Dr. Balaji Laxminarayanshetty

Dr Balaji Laxminarayanshetty is a Consultant in Medical Gastroenterology in Bangalore with 19 years of experience in interventional endoscopy, ERCP, endoscopic ultrasonography, pancreatobiliary diseases, inflammatory bowel disease, liver diseases, and third space endoscopy.

He holds a DM in Gastroenterology from the Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, one of India's foremost government medical institutions, along with an MD in General Medicine from PGIMER, and completed a Senior Research Associateship with Advanced Endoscopy Training at PGIMER for one year.

Patients seeking expert gastroenterologist in Bangalore, trusted ERCP and EUS in Whitefield, or advanced pancreatitis and IBD treatment in Bangalore will find Dr Laxminarayanshetty at Manipal Hospital, Whitefield, Bangalore.

He consults in English, Hindi, Kannada, Telugu, Punjabi, and Malayalam.

Specialty Areas and Treatments

Dr Balaji Laxminarayanshetty's clinical practice spans interventional endoscopy, advanced ERCP and EUS, pancreatobiliary diseases, inflammatory bowel disease, liver diseases, and third space endoscopy for achalasia cardia.

Advanced Endoscopy in Whitefield

Advanced interventional endoscopy is the primary clinical focus for Dr Laxminarayanshetty. He is skilled in the complete range of complex diagnostic and therapeutic endoscopic procedures:

• Diagnostic Upper GI Endoscopy for oesophageal, gastric, and duodenal pathology
• Diagnostic Colonoscopy for colonic and terminal ileal evaluation
• Therapeutic Endoscopy haemostasis, polypectomy, and dilation
• Narrow Band Imaging (NBI) Endoscopy for microscopic colitis and targeted biopsies with published research
• Oesophageal Stricture Dilation with intralesional steroid augmentation with published research
• EUS Miniprobe for predicting endotherapy outcomes in benign oesophageal strictures with published research
• Haemorrhoid Treatment endoscopic and procedural management

ERCP and Pancreatobiliary Endoscopy in Bangalore

ERCP and pancreatobiliary endoscopy are a focused clinical and research subspecialty for Dr Laxminarayanshetty developed through his PGIMER training and Senior Research Associateship:

• ERCP (Endoscopic Retrograde Cholangiopancreatography) for CBD stones, biliary strictures, and pancreatic duct pathology
• EUS-Guided Biliary Intervention for biliary drainage with published safety and efficacy data
• CBD Stone Removal endoscopic sphincterotomy and stone extraction
• Biliary Stricture Management plastic and metal stent placement
• Cholangioscopy direct visualisation of bile ducts
• Pancreatic Duct Interventions stenting for chronic pancreatitis and strictures
• Gallbladder Stone Treatment medical evaluation and endoscopic management coordination

Pancreatitis and Pancreatic Fluid Collections in Whitefield

Pancreatitis and pancreatic fluid collection management is a major research area for Dr Laxminarayanshetty with multiple publications in Pancreatology and Expert Review of Gastroenterology and Hepatology:

• Acute Pancreatitis medical management and step-up approach
• Walled-Off Necrosis (WON) EUS-guided drainage with published comparative analysis vs percutaneous drainage
• EUS-Guided Drainage of Pancreatic Fluid Collections stent selection in infected WON with published research
• Percutaneous Catheter Drainage of Acute Pancreatitis predictors of outcome with published predictive model
• Extrapancreatic Necrosis site and size outcomes with published research in Pancreatology
• Infected Pancreatic Fluid Collections outcomes after drainage with published data
• Chronic Pancreatitis endoscopic and medical management
• Direct Endoscopic Necrosectomy for infected WON

Third Space Endoscopy in Bangalore

Third space endoscopy is a specialised area of clinical interest for Dr Laxminarayanshetty confirmed through his LinkedIn skills and PGIMER training:

• POEM (Per-Oral Endoscopic Myotomy) for achalasia cardia
• Achalasia Cardia Management POEM and other endoscopic approaches
• Submucosal Tunnelling Endoscopic Resection (STER) for submucosal tumours

Inflammatory Bowel Disease in Whitefield

IBD is a dedicated clinical interest for Dr Laxminarayanshetty with published research on microscopic colitis, abdominal tuberculosis, and IBD-related conditions:

• Ulcerative Colitis induction and maintenance therapy
• Crohn's Disease medical management and endoscopic evaluation
• Microscopic Colitis NBI evaluation and targeted biopsies with published research
• Oro-Cecal Transit Time and Lactose Intolerance in Microscopic Colitis with published research
• Abdominal Tuberculosis vs Crohn's Disease differentiation and management
• Intestinal Tuberculosis Diagnosis Xpert Mtb/Rif for ileocecal ulcers with published research
• Use of Steroids for Abdominal Tuberculosis systematic review and meta-analysis published in Infection 2019

Liver Diseases and Ascites in Bangalore

• Chronic Liver Disease medical management
• Ascites Management therapeutic paracentesis and medical therapy
• Spontaneous Bacterial Peritonitis (SBP) Prophylaxis antibiotic comparison with published systematic review and Bayesian network meta-analysis in Gut and Hepatology International
• Hepatocellular Carcinoma evaluation and management coordination
• Fatty Liver Disease diagnosis and lifestyle management

General Gastroenterology in Whitefield

• GERD and Peptic Ulcer Disease medical management
• Gastritis and IBS diagnosis and treatment
• Intestinal Obstruction evaluation and management
• Gastrointestinal Bleeding upper and lower GI haemostasis
• Anti-Tubercular Therapy Hepatitis reintroduction regimens with published network meta-analysis

Qualifications

• MBBS from Sri Siddhartha Medical College and Research, Tumakur (2007)
• MD General Medicine from Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh (2012)
• DM Gastroenterology from Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh (2018)
• Senior Research Associateship and Advanced Endoscopy Training, PGIMER, Chandigarh (January 2019 to December 2019)

Dr Laxminarayanshetty holds active medical council registration with the Karnataka Medical Council (Reg. No. 76848, 2007).

Awards and Recognitions

• International Travel Grant to present research at APDW (Asia Pacific Digestive Disease Week) 2018, Seoul, South Korea
• Faculty for Hands-On Training in Advanced Endoscopy at 3rd PGI-GI Emergency Update 2019, Chandigarh
• Oral Presentations at multiple national and international gastroenterology conferences
• Media contributor on bloating, belching, and burping featured on HealthShots via Manipal Hospitals platform

Research and Publications

Dr Laxminarayanshetty has 21 peer-reviewed publications with 291 citations in indexed national and international gastroenterology journals:

• Endoscopic Drainage versus Percutaneous Drainage for the Management of Infected Walled-Off Necrosis: A Comparative Analysis, Expert Review of Gastroenterology and Hepatology, March 2022
• Endoscopic Ultrasound-Guided Drainage of Patients with Infected Walled-Off Necrosis: Which Stent to Choose?, Surgical Laparoscopy Endoscopy and Percutaneous Techniques, March 2022
• Antibiotics for Prophylaxis of Spontaneous Bacterial Peritonitis: Systematic Review and Bayesian Network Meta-Analysis, Hepatology International, April 2020
• Risk of Hepatitis with Various Reintroduction Regimens of Anti-Tubercular Therapy: A Systematic Review and Network Meta-Analysis, Expert Review of Anti-Infective Therapy, January 2020
• Utility of Tissue Xpert-Mtb/Rif for the Diagnosis of Intestinal Tuberculosis in Patients with Ileocolonic Ulcers, Therapeutic Advances in Infectious Disease, August 2019
• Predictors of Outcome of Percutaneous Catheter Drainage in Patients with Acute Pancreatitis Having Acute Fluid Collection and Development of a Predictive Model, Pancreatology, June 2019
• Comparison of Antibiotics for Primary and Secondary Prophylaxis of Spontaneous Bacterial Peritonitis: Systematic Review and Network Meta-Analysis with Bayesian Approach, Gut, June 2019

Hospital Affiliations in Bangalore

Current Practice

Dr Balaji Laxminarayanshetty currently serves as Consultant, Medical Gastroenterology at Manipal Hospital, Whitefield, Bangalore, Rs 850.

Past Experience

• Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh as Senior Research Associate and Advanced Endoscopy Trainee (January 2019 to December 2019)

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