Gastroenterology Services

48-Hour Bravo pH Study

This is a test that measures the pH in your esophagus and to assess whether acid is coming back into the esophagus from the stomach causing pain, nausea, heartburn, chest pain, etc. This test involves attaching a pH capsule, approximately the size of a gelcap, to your esophagus with the use of an endoscope. The capsule naturally falls off the wall of the esophagus and passes through your digestive tract and is eliminated from the body.

Colonoscopy

Colonoscopy is the endoscopic examination of the large colon and the distal part of the small bowel with a CCD camera or a fiber optic camera on a flexible tube passed through the anus. It may provide a visual diagnosis (e.g. ulceration, polyps) and grants the opportunity for biopsy or removal of suspected lesions. A colonoscopy can remove polyps smaller than one millimeter. Once polyps are removed, they can be studied with the aid of a microscope to determine if they are precancerous or not. Colonoscopy is similar but not the same as sigmoidoscopy. The difference between colonoscopy and sigmoidoscopy is related to which parts of the colon each can examine. Sigmoidoscopy allows doctors to view only the final two feet of the colon, while colonoscopy allows an examination of the entire colon, which measures four to five feet in length. Often, a sigmoidoscopy is used as a screening procedure for a full colonoscopy. Usually, some type of colon preparation, which includes a clear liquid diet and a laxative is used to cleanse your colon, so the physician is able to visualize your colon.

EGD

EGD (esophagogastroduodenoscopy or upper endoscopy) is an exam of the esophagus, stomach, and duodenum with and endoscope. It is considered a minimally invasive procedure since it does not require an incision into one of the major body cavities and does not require any significant recovery after the procedure (unless sedation or anesthesia has been used). An endoscope is a long, narrow tube with a light and a video camera. The exam can be viewed on a video screen, and the preparation usually includes nothing to eat or drink after midnight the night before the exam.

Endoscopy

Flexible sigmoidoscopy is performed to view the lower colon. It is done using a sigmoidoscope, which is a flexible tube with a viewing lens and light. This procedure is used to screen or diagnose problems in the lower colon. Endoscopy is a minimally invasive diagnostic medical procedure that is used to assess the interior surfaces of an organ by inserting a tube into the body. The instrument may have a rigid or flexible tube and not only provide an image for visual inspection and photography, but also enable taking biopsies and retrieval of foreign objects. Endoscopy is the vehicle for minimally invasive surgery. The prep is not as extensive as a colonoscopy. It usually only requires a clear liquid diet and an enema.

ERCP

ERCP (Endoscopic retrograde cholangiopancreatography) is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. It is an x-ray examination of the bile ducts which is aided by a video endoscope. Through the endoscope, the physician can see the inside of the stomach and duodenum, and inject dyes into the ducts in the biliary tree and pancreas so they can be seen on x-rays. ERCPs also may be used to help locate pancreas problems. Your stomach must be empty to have this exam, so it is very important that you follow diet instructions prior to the exam. You will be asked to avoid blood thinning medicines prior to the procedure.

Esophageal Manometry

This is a test to evaluate the function of the esophagus. A thin tube with holes that can sense pressure is placed down the esophagus. This exam can help determine the cause of heartburn, swallowing problems and chest pain. Special instructions include nothing to eat or drink after midnight the night before the test.

Liver Biopsy

A liver biopsy is used to help physicians assess the health of the liver. During the biopsy, a needle is inserted through the skin and into the liver. A small sample of liver tissue is removed and sent to a lab to be examined. It is important to follow diet instructions prior to the exam. You will be asked to stop blood thinning medicines prior to the procedure.

Flexible Sigmoidoscopy

This test is performed to view the lower colon. It is done using a sigmoid scope, which is a flexible tube with a viewing lens and light. This procedure is used to screen or diagnose problems in the lower colon. Flexible sigmoidoscopy is a minimally invasive diagnostic medical procedure that is used to assess the interior surfaces of an organ by inserting a tube into the body. The instrument may have a rigid or flexible tube and not only provide an image for visual inspection and photography, but also enable taking biopsies and retrieval of foreign objects. Flexible sigmoidoscopy is the vehicle for minimally invasive surgery. The preparation is not as extensive as a colonoscopy. It usually only requires a clear liquid diet and an enema.

 

Endoscopic Ultrasound (EUS)

  • EUS enables the physician to obtain high-quality images of the esophagus, stomach and small intestine, as well as the pancreas, liver and gallbladder.
  • EUS makes early and accurate diagnosis of tumors easier.
  • Cysts can be drained.
  • EUS is non-surgical and minimally invasive and may help physicians with a diagnosis when other tests are inconclusive.

Esophageal Stenting

  • Stents are effective in treating cancer, perforations and leaks in the esophagus.
  • Esophageal stents help the patient swallow and drink more easily.

Gastric Pacemakers

  • A gastric pacemaker electrically stimulates the stomach to help control vomiting in patients with severe stomach disorders.
  • When implanted in the abdominal cavity, a gastric pacemaker may be a less drastic alternative to gastric bypass surgery or the Lap-band.

Hepatitis C Treatment

  • Antiviral medications help eliminate or reduce the virus in the body to undetectable levels. The physician can prescribe the correct combination and duration of medication to best treat hepatitis C.
  • Blood tests to monitor liver function will enable the doctor to evaluate whether an additional round of antiviral treatment is necessary.
  • Vaccinations against hepatitis A and B may also be recommended because these separate viruses can also cause liver damage and interfere with hepatitis C treatment.
  • Advanced liver disease diagnosis and treatment of cirrhotic patients as well as treat complications of cirrhosis.
  • Many different disorders may impact the normal functions of a healthy liver. Accurately determining the root cause of liver disease is the important first step in resolving the problem.

Healthy Living Tips

Here are some simple practices anyone can master at home to improve GI health.

  • Increase the fiber in your diet. You can add more fiber to your diet simply by eating more of your favorite fruits, vegetables and whole grains. (Just be careful not to overdo it onthe tropical fruits, which are higher in sugar.)
  • Eat moderate portions of food in a relaxed setting and in a mindful manner, chewing thoroughly.
  • Notice how certain foods make you feel. For example, if spicy dishes, fried or fatty foods, coffee, soft drinks or milk products cause any GI discomfort, eliminate the offenders from your diet.
  • Drink plenty of purified water every day – and sip, don’t gulp it.
  • Eliminate or reduce alcohol intake to levels recommended by your physician.
  • Avoid gaining weight as excess pounds may put extra pressure on the stomach area.
  • Have regular medical examinations, including colorectal cancer screenings, as recommended by your physician.
  • Reduce stress and make time for relaxation to help you deal with symptoms of GI tract disorders.
  • Consult your doctor immediately if you experience cramping, stomachaches, burning in the throat, or difficulty swallowing.

 

 

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