Dr Nnete Nimrod Mokhele

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Services includes :

• Gastroscopy: Dr Mokhele performs a gastroscopy by inserting an endoscope into the mouth and duodenum. The doctor conducts this procedure to diagnose and resolve gastrointestinal tract diseases, especially for those experiencing symptoms related to the gastrointestinal tract that include persistent stomach aches, vomiting, nausea and stomach ulcers. Dr Nnete Nimrod Mokhele uses tiny gastroscopic tools to treat benign polyps, bleeding ulcers, a constricted oesophagus, as well as small cancerous growths. In preparation of gastroscopy, the bowels need to remain empty, and Dr Mokhele will ensure that this is the case by ordering you stop eating six hours before the procedure. The doctor corrects narrowed regions by inserting a dilator to stretch the organ and through clipping, removes any obstruction.
• Colonoscopy: Dr Mokhele performs a colonoscopy by inserting the endoscope into the anus to view the inside of the rectum and colon to scan for polyps or other abnormalities. People who have a history of colon cancer, nonpolyposis colorectal cancer as well as Crohn's disease should undergo a colonoscopy to diagnose or rule out these conditions. Dr Nnete Nimrod Mokhele will recommend a colonoscopy for people suffering from a gastrointestinal illness that manifests in symptoms of stomach pain, vomiting, rectal bleeding including chronic diarrhoea and constipation. Any abnormalities or polyps found during the colonoscopy will be removed for biopsy to diagnose conditions related to gastrointestinal tract diseases. Once a diagnosis is confirmed, Dr Mokhele can commence systematic treatment to enhance and improve your quality of life.
• Retrograde Cholangiogram and Pancreaticogram: Dr Nnete Nimrod Mokhele performs an endoscopic retrograde cholangiopancreatography (ERCP) examining the bile and pancreatic ducts responsible for transporting digestive juices from the pancreas and liver to the intestines. Dr Mokhele performs an ERCP to diagnose conditions affecting the gallbladder, bile system, pancreas and liver. These conditions are related to gallstones, strictures or leaks as well as cancer of the pancreas, bile ducts or liver. Patients undergoing an ERCP will have to stop eating eight hours before the procedure and will be given a laxative to clean out the system. Dr Nnete Nimrod Mokhele performs an ERCP by first administering an oral anaesthetic spray numbing the throat and then inserts an endoscope through the mouth, down the oesophagus, into the stomach and upper region of the small intestine. He then inserts a catheter into the bile duct where the catheter releases a contrast dye providing an internal view of the bile system during X-ray to diagnose any related condition. Gallstones, if found, will be removed endoscopically and the placement of stents will keep the bile ducts open assisting with the flow of digestive juices.
• Capsule endoscopy: Unlike most endoscopies, providing specific views of the lower and upper gastrointestinal tract, a capsule endoscopy offers a complete view of the tract to determine the cause of gastrointestinal bleeding, screening for benign polyps or cancer-causing growths and diagnoses gastrointestinal diseases. It's essential to clean out the bowel at least twelve hours before the capsule endoscopy so that the camera captures high-quality images. Before the endoscopy, there’s the placement of adhesive patches on the stomach that’s responsible for recording the camera’s data. Inside the vitamin-sized capsule is a camera that captures hundreds of pictures of the inside of the gastrointestinal tract. As soon as the capsule is flushed after eight hours, Dr Nnete Nimrod Mokhele will analyse the images, confirming a diagnosis and formulate possible treatment measures.
• Radiofrequency ablation: Through radiofrequency ablation (RFA), Dr Mokhele burns the gastrointestinal tract lining to destroy growths. Barrett’s oesophagus, often a result of chronic gastro-oesophageal reflux disease (GERD) can develop into cancer. Gastric antral vascular ectasia (GAVE), commonly known as "Watermelon Stomach," characterised by the stomach lining’s runny stripes, similar to that of a watermelon, can be precancerous if left untreated. Through ablation, tissue abnormalities lining the stomach are destroyed, and it's through this procedure that Dr Mokhele reduces the risk of cancer. As compared to other treatments, radiofrequency ablation offers the best results when it comes down to resolving abnormal cells from Barrett’s oesophagus and abnormal red blood cells from gastric antral vascular ectasia.
• Percutaneous gastrostomy tube feeding: Dr Nnete Nimrod Mokhele performs a percutaneous gastrostomy by placing a PEG tube into the abdominal wall. The tube assists in feeding medication, fluids and nutrition directly to the stomach without passing through the mouth and oesophagus. This procedure is applied in cases where people have trouble swallowing because of a stroke or are sedated and unable to eat. Depending on the situation, Dr Mokhele will insert the tube endoscopically or refer you to a specialised surgeon to surgically insert the tube. Dr Mokhele performs the procedure by inserting an endoscope in the mouth through the oesophagus. The camera at the end of the instrument provides images of the lining of the gastrointestinal tract locating the site for the placement of the tube.
• Nasojejunal tube placement: Nasojejunal tube placement involves threading a tube into the jejunum feeding medications, fluids and nutrition into the small intestine without passing through the mouth. Patients who cannot eat because of a stomach dysfunction from pervasive refusal syndrome or severe reflux are required to undergo nasojejunal tube placement. Before this procedure, Dr Mokhele will ensure that your bowels are empty by instructing you to stop eating eight hours before the tube placement and prescribe a laxative to flush out the colon. Nasojejunal tube placement involves the insertion of the tube through the nostril while in an upright position. It is fitted in the upper region of the small intestine with X-rays to help guide the tube in the right place. Dr Mokhele works closely with the dietician prescribing essential feeding formula to ensure the patient receives proper nutrition.
• Interventional endoscopy: An emergency endoscopy is performed in cases of severe gastrointestinal bleeding as a result of portal hypertension and abdominal bleeding from the rupturing of an ulcer or lesion. Besides severe gastrointestinal bleeding, an emergency endoscopy is conducted to remove foreign bodies or corrosive chemicals as well as an obstruction in the oesophagus. When compared to traditional open surgery, interventional endoscopy has fewer complications and results in a faster recovery. Dr Mokhele conducts an interventional endoscopy to diagnose, manage and treat large polyps, gallstone and gastric stomach diseases. He also performs an emergency endoscopy to diagnose and treat pancreatic cysts as well as oesophageal diseases such as achalasia
• Argon plasma coagulation: Argon plasma coagulation (APC) is a form of intervention for severe bleeding emergencies and is performed in cases of trauma, gastric antral vascular ectasia (GAVE) or angiodysplasias. APC enables a stream of electrons to flow along argon gas and coagulation, similar to monopolar cautery that bears a resemblance to the laser method ensures the current flow from a high to low current density. In a case of emergency, the APC technique involves the use of argon gas to transport plasma composed of equally distributed thermal energy to damaged gastrointestinal tissue. This technique is fast in terms of treating several lesions and is often resorted to when the injury is not accessible for an endoscopy or is not in view for further endoscopic investigation.