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Digestive Diseases

Innovative Procedures

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Our team has significant experience with the following innovative procedures to evaluate and treat digestive diseases:

Capsule endoscopy: A non-invasive technique (also known as a "camera pill") to view the entire internal lining of the esophagus and small intestine. Patients swallow a disposable pill-like device (about the size of a large vitamin) that contains a small camera. The camera transmits images via radiofrequency as the device moves down the esophagus, through the stomach, and to the small intestine. The data is transmitted to a recorder worn by the individual, usually as a belt around the waist.

Celiac plexus neurolysis/block: The celiac plexus is a group of nerves that serve organs in the abdomen. A celiac plexus block (neurolysis) is a form of local anesthesia used to treat severe abdominal pain. Anesthetic is delivered through a needle into the celiac plexus nerves in the abdomen.

Cholangioscopy: Placement of a small camera inside the bile duct to assess lesions, perform biopsies, and treat stones.

Endoluminal surgery: Surgery which is done via an endoscope inserted through the rectum. Conditions that may be treated with endoluminal surgery include colorectal and gastric cancers, polyps, stromal tumors, and gastrointestinal carcinoid tumors. The surgeon can remove the diseased tissue with minimal blood loss, leaving the patient with less pain, lower risk of infection, reduced scarring, and a quicker recovery time compared with conventional surgery.

Endoscopic cystoenterostomy: The use of an endoscope (a long, flexible, lighted tube) to drain pancreatic pseudocysts into the stomach or the small bowel from inside the body.

Endoscopic retrograde cholangiopancreatography (ERCP): ERCP is a procedure that allows the physician to diagnose and treat problems in the gallbladder, bile ducts, and pancreas. The procedure combines x-rays and the use of an endoscope – a long, flexible, lighted tube. The scope is guided through the patient's mouth and throat, and then through the esophagus, stomach, and duodenum. The physician can then access the bile or pancreatic duct; a dye is injected which will allow the internal organs to appear on an x-ray to detect any abnormalities and treat them if needed.

Endoscopic ultrasound (EUS): The use of an endoscope with high-energy sound waves to visualize internal organs (such as the inside of the digestive tract), permit biopsy of suspected lesions, and facilitate access to difficult fluid collection adjacent to the digestive track.

Enteroscopy, double-balloon: An imaging procedure which uses endoscopy to visualize inside the small intestine and balloons which are inflated. When inflated, the balloons cling to sections of the small intestine and pleat it over the endoscope, effectively "shortening" it. Shortening of the small intestine over the endoscope enables a comprehensive examination of the entire small intestine, enabling targeted intervention that makes biopsies, injections, and removal and ablation techniques in the small intestine possible, without surgery.

Enteroscopy, spiral: An imaging test to see inside the small intestine via a special rotating scope. The doctor can perform a biopsy, remove small tumors and polyps, treat bleeding, and open intestinal narrowing.

Lithotripsy: The use of high-energy shock waves to break up stones in areas such as the bile and pancreatic ducts.

Pancreatoscopy: Placement of a small camera inside the pancreatic duct to assess lesions, perform biopsies, and treat stones.

Radiofrequency ablation: High-frequency radio waves applied through a catheter and/or removal of mucosal tissue are used to treat patients with dysplastic Barrett's esophagus, a disorder of esophageal cells that increases a patient's risk of esophageal cancer.

Stenting (biliary and enteral): The insertion of a small tube inside a blocked duct or organ (such as the intestine, the bile duct, or the pancreatic duct) to re-open a constricted area and restore function.

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