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GIPPO

Multidisciplinary Expertise. One Coordinated Care Pathway.

GIPPO is a multidisciplinary clinical care model that brings together specialists in gastrointestinal, intestinal, pelvic and peritoneal oncology care, supported by dedicated oncology nutrition and psychological care.

The GIPPO model is built on one fundamental principle: complex conditions benefit from collaborative expertise.

Instead of managing a complex case through a single-specialty approach, GIPPO brings the relevant experts together to review the patient's condition, discuss available treatment options and develop a coordinated, individualized care plan.

What Does GIPPO Stand For?

G — Gastroenterology

Specialized expertise in the diagnosis and management of gastrointestinal disorders and conditions affecting the digestive system.

I — Intestinal Care

Focused expertise in complex intestinal and colorectal conditions, including cases requiring specialized evaluation and treatment.

P — Pelvic Health

Expertise in conditions involving the pelvis, including pelvic structural, functional and related disorders.

P — Peritoneal Oncology

Specialized expertise in cancers and complex oncological conditions involving the peritoneum and abdominal cavity.

O — Oncology

Oncological expertise that helps integrate cancer diagnosis, treatment planning and overall disease management.

Oncology Dietitian

Provides individualized nutritional assessment and support throughout the patient's treatment journey.

Oncology Psychologist

Provides psychological and emotional support to patients and families navigating the challenges associated with complex illness and cancer care.

Why GIPPO?

Complex gastrointestinal and oncological conditions can involve multiple organs, systems and areas of expertise.

In such situations, patients may need to consult several specialists individually, sometimes resulting in fragmented opinions and treatment pathways.

GIPPO brings the relevant expertise together.

The GIPPO approach focuses on:
• Multidisciplinary expertise
• Collaborative case discussion
• Comprehensive review of investigations
• Individualized treatment planning
• Integrated nutritional support
• Psychological support
• Coordinated clinical decision-making
• Continuity of care and follow-up

The objective is to ensure that the patient's condition is considered from multiple relevant clinical perspectives before a coordinated treatment plan is recommended.

Who Should Seek a GIPPO Consultation?

GIPPO may be considered for patients with complex, recurrent, difficult-to-diagnose or multidisciplinary gastrointestinal, intestinal, pelvic or oncological conditions.

A GIPPO consultation may be particularly relevant for patients with:
• Complex gastrointestinal disorders
• Intestinal or colorectal conditions requiring multiple specialties
• Pelvic disorders with overlapping gastrointestinal or colorectal concerns
• Peritoneal malignancies or complex abdominal cancers
• Gastrointestinal cancers
• Colorectal cancers
• Recurrent or advanced abdominal malignancies
• Cases requiring evaluation by multiple specialists
• Patients seeking a multidisciplinary review of their treatment plan
• Patients with complex treatment histories
• Patients requiring coordinated nutritional and psychological support
• Cases where multiple treatment approaches need to be discussed collectively

GIPPO is designed to bring the right expertise together according to the individual patient's clinical needs.

Our MDT Protocol

A Structured Multidisciplinary Approach to Patient Care

Step 1 — Patient Registration & Clinical Assessment

The patient's symptoms, medical history, previous treatments and current concerns are documented.

Step 2 — Collection of Clinical Information

Relevant investigations such as blood investigations, imaging, endoscopy reports, histopathology, previous treatment records, surgical reports and oncology records are reviewed as appropriate.

Step 3 — Specialist Review

The case is directed to the relevant GIPPO specialists based on the patient's condition.

Step 4 — MDT Case Discussion

The relevant specialists come together to discuss the case. Each specialist contributes their expertise and clinical perspective.

Step 5 — Treatment Planning

The team discusses appropriate treatment and management options based on the patient's individual clinical circumstances.

Step 6 — Integrated Supportive Care

Where appropriate, oncology nutrition and psychological support are incorporated into the overall care pathway.

Step 7 — Patient & Family Discussion

The coordinated recommendations are explained to the patient and family, including the proposed next steps.

Step 8 — Follow-Up & Review

The patient's progress is monitored, and the treatment plan may be reviewed or modified according to clinical response and evolving needs.

The GIPPO Patient Journey

01 — Connect

The patient approaches GIPPO for evaluation or is referred for multidisciplinary review.

02 — Assess

The clinical team collects the patient's medical history, symptoms, previous treatment details and relevant investigations.

03 — Review

The appropriate specialists review the available clinical information.

04 — Discuss

The case is presented at the GIPPO multidisciplinary team discussion.

05 — Plan

The team develops a coordinated, individualized care pathway based on the patient's clinical needs.

06 — Explain

The recommendations and treatment options are discussed with the patient and family.

07 — Treat

The patient proceeds with the agreed treatment pathway with coordination between the relevant specialists.

08 — Support

Nutritional and psychological support are integrated where appropriate.

09 — Follow Up

The patient's progress is monitored, with reassessment and further MDT discussion when required.

One Patient. Multiple Perspectives. One Coordinated Pathway.

GIPPO brings together medical expertise, surgical expertise, oncology care, nutrition and psychological support to create a coordinated approach to complex patient care.

Expertise comes together. Care becomes coordinated.

GIPPO — Multidisciplinary Care for Complex Gastrointestinal, Pelvic & Oncological Conditions.

  • Foundercanfr
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  • Directorvinar
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  • Senior Consultant

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  • Head of colorectal serviceskarnataka
  • Associate Professor of Surgeryapollo
  • Foundernanidam