Information By Dr. Shrihari Anikhindi – Consultant Gastroenterologist, Sir Ganga Ram Hospital, New Delhi
Dr. Shrihari Anikhindi
Best gastroenterologist in Delhi
MBBS, MD (Medicine), DrNB (Gastroenterology), SCE (UK), MNAMS
Consultant Gastroenterologist
Sir Ganga Ram Hospital, New Delhi
Assistant Professor, GRIPMER
When it comes to diagnosing gastrointestinal (GI) conditions, the two most commonly recommended diagnostic tools are endoscopy and medical imaging techniques such as CT scans, MRIs, or ultrasounds. But how do you know which one is right for you?
Let’s break down the differences, benefits, and scenarios where each option plays a critical role in diagnosis—so you can better understand what your doctor recommends.
Understanding Endoscopy
Endoscopy is a minimally invasive diagnostic procedure that uses a flexible tube with a camera (called an endoscope) to directly visualize the digestive tract. It can be used to examine the esophagus, stomach, colon, small intestine, and even bile ducts depending on the type of endoscopy performed.
Upper GI Endoscopy – for issues like acid reflux, ulcers, or difficulty swallowing.
Colonoscopy – for screening colon polyps, rectal bleeding, and colon cancer.
Sigmoidoscopy – for examining the lower part of the colon.
Endoscopic Ultrasound (EUS) – combines ultrasound with endoscopy for detailed internal imaging.
What is Medical Imaging?
Imaging techniques like CT scans, MRI, and ultrasound offer non-invasive internal views of organs and tissues. They are helpful in detecting structural abnormalities, tumors, inflammation, or complications involving multiple organ systems.
Common Imaging Tools in Gastroenterology:
Ultrasound – ideal for liver, gallbladder, or pancreas evaluation.
CT Scan (Computed Tomography) – detailed cross-sectional images for emergency diagnostics or tumors.
MRI (Magnetic Resonance Imaging) – useful for soft tissue imaging, especially for liver and pancreas.
When to Choose Endoscopy
You may need an endoscopy when:
You’re experiencing chronic digestive symptoms like heartburn, bloating, rectal bleeding, or unexplained weight loss.
Tissue biopsy is required to rule out conditions like cancer, celiac disease, or H. pylori.
Therapeutic intervention is needed—such as polyp removal, banding of bleeding vessels, or dilation of strictures.
👉 Dr. Shrihari Anikhindi, one of the best gastroenterologists in Delhi, routinely performs advanced endoscopic procedures for accurate and targeted treatment.
When Imaging is More Appropriate
Imaging is recommended when:
A broad overview of abdominal structures is required.
There is suspicion of organ enlargement, liver cirrhosis, tumors, or inflammation beyond the reach of an endoscope.
For non-invasive follow-ups in chronic conditions such as fatty liver disease or gallbladder stones.
Endoscopy vs Imaging – Quick Comparison
| Feature | Endoscopy | Imaging |
|---|---|---|
| Direct Visualization | Yes | No |
| Tissue Biopsy | Yes | No |
| Non-Invasive | Minimally invasive | Fully non-invasive |
| Best for | Mucosal diseases, GI bleeding | Organ-level changes, inflammation |
| Therapeutic Use | Yes (can treat during test) | No (diagnostic only) |
Expert Opinion from Dr. Shrihari Anikhindi
Both endoscopy and imaging have distinct roles in gastroenterology. As a physician, I often recommend endoscopy when we need precise insight into the inner lining of the gut or need to treat during diagnosis. Imaging works best when the concern is structural or system-wide. The key is choosing the right tool based on the patient’s symptoms and clinical presentation.
If you’re unsure which test is suitable for you, consult with the best gastroenterologist in Delhi—Dr. Shrihari Anikhindi—for a personalized evaluation.
Final Thoughts
Understanding the difference between endoscopy and imaging empowers patients to participate actively in their healthcare decisions. Both are powerful tools, and the best outcomes are achieved when they’re used strategically and in combination when needed.
Need Expert GI Evaluation in Delhi?
Whether you need a screening endoscopy or an imaging referral, Dr. Shrihari Anikhindi and the Medigest Clinic team provide advanced, compassionate care for all your digestive concerns.
Book a consultation today at drshriharianikhindi.com or visit medigest.in