allows for faster recovery and a significantly lower risk of infection compared to surgical alternatives, especially when performed like trusted experts like Dr. Grover.

Conditions ERCP for CBD Stone Removal is used for:

  • CBD stone extraction
  • Immediate relief from biliary obstructions
  • Stenting for blockages to prevent cholangitis
  • Biliary & pancreatic drainage & stenting
  • Relieving jaundice, pain & inflammation
  • Acute pancreatitis management

Spyglass Cholangioscopy

Dr. Rajiv Grover is a premier regional specialist in the use of Spyglass Cholangioscopy for the efficient and effective visualization, diagnosis, and treatment of pancreatic and biliary conditions. This novel technique is the gold standard for complex cases where even ERCP is insufficient as it allows the direct HD visualization and examination of the biliary system using a spyglass scope. The fibre-optic scope is inserted during an ERCP procedure for a 360-degree view of the duct walls, enabling the doctor to perform precision irrigation, flushing the system of debris and breaking down ‘unreachable’ stones.

Conditions Spyglass Cholangioscopy is used for:

  • Large, complex bile duct stones
  • Targeted tissue biopsies
  • Complex biliary drainage & stenting
  • Chronic pancreatitis management
  • Stricture treatment
  • Diagnosis of obscure bile duct bleeding

EUS-Guided Pseudocyst Drainage

Dr. Rajiv Grover is a regional authority in the use safe and effective use of EUS (Endoscopic Ultrasound) for treating fluid collections and pseudocysts near the pancreas – often a painful complication caused by acute/ chronic pancreatitis. In this minimally invasive procedure, the doctor identifies the safest and best puncture site using real-time EUS guidance, followed by the creation of a precise tract into the cyst, dilation, and placement of specialized stents for fluid draining. When performed by an expert, this procedure has a lower complication and higher success rate, replacing the need for surgery.

Conditions EUS-Guided Pseudocyst Drainage is used for:

  • Large, complex bile duct stones
  • Targeted tissue biopsies
  • Complex biliary drainage & stenting
  • Chronic pancreatitis management
  • Stricture & gastric outlet obstruction treatment
  • Diagnosis of obscure bile duct bleeding

POEM for Achalasia Cardia

Dr. Rajiv Grover, one of the best gastroenterologists in Ludhiana, expertly leverages Peroral Endoscopic Myotomy (POEM) for the treatment of Achalasia Cardia and complex swallowing disorders. During the procedure, the doctor safely cuts the tightened / spasm-prone muscles in the esophagus by creating a microscopic tunnel within the esophageal wall. Unlike Heller Myotomy, the peroral (through the mouth) approach ensures zero external incisions and faster recovery. This procedure ensures improved eating by addressing the root causes of swallowing difficulties, chest pain & weight loss. 

Conditions Peroral Endoscopic Myotomy (POEM) is used for:

  • Achalasia Cardia
  • Esophageal Motility Disorder
  • Jackhammer Esophagus
  • Distal Esophageal Spasm
  • Chronic swallowing obstruction
  • Failed prior treatments

Polypectomy

Dr. Rajiv Grover specializes in the use of this vital, non-invasive procedure to remove polyps (abnormal tissue growth on the inside of organs) from the colon, stomach, or gallbladder.  Though polyps are usually benign, they could be cancerous or precancerous, making polypectomy an extremely critical tool for proactive cancer screening and prevention. Typically performed during a colonoscopy or endoscopy, it is a painless intervention where polyps are removed in real-time. It eliminates the internal source of uncontrolled bleeding, pain, pressure on organs, and bowel irregularities, ensuring lasting pain.

Conditions Polypectomy is used for:

  • Polyps’ removal from colon/ stomach/ gallbladder
  • Cancer screening & prevention (Colorectal, stomach, gallbladder)
  • Uncontrolled/ unexplained rectal bleeding
  • Blockages in intestines/ bile duct
  • Symptomatic polyp relief
  • Bowel irregularities

Esophageal Stricture Dilatation

Dr. Rajiv Grover expertly utilizes this minimally invasive, outpatient procedure to widen a stricture (narrowed segment of the esophagus). The procedure gently stretches the scarred or tightened muscles by inserting balloon dilators or bougies in the narrowed area, guided into the food pipe using a HD endoscope. Depending on the severity and complexity, more than one session may be required to gradually perform the dilation and achieve desired functional diameters. With high success rates and effective long-term relief, it helps address complex swallowing difficulties and allows food to pass through more easily.

Conditions Esophageal Stricture Dilatation is used for:

  • Peptic strictures
  • Achalasia Cardia
  • Dysphagia (difficulty swallowing)
  • Regurgitation & chronic acid reflux
  • Odynophagia (painful swallowing)
  • Esophageal scarring or inflammation

Esophageal/ Duodenal/ Colonic Metallic Stenting (SEMS)

Dr. Rajiv Grover, a highly respected interventional gastroenterologist in Ludhiana, expertly alleviates obstructions within the gastrointestinal tract (esophagus, duodenum, colon) that are caused by advanced strictures or cancer. During the procedure, Self-Expandable Metallic Stents (SEMS) are inserted via endoscopy or colonoscopy to hold open the structure of the tract. It is a transformative therapeutic tool, often used in palliative care, to help restore normal eating and bowel movements for patients without the need for major invasive surgery. 

Conditions Esophageal/ Duodenal/ Colonic Metallic Stenting (SEMS) is used for:

  • GI cancer symptoms
  • Dysphagia (difficulty swallowing)
  • Colorectal obstructions
  • Fistula and perforations
  • Gastric outlet obstructions
  • Biliary strictures and obstructions

Endoscopic Variceal Band Ligation (EVL)

Dr. Rajiv Grover, a highly accomplished painless endoscopy doctor in Ludhiana, leverages Endoscopic Variceal Band Litigation (EVL) to treat esophagal varices – abnormally enlarged, fragile veins in the food pipe that pose a high risk of life-threatening haemorrhage. During the painless endoscopic intervention, the doctor identifies and places small rubber bands around the high-risk varices to stop the blood flow to them, causing them to safely shrink and fall off eventually. EVL is one of the most effective methods to control active bleeding and prevent future complications in patients with portal (liver-related) hypertension.

Conditions Endoscopic Variceal Band Ligation (EVL) is used for:

  • Acute variceal bleeding
  • Recurrent bleeding
  • Prophylactic banding
  • Portal hypertension caused by:
  • Cirrhosis
  • Alcoholic liver disease
  • Hepatitis B & C
  • Non-alcoholic fatty liver disease (NAFLD)

OVESCO Application for Bleeding Gastric/ Duodenal Ulcers

Dr. Rajiv Grover utilizes the highly innovative OVESCO (Over the Scope) Clipping System to effectively stop bleeding gastric and duodenal ulcers that do not respond to traditional methods. The doctor mounts the clip on the tip of the endoscope and applies it using high suction or specialized anchors. By providing significantly more strength and better tissue capture, it ensures superior compression of the bleeding vessel. It acts are an extremely effective rescue strategy for rapidly and precisely controlling bleeding while preventing the risks of haemorrhage & septic shock in emergencies.

Conditions OVESCO Application is used for:

  • Gastric/ duodenal ulcer bleeding
  • Ulcers in difficult locations
  • Large, high-risk ulcers
  • Non-variceal upper GI bleeding
  • High-risk lesions & perforations
  • Post-operative complications

Gastric Varix Glue Injection Therapy

Dr. Rajiv Grover expertly leverages Endoscopic Glue Injection (Cyanoacrylate Therapy) to treat gastric varices (abnormally enlarged veins in the stomach lining) that are often more complex to treat than esophageal varices. It is a specialized, lifesaving emergency procedure wherein the doctor directly injects the medical adhesive into the bleeding varix using a fine needle through an endoscope. The glue instantly hardens upon contact with blood, effectively plugging the vein, stopping hemorrhage immediately, and causing the vessel to safely diminish.

Conditions Gastric Varix Glue Injection Therapy is used for:

  • Acute gastric bleeding
  • Complex portal hypertension
  • Isolated gastric varices
  • Recurrent upper GI bleeding
  • Failed esophageal banding
  • Gastroesophageal varices

Argon Plasma Coagulation (APC) of GAVE/ Radiation Colitis

Dr. Rajiv Grover is a regional authority in the use of Argon Plasma Coagulation (APC), an endoscopic non-contact laser therapy for the effective management of chronic GI bleeding, tumour debulking, and treatment of vascular abnormalities. Performed during a painless endoscopy or colonoscopy, this procedure uses ionized argon gas to create scars or clots that stop internal bleeding uniformly even across a broad surface area and remove growths without the need for surgery. It is an exceptionally safe therapy for the fragile and thin-walled parts of the digestive tract as it doesn’t touch the tissue directly.

Conditions Argon Plasma Coagulation (APC) Laser is used for:

  • Gastric Antral Vascular Ectasia (GAVE)
  • Radiation Colitis
  • Chronic GI/ rectal bleeding
  • GI tumours
  • Vascular abnormalities in the GI tract
  • Post-polypectomy

Endoscopic Band Ligation (EBL) for Haemorrhoids

Dr. Rajiv Grover, a highly accomplished colonoscopy doctor in Ludhiana, leverages Endoscopic Band Litigation (EVL) to expertly treat internal haemorrhoids. During a routine, painless colonoscopy procedure, the doctor uses a flexible colonoscope to accurately visualize the haemorrhoid and securely pull into a barrel by securing its base with a tiny rubber band. By cutting off the blood supply, it causes the bleeding piles to eventually shrink and fall off. It is one of the safest and most effective alternatives to a rigid proctoscopy and traditional surgery with lesser pain, discomfort and complications.

Conditions Endoscopic Band Ligation (EBL) is used for:

  • Grade II & III Internal Haemorrhoids
  • Chronic rectal bleeding
  • Post-surgical recurrence
  • Colonic Diverticular Hemorrhage (CDB)
  • Rectal varices
  • Non-variceal bleeding

Percutaneous Endoscopic Gastrostomy (PEG)

Dr. Rajiv Grover utilizes Percutaneous Endoscopic Gastrostomy (PEG) to offer long-term, secure nutrition and hydration solutions to patients with advanced illness or neurological conditions. Guided entirely by an endoscope, the doctor places a feeding tube into the patient’s stomach during the procedure. With just a small abdominal incision, it helps avoid the risks of major abdominal surgery while providing a direct route for medications, nutrition and fluids. PEG tube placement significantly improves the quality of life and nutritional status of patients who are unable to chew, swallow, or drink on their own.

Conditions Percutaneous Endoscopic Gastrostomy (PEG) is used for:

  • Trauma or head injuries
  • Stroke
  • Head and neck cancers
  • Prolonged coma
  • Reduced consciousness
  • Parkison’s Disease