Dr Nana Sikharulidze


Dr. Nana Sikharulidze, born in 1984, is a dedicated healthcare professional with a diverse background in gastroenterology, family medicine, and general practice. Her journey in the field of medicine began at Batumi Shota Rustaveli State University, where she obtained her medical degree. Dr. Sikharulidze furthered her education at Kiev Shukin National Medical Academy, specializing in clinical ordinatury with a focus on gastroenterology.

Throughout her career, Dr. Sikharulidze has demonstrated a strong commitment to lifelong learning and professional development. In 2020, she pursued additional training in the field of family medicine, enriching her skills and expanding her scope of practice. Driven by her passion for providing comprehensive healthcare services, she has continuously sought opportunities to enhance her knowledge and expertise.

With a wealth of experience in both outpatient and inpatient settings, Dr. Sikharulidze has served in various capacities, at an outpatient center and as a family physician at the Batumi Sea Port. Her versatility and adaptability have allowed her to thrive in diverse medical environments, where she has made a positive impact on the lives of her patients.

During the challenging times of the COVID-19 pandemic, Dr. Sikharulidze stepped up to the forefront, serving as a frontline healthcare worker and COVID-19 doctor. With compassion and resilience, she provided essential medical care to patients affected by the virus, demonstrating her dedication to serving her community during times of crisis.

In addition to her clinical work, Dr. Sikharulidze is fluent in Russian, English, and Georgian, enabling her to effectively communicate with patients from diverse linguistic and cultural backgrounds. Her ability to connect with patients and provide personalized care in their preferred language contributes to a positive healthcare experience for all.

Driven by her commitment to excellence and patient-centered care, Dr. Nana Sikharulidze continues to make a difference in the lives of her patients every day. Whether she is diagnosing and treating gastrointestinal disorders, providing primary care services, or supporting patients on their journey to recovery, she approaches each interaction with empathy, professionalism, and dedication to improving overall health and well-being.

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Understanding the Role of Gastroenterologist in Digestive Health

Gastroenterology is a medical specialty focused on the diagnosis and treatment of disorders and diseases affecting the gastrointestinal (GI) tract, which includes the organs from the mouth to the anus involved in digestion and absorption of nutrients. These organs include the esophagus, stomach, small intestine, colon (large intestine), liver, gallbladder, and pancreas.

Gastroenterologists are doctors who specialize in gastroenterology. They undergo extensive training in internal medicine, followed by specialized training in gastroenterology. Their role includes:

1. **Diagnosis:** Gastroenterologists use various diagnostic procedures and tests to detect gastrointestinal disorders and diseases. These may include endoscopy (using a flexible tube with a camera to examine the gastrointestinal tract), colonoscopy (examination of the large intestine), imaging studies (such as MRI, CT scan, or ultrasound), and laboratory tests (blood tests, stool analysis). etc.).

2. **Treatment:** After diagnosis, gastroenterologists develop treatment plans tailored to the specific condition or disease. Treatment options may include medications, lifestyle changes, dietary changes, and sometimes surgery.

3. **Management:** Gastroenterologists often provide care for chronic gastrointestinal conditions such as inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), liver disease (such as hepatitis or cirrhosis). ) and pancreatic disorders, among others.

4. **Screening:** Gastroenterologists play a critical role in preventive medicine by recommending and performing screening tests for conditions such as colorectal cancer. Screening procedures such as colonoscopy can detect precancerous growths or early-stage cancers, improving the chances of successful treatment and reducing mortality.

5. **Research and Education:** Many gastroenterologists are involved in research aimed at improving our understanding of gastrointestinal disorders and developing new treatments. They also educate patients about their condition, preventative measures, and treatment options.

Overall, gastroenterologists are essential to promoting digestive health, diagnosing and treating gastrointestinal disorders, and improving the quality of life of individuals affected by these conditions.

Gastroenterologist | 24/7 Medical Services

Concierge Medical Center in Batumi provides comprehensive gastroenterology services, ensuring patients receive top-notch care for their digestive health needs. With a team of skilled gastroenterologists available around the clock, individuals can access medical assistance at any time, day or night.

Our dedicated doctors specialize in diagnosing and treating a wide range of gastrointestinal conditions, including but not limited to, irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), inflammatory bowel disease (IBD), and liver disorders. Whether you’re experiencing abdominal pain, persistent heartburn, or other digestive symptoms, our experts are here to provide accurate diagnosis and effective treatment options tailored to your specific needs.

At Concierge Medical Center, we prioritize personalized care, taking the time to listen to each patient’s concerns and develop individualized treatment plans that address their unique circumstances. We understand that navigating gastrointestinal health issues can be daunting, which is why we strive to offer compassionate support and guidance every step of the. way when it is needed to see the gastroenterologist.

Advancements in Gastroenterology: Exploring the Latest Innovations and Breakthroughs

Gastroenterology, the branch of medicine focused on the digestive system and its disorders, has witnessed significant advancements in recent years. From diagnostic technologies to therapeutic interventions, innovative approaches are transforming the field and improving patient outcomes. In this comprehensive guide, we’ll explore the latest innovations and breakthroughs in gastroenterology, covering advancements in diagnostics, treatments, and research initiatives.

1. Advanced Diagnostic Technologies:
a. Artificial Intelligence (AI) in Endoscopy: AI-driven image analysis algorithms are revolutionizing endoscopic procedures by enhancing lesion detection, characterization, and diagnosis. AI-based systems can analyze endoscopic images and videos in real-time, in identifying abnormalities such as polyps, tumors, and inflammatory lesions with greater accuracy and efficiency.

b. Enhanced Endoscopic Imaging: High-definition and high-magnification endoscopic imaging technologies, such as narrow-band imaging (NBI), chromoendoscopy, and confocal laser endomicroscopy (CLE), provide detailed visualization of mucosal surfaces and microscopic structures. These advanced imaging modalities improve lesion detection, delineation, and characterization during endoscopic examinations, facilitating early diagnosis and targeted therapy for gastrointestinal diseases.

c. Molecular Biomarkers: Biomarker-based diagnostic tests are emerging as valuable tools for early detection, risk stratification, and personalized management of gastrointestinal disorders. Molecular biomarkers, including genetic mutations, protein expression profiles, and microbial signatures, offer insights into disease pathogenesis, prognosis, and treatment response, guiding clinicians in making informed clinical decisions and optimizing patient care.

2. Therapeutic Innovations:
a. Endoscopic Therapies: Minimally invasive endoscopic techniques are increasingly used for the treatment of gastrointestinal conditions, offering alternatives to traditional surgical interventions. Endoscopic procedures such as endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic suturing enable the removal of precancerous lesions, palliation of obstructive tumors, and closure of gastrointestinal perforations with reduced morbidity and shorter recovery times.

b. Interventional Endoscopy: Interventional endoscopic procedures, such as endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), and endoscopic stenting, play a vital role in the management of pancreaticobiliary disorders, gastrointestinal bleeding, 

and luminal strictures. Advanced endoscopic techniques, including endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endoscopic retrograde cholangiopancreatography with pancreatoscopy (ERCP-P), enable precise tissue sampling and therapeutic interventions in challenging anatomical regions.

c. Therapeutic Microbiota Modulation: The gut microbiota plays a crucial role in maintaining gastrointestinal health and immune homeostasis. Therapeutic approaches targeting the gut microbiome, such as fecal microbiota transplantation (FMT), probiotics, prebiotics, and microbial metabolite supplementation,

 hold promise for the treatment of inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), and other gastrointestinal disorders. These interventions aim to restore microbial diversity, enhance microbial function, and mitigate disease-associated dysbiosis.

3. Research Initiatives and Clinical Trials:
a. Precision Medicine in Gastroenterology: Precision medicine approaches, leveraging genomic profiling, molecular phenotyping, and multi-omics analyses, are reshaping the landscape of gastrointestinal research and clinical practice. By elucidating the molecular mechanisms underlying disease pathogenesis and heterogeneity,

 precision medicine strategies enable personalized risk assessment, treatment selection, and therapeutic monitoring tailored to individual patients’ genetic and molecular profiles.

b. Immunotherapy in Gastrointestinal Cancers: Immunotherapy, harnessing the immune system to target cancer cells, has emerged as a promising treatment modality for gastrointestinal cancers, including colorectal cancer, gastric cancer, and hepatocellular carcinoma. Immune checkpoint inhibitors, adoptive cell therapies, and cancer vaccines are being investigated in clinical trials for their efficacy in enhancing antitumor immune responses and improving survival outcomes in patients with advanced or refractory gastrointestinal malignancies.

c. Microbiome-Based Therapeutics: Research focused on the gut microbiome and its role in health and disease is driving the development of microbiome-based therapeutics for gastrointestinal disorders. Innovative approaches, such as engineered probiotics, microbial consortia, and microbial-derived bioactive compounds, aim to modulate the gut microbiota composition and function, restore microbial-host interactions, and alleviate gastrointestinal symptoms in various clinical settings.

Advancements in gastroenterology are paving the way for more accurate diagnostics, targeted therapies, and personalized approaches to patient care. From AI-driven endoscopic imaging to therapeutic microbiota modulation, innovative technologies and interventions are revolutionizing the management of gastrointestinal diseases. As research continues to unravel the complexities of the digestive system and its disorders, the future holds immense promise for further breakthroughs in gastroenterology, ultimately improving outcomes and quality of life for patients worldwide.


Gastroesophageal Reflux Disease (GERD)

 GERD is a chronic condition where stomach acid regurgitates into the esophagus, leading to symptoms such as heartburn, regurgitation, and chest pain. Over time, untreated GERD can cause complications like esophagitis (inflammation of the esophagus), Barrett’s esophagus (a precancerous condition), and even esophageal cancer. Treatment typically involves lifestyle modifications such as dietary changes, weight loss, and avoiding trigger foods, along with medications like proton pump inhibitors (PPIs) or H2 blockers to reduce acid production. In severe cases, surgical interventions like fundoplication may be considered to reinforce the lower esophageal sphincter and prevent reflux.

Peptic Ulcer Disease

Peptic ulcer disease refers to the formation of open sores or ulcers in the lining of the stomach, small intestine, or esophagus, commonly caused by infection with Helicobacter pylori bacteria or prolonged use of NSAIDs. Symptoms include abdominal pain, bloating, nausea, and vomiting. If left untreated, peptic ulcers can lead to complications such as bleeding,

perforation, or obstruction. Treatment often involves a combination of antibiotics to eradicate H. pylori infection, acid-suppressing medications like PPIs or H2 blockers to reduce stomach acid production, and lifestyle modifications such as avoiding NSAIDs and alcohol. In severe cases, endoscopic therapy or surgical intervention may be necessary to manage complications or promote ulcer healing.

Inflammatory Bowel Disease (IBD)

 Inflammatory bowel disease encompasses chronic inflammatory conditions of the gastrointestinal tract, primarily Crohn’s disease and ulcerative colitis. These conditions result from an abnormal immune response, leading to inflammation and damage to the digestive tract. Symptoms may include abdominal pain, diarrhea, rectal bleeding, weight loss, and fatigue.

Treatment aims to control inflammation, alleviate symptoms, and prevent complications. This often involves medications such as anti-inflammatory drugs, immunosuppressants, biologics, and lifestyle modifications like dietary changes and stress management. In severe cases or when complications arise, surgery may be necessary to remove diseased portions of the intestine or alleviate strictures and obstructions.

Irritable Bowel Syndrome (IBS)

 Irritable bowel syndrome is a functional gastrointestinal disorder characterized by recurrent abdominal pain or discomfort associated with changes in bowel habits, without evidence of underlying structural or biochemical abnormalities. Symptoms can vary widely between individuals and may include abdominal cramping, bloating, diarrhea, constipation, or alternating patterns of both. Management strategies focus on symptom relief and improving quality of life through dietary modifications, stress management techniques, medications to alleviate specific symptoms (such as antispasmodics or laxatives), and behavioral therapy. Unlike inflammatory bowel diseases, IBS does not cause inflammation or increase the risk of colorectal cancer. However, it can significantly impact daily functioning and quality of life for affected individuals.

Gallbladder Disorders

 Gallbladder disorders encompass a range of conditions affecting the gallbladder, including gallstones (cholelithiasis) and inflammation of the gallbladder (cholecystitis). Gallstones are solid deposits that form in the gallbladder, often composed of cholesterol or bilirubin. They can cause symptoms such as abdominal pain (typically in the upper right quadrant),

nausea, vomiting, and jaundice if they obstruct the bile ducts. Cholecystitis occurs when the gallbladder becomes inflamed, usually due to gallstones blocking the cystic duct. Symptoms may include severe abdominal pain, fever, and tenderness over the gallbladder. Treatment for gallbladder disorders may involve dietary changes to reduce fat intake, medications to dissolve gallstones, or surgical removal of the gallbladder (cholecystectomy) in cases of recurrent or severe symptoms.

Celiac Disease

Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. In individuals with celiac disease, gluten consumption triggers an immune response that damages the lining of the small intestine, leading to malabsorption of nutrients. Symptoms vary widely and can include abdominal pain, bloating, diarrhea,

constipation, fatigue, and weight loss. Long-term complications of untreated celiac disease may include nutritional deficiencies, osteoporosis, infertility, and an increased risk of certain cancers. The mainstay of treatment is strict adherence to a gluten-free diet, which typically leads to symptom resolution and intestinal healing. In some cases, additional dietary supplements or medications may be necessary to address nutritional deficiencies or manage associated conditions.

Diverticular Disease

 Diverticular disease encompasses conditions such as diverticulosis and diverticulitis. Diverticulosis involves the formation of small pouches (diverticula) in the wall of the colon. While often asymptomatic, diverticula can become inflamed or infected, leading to diverticulitis. Symptoms of diverticulitis may include abdominal pain (often in the lower left quadrant), fever,

nausea, vomiting, and changes in bowel habits. Treatment for uncomplicated diverticulosis typically involves dietary modifications to increase fiber intake and promote regular bowel movements. In cases of diverticulitis, treatment may include antibiotics to manage infection, a clear liquid diet to rest the bowel, and, in severe or recurrent cases, surgery to remove affected portions of the colon.

Liver Diseases

 Liver diseases encompass a broad spectrum of conditions affecting the liver, including viral hepatitis (such as hepatitis B and C), alcoholic liver disease, non-alcoholic fatty liver disease (NAFLD), cirrhosis, and liver cancer. Symptoms can vary widely depending on the specific condition but may include fatigue, jaundice (yellowing of the skin and eyes), abdominal pain or swelling,

nausea, vomiting, and changes in appetite or weight. Treatment for liver diseases depends on the underlying cause and may include lifestyle modifications (such as abstinence from alcohol and weight loss), medications to manage symptoms or slow disease progression, antiviral therapies for viral hepatitis, or interventions such as liver transplantation in severe cases.


 Pancreatitis is inflammation of the pancreas, a gland located behind the stomach that plays a crucial role in digestion and blood sugar regulation. Acute pancreatitis typically presents with sudden, severe abdominal pain, nausea, vomiting, and fever, often requiring hospitalization for pain management and supportive care. Chronic pancreatitis, characterized by persistent inflammation and scarring of the pancreas, can lead to chronic abdominal pain, malabsorption, diabetes, and pancreatic insufficiency.

Treatment for pancreatitis aims to relieve symptoms, address underlying causes (such as gallstones or alcohol abuse), and prevent complications. This may involve pain management, dietary modifications, enzyme replacement therapy, and in severe cases, surgical interventions to remove blockages or damaged tissue.

Colorectal Cancer

Colorectal cancer is cancer that develops in the colon or rectum, typically starting as benign growths called polyps. Over time, some polyps may develop into cancer, making early detection and removal crucial for prevention. Symptoms of colorectal cancer can include changes in bowel habits (such as diarrhea or constipation), rectal bleeding, abdominal pain or discomfort, weakness, and unintended weight loss. Screening for colorectal cancer is recommended for individuals over the age of 50 and involves tests such as colonoscopy, sigmoidoscopy, fecal occult blood testing, or stool DNA testing.

Treatment options for colorectal cancer depend on the stage of the disease but may include surgery, chemotherapy, radiation therapy, targeted therapy, or immunotherapy. Early-stage colorectal cancer is often curable with appropriate treatment, highlighting the importance of regular screening and early intervention

These diseases and conditions represent some of the most common challenges faced by gastroenterologists in clinical practice. Through accurate diagnosis, personalized treatment plans, and ongoing management, gastroenterologists play a crucial role in promoting digestive health and improving the quality of life for individuals affected by these conditions.

Capsule Endoscopy

Capsule endoscopy is a non-invasive procedure that allows for the visualization of the gastrointestinal tract using a small, swallowable capsule camera. This technology enables detailed imaging of the small intestine, which was previously difficult to access with traditional endoscopy methods. Recent innovations in capsule endoscopy include improved image resolution, longer battery life, and the ability to capture and transmit real-time video footage. These advancements have enhanced the diagnostic capabilities of gastroenterologists, particularly in the evaluation of conditions such as Crohn’s disease, small bowel tumors, and obscure gastrointestinal bleeding.

2. **Endoscopic Ultrasound (EUS):**
Endoscopic ultrasound combines endoscopy with ultrasound imaging to obtain high-resolution images of the gastrointestinal tract and adjacent structures. Recent innovations in EUS technology include the development of high-frequency ultrasound probes, miniaturized endoscopes, and advanced imaging modalities such as elastography and contrast-enhanced ultrasound. 

These advancements have expanded the utility of EUS in the diagnosis and staging of gastrointestinal cancers, assessment of pancreaticobiliary disorders, and guidance for therapeutic interventions such as fine-needle aspiration and drainage procedures.

3. **Endoscopic Submucosal Dissection (ESD):**
Endoscopic submucosal dissection is an advanced endoscopic technique used for the removal of early-stage gastrointestinal neoplasms, including large polyps and early cancers, without the need for open surgery. Recent innovations in ESD technology include the development of specialized endoscopic knives, traction devices, and hemostatic agents, allowing for safer and more efficient dissection of lesions. These advancements have expanded the applicability of ESD to a wider range of lesions and anatomical locations, leading to improved outcomes and reduced risk of complications for patients.

4. **Therapeutic Endoscopy:**
Therapeutic endoscopy encompasses a variety of minimally invasive procedures performed via endoscopy for the treatment of gastrointestinal disorders. Recent innovations in therapeutic endoscopy include the development of advanced endoscopic suturing devices, closure systems, and stent technologies. 

These advancements have enabled gastroenterologists to perform a wide range of therapeutic interventions, including endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), stent placement for strictures or leaks, and endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction and biliary drainage.

5. **Artificial Intelligence (AI) in Gastroenterology:**
Artificial intelligence (AI) and machine learning algorithms are increasingly being utilized in gastroenterology to aid in the interpretation of endoscopic images, improve diagnostic accuracy, and streamline workflow processes. Recent innovations in AI include the development of computer-aided detection (CADe) and computer-aided diagnosis (CADx) systems for the detection and characterization of gastrointestinal lesions, 

such as polyps, tumors, and dysplasia. These AI algorithms can analyze large volumes of endoscopic images and video footage, providing real-time feedback to endoscopists and assisting in decision-making during procedures.

6. **Fecal Microbiota Transplantation (FMT):**
Fecal microbiota transplantation involves the transfer of fecal matter from a healthy donor into the gastrointestinal tract of a patient with recurrent Clostridioides difficile infection or other gastrointestinal disorders associated with dysbiosis of the gut microbiota. Recent innovations in FMT technology include the development of standardized donor screening protocols, fecal processing techniques, and delivery methods such as capsules, 

enemas, or colonoscopy. Additionally, research is ongoing to explore the potential therapeutic applications of FMT for other conditions, including inflammatory bowel disease, irritable bowel syndrome, and metabolic disorders.

7. **Wireless Motility Capsule (SmartPill):**
The wireless motility capsule is a diagnostic device that measures gastrointestinal motility and transit time throughout the digestive tract. Recent innovations in wireless motility capsule technology include the integration of pressure, pH, and temperature sensors within a single, ingestible capsule, 

allowing for comprehensive assessment of gastrointestinal function. These advancements have facilitated the diagnosis of motility disorders such as gastroparesis, chronic constipation, and small bowel dysmotility, providing valuable clinical insights and guiding treatment decisions for patients.

8. **Telemedicine and Remote Monitoring:**
Telemedicine and remote monitoring technologies have emerged as valuable tools in gastroenterology, allowing for virtual consultations, remote monitoring of patients with chronic gastrointestinal conditions, and real-time communication between patients and healthcare providers. Recent innovations in telemedicine include the development of secure, HIPAA-compliant platforms for video consultations, 

electronic medical record integration, and mobile health applications for patient education and symptom tracking. These advancements have improved access to specialized care, reduced healthcare costs, and enhanced patient satisfaction in gastroenterology practice.

These innovations represent just a few of the many advancements shaping the field of gastroenterology and revolutionizing the diagnosis, treatment, and management of gastrointestinal disorders. As technology continues to evolve, gastroenterologists will have access to increasingly sophisticated tools and techniques to improve patient outcomes and quality of life.