About Dr. Rajesh

Dr Rajesh Kumar Paramasivam

CONSULTANT GASTROENTEROLOGIST, HEPATOLOGIST & PHYSICIAN

SPECIALTY 
Gastroenterology & Hepatology

QUALIFICATIONS 
MD , MRCP (Glasgow) , Fellowship Gastroenterology (MAL, AUS) , Fellowship Interventional Endoscopy (Bangkok, Mumbai)

SUITE NUMBER 
Level G - G2

SPOKEN LANGUAGE 
English, Malay, Tamil

PRIMARY FOCUS

  • Gastrointestinal Disease
  • Hepatobiliary and Pancreatic Malignancies
  • Managing Common Luminal Conditions (involving Gastroscopy, Colonoscopy, Capsule Endosocopy)
  • Liver Related Disease
  • Interventional Endoscopy involving Endoscopic Retrograde Cholangiopancreatography (ERCP) in Biliary Malignancies and Stones
  • Endoscopic Ultrasound (EUS) in Pancreatic Cancer Diagnosis and Staging

MEMBERSHIP OF PROFESSIONAL BODIES/ASSOCIATIONS

  • Malaysian Academy of Medicine
  • Malaysian Society of Gastroenterology
  • Asia Pacific Advance Network
  • Special Interest Group in Colorectal Cancer Screening in Malaysia

SKILLS

  • Advance therapeutic endoscopy
    • ERCP
      • Biliaryendotherapy: stenting (metal and plastic) for beningn and malignant CBD lesions, stone removal and stricture dilatation
      • Pancreatic endotherapy: stenting, stone removal, stricture management
    • EUS
      • Radial EUS
        • Sub mucosal lesion assessment in esophagus,stomach and duodenum
        • EUS oncology staging: Ca esophagus, Ca stomach, Ca Pancreas, periampullarytumors, Ca gall bladder and  cholangiocarcinoma
        • Endoanal ultrasound for Ca rectum staging and flat rectal lesions
    • Linear EUS
      • Fine needle aspiration of submucosal lesions, pancreatic lesions, indeterminate bile duct strictures, gall bladder tumors, periampullarytumors
      • Fine needle aspiration of malignant lymph nodes: mediastinum, peri-pancreatic, peri-choledochal and celiac
      • Celiac plexus block and neurolysis
      • Pseudocyst drainage
    • Future Interest
      • Rendezvous biliary cannulation
      • Choledocho-duodenostomy
      • Hepatico-gastrotomy
  • Endoscopic Mucosal Resection
  • Colonic stent placement
  • Esophageal stent placement
  • Duodenal stent placement
  • Percutaneous gastrostomy (PEG) tube placement
  • Variceal banding and histoacryl injections
  • Bleeding gastric and colonic ulcers endotherapy (clips and thermal)
  • Stricture dilatations
  • Intragastric balloon insertion

 

  • Luminal and functional gastroenterology disorders
    • Gastroscopy
    • Colonoscopy
    • Manometry and impedance
    • Capsule endoscopy
    • Argon plasma coagulation (APC) application
    • Management of upper, small bowel and lower gastrointestinal diseases
    • IBD management
       
  • Hepatology
    • Management of hepatitis B, C and co-infection
    • Management of hepatocellular carcinoma
    • Management of metabolic and autoimmune liver diseases
       
  • Bariatric Medicine
    • Modulation of comprehensive weight loss programme
    • Placement of Intra-gastric balloon
       
  • Internal Medicine
    • Management of respiratory, endocrine, cardiovascular, renal and neurological disorders of intermediate complexity