Dr. Harshad Joshi
Dr. Harshad Joshi
Dr. Harshad Joshi is a consultant Gastroenterologist in Mumbai. He is known for the management of bowel disorders including Crohn’s and Colitis and Pancreatic disorders apart from General Gastroenterology. And known to be a specialist in Small Bowel treatment, IBD treatment, Pancreas treatment in Mumbai. Dr. Harshad Joshi is a renowned and Best Gastroenterologist in Mumbai, holding more than a decade of rich clinical experience in the field of Gastroenterology. He is also an Inflammatory bowel disease (IBD) Specialist in Mumbai. Gastroenterologists are specially trained to manage problems related to the digestive tract or digestive health disorder, right from the Esophagus to the Anus.
CAREER OBJECTIVES:
Dr. Harshad Joshi’s career objective is to be an expert and leader in the management of Inflammatory Bowel Disease (IBD) and in clinical research for optimizing the management of IBD patients
- Clinical and translational research in adult IBD patients
- Develop a small bowel clinic: which can cater to various Luminal gastroenterology problems, apart from IBD
- Active development of patient education groups to train patients and healthcare professionals dealing with IBD
CLINICAL SKILLS:
Functional and motility disorders
- Dr. Harshad Joshi is competent in performing and interpreting Esophageal Manometry, Anorectal Manometry, Hydrogen Breath tests and 24 hr Ambulatory pH and pH impedance testing
- Well versed in performing Biofeedback therapy for patients with Defecatory Disorders, Supragastric belching
Management of Gastrointestinal bleeding
- Adequate management of acute variceal and non- variceal Upper gastrointestinal tract bleeding: Skilled in procedures like Esophageal variceal band ligation, fundal variceal glue injection, Hemoclip application, thermal co-Aptive coagulation
- Insertion of SB tubes in management of UGI bleed
- Management of lower intestinal bleeding: skilled in therapeutic colonoscopy procedures- Polypectomy, Hemorrhoidal band ligation, Hemorrhoidal Sclerotherapy, Argon plasma coagulation (APC)
Luminal stenting / diagnostic and therapeutic endoscopy
- Have performed placement of more than 50 esophageal and colonic stents
- About 200 Percutaneous endoscopic gastrostomy (PEG) tube placements during and after GI training
- Insertion of nasojejunal tubes under fluoroscopic guidance in acute pancreatitis patients
- Competent in performing diagnostic Upper GI endoscopy, Sigmoidoscopy and Colonoscopy
- Competent in performing diagnostic and therapeutic balloon assisted enteroscopies for evaluation of small bowel disorders
- Competent in basic Endoscopic retrograde cholangiopancreatography (ERCP) procedures for choledocholithiasis, cholangiocarcinoma etc.
- Well-versed with basic medical procedures like central line insertions, dialysis catheter insertion, endotracheal intubation, Diagnostic and therapeutic ascetic, and plural Paracentesis
Qualifications & Works
- Bachelor of Medicine and Bachelor of Surgery (MBBS) – Krishna Institute Of Medical Sciences, Karad, Maharashtra (1999- 2004)
- Diplomate national board (DNB) in Internal Medicine – St. Philomena’s Hospital, Bangalore (2006- 2009)
- Diplomate national board (DNB) in Gastroenterology – Medical Trust Hospital, Cochin (2011- 2013)
- Advanced Inflammatory bowel disease and clinical research fellowship – University of Alberta, Edmonton, Canada (2017-2018)
- Assessing utility of RASSF1A and RIP K2 biomarkers in Ulcerative colitis to predict flares
- Therapeutic metabolite monitoring in patients with IBD on Azathioprine
- To assess efficacy of Infliximab alone versus combination with 5-ASA in Ulcerative colitis
- Competent in management of complex IBD cases including pediatric IBD, transition IBD (adolescent IBD patients who transit from pediatric to adult cohort) and adult IBD
- Able to manage pregnancy in setting of IBD with complex maternal and fetal interactions
- Competent in handling complex interaction between immunomodulators and biologic agents in IBD
- Ongoing training in single and double balloon enteroscopy for management of small bowel diseases including IBD, obscure or overt small bowel bleed, strictures etc.
- Bowel ultrasound: scheduled for training with Prof. Geert D’Haenes at AMC, Amsterdam in performing bowel ultrasound for bedside diagnosis of IBD in August 2018
- Capsule endoscopy: have performed and read many capsule endoscopy reports for diagnosis of small bowel pathology like obscure overt GI bleed, chronic diarrhea, malabsorption etc. in India
- Active participation in Clinical trials running at University of Alberta
- EASL Monothematic Conference on Bacterial Infections in Cirrhosis (Barcelona, May 2013): Harshad VJ, Pradeep KR, Peter L, Bhat N. A Prospective Study of Cirrhotic Patients with Ascites in Terms of Clinical Profile, Prevalence and Outcome.
- Harshad VJ, Pradeep KR, Nilesh NT, Rony T, Charles P, Sunil KM. Renal Resistive index and its utility in patients with Cirrhosis. Indian J Gastroenterology (November 2013) Volume 32, Issue 1 Supplement: A81
- Harshad VJ, Pradeep KR, Nilesh NT, Rony T, Charles P, Sunil KM. Percutaneous Endoscopic Gastrostomy Tube - A single-center experience. Indian J Gastroenterol (November 2013) Volume 32, Issue 1 Supplement: A 121
- Harshad VJ, Pradeep KR, Bhat N. Clinical profile and outcome of Ascites and Spontaneous Bacterial Peritonitis in Cirrhotics. J Clin Exp Hepatol 2013 Mar 1;3(1): S84-85
- ECCO Congress 2014: Kakkadasam Ramaswami P, Joshi H, Toke N, Panackel C, Mathai S. Role of Interferon Gamma Release Assay in Differentiating Gastrointestinal Tuberculosis from Crohn’s Disease
- Pradeep KR, Harshad VJ, Nilesh NT, Rony T, Charles P, Sunil KM. EUS FNAC of Mediastinal Lymph Nodes. Indian J Gastroenterol (November 2013) Volume 32, Issue 1 Supplement, A1-132
- Pradeep KR, Harshad VJ, Charles P, Benoy S, Sunil KM. Epidemiology of upper gastrointestinal bleed in a tertiary care center. Indian J Gastroenterol (November 2011), 30(1): A102
- Non-interventional cross-sectional clinicoepidemiological study to determine clinical subtypes of constipation in Indian subcontinent – SCION trial - in print
- A Randomized Prospective Investigator Blinded study of Bowel Preparation for Colonoscopy with Magnesium Sulphate versus Polyethylene Glycol at a single centre
- Co -author for the Chapter ‘Management of Nonvariceal Upper Gastrointestinal Bleed’ in Indian college of Physicians (ICP) monograph (to be published)
- Co - Author for the Chapter ‘Diagnostic Approach to a Patient with Persistently Elevated Transaminases’ in JAPI (Journal of association of physicians of India) - In print
- Co - investigator at P.D. Hinduja National research centre, Mumbai for PHASE III, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, MULTICENTER STUDY TO EVALUATE THE EFFICACY (MAINTENANCE OF REMISSION) AND SAFETY OF ETROLIZUMAB COMPARED WITH PLACEBO IN PATIENTS WITH MODERATE TO SEVERE ACTIVE ULCERATIVE COLITIS WHO ARE NAIVE TO TNF INHIBITOR (GA29102) Laurel study