Digestive Diseases Services

We offer a number of gastroenterolgical services. Some of the more common services include:

Capsule Endoscopy

For this test the patient swallows a vitamin-sized capsule that contains a tiny camera. As the camera moves through the gastrointestinal tract, it sends pictures to sensors placed on the patient's abdomen. The pictures are recorded by a data recorder the patient wears on the waist. Patients come to the GI lab to swallow the capsule and be fitted with the sensors and recording device. They leave and go about their normal activities and then return to the GI lab eight hours later to have the wires and recording device taken off.

Colonoscopy with or without Polyp Removal

This exam is done to screen for abnormalities of the colon, including cancer. The physician uses an instrument, called a colonoscope, to look at all or part of the colon. A colonoscope is a type of endoscope inserted into the rectum to examine the colon. If your physician finds any colon polyps (growths in the lining of the colon that may become cancerous), they may be removed during this procedure.

Dilation of the Esophagus

This is done by inserting different types and sizes of instruments into the narrowed portion of the esophagus to permit better swallowing.

Duodenoscopy/ Endoscopic Retrograde Cholangiopancreatography  (ECRP)

This involves inserting a special endoscope into the first part of the small intestine (duodenum) to reach the bile ducts. The physician can then inject special dye into the ducts to better examine the bile system with x-rays. If gallstones are found, they may be removed. If any strictures (abnormal narrowings) are found, they may be opened with a stent (a tiny tube used to prop open narrowed vessels or ducts in the body). If suspected pancreatic tumors are found, a tissue sample may be removed for biopsy.

Endoscopic Ultrasound (EUS) with or without Fine Needle Aspiration

This procedure combines endoscopy and ultrasound to see tissue deeper than the lining of the gastrointestinal tract. If your physician needs to remove a tissue sample, this will be done with a special needle introduced to the site through the endoscope.

Esophageal Manometry

This is an examination of the pressure inside the esophagus when swallowing. It is useful to evaluate swallowing disorders. The test is done by placing a small tube through the nose into the esophagus.

Esophageal pH Studies

This is an examination of the acidity in the esophagus. It is useful in evaluating acid reflux. The test is done with a small tube inserted through the nose into the esophagus. The tube has a probe on its tip that measures the acid level.

Flexible Sigmoidoscopy with or without Polyp Removal

This is an examination of the lower part of the colon and rectum with an instrument called a sigmoidoscope, which is a type of endoscope inserted into the rectum. If your physician finds any colon polyps (growths in the lining of the colon that may become cancerous), they may be removed during this procedure.

Panendoscopy/EGD

This is an examination of the esophagus, stomach, and first part of the small intestine with an instrument called an endoscope, which is a thin, flexible tube with a light and tiny video camera on its tip. It is inserted through the patient’s mouth. The physician may take a tissue sample for a biopsy or dilate any strictures (abnormal narrowings) during the procedure. Sources of gastrointestinal bleeding coming from tiny veins may be found and treated.

Peg Tube Placement

This involves inserting a permanent feeding tube through the abdominal wall directly into the stomach.

Jejunum Tube Placement

This involves inserting a permanent feeding tube through the abdominal wall and threading the tip into the small intestine.

Bravo pH Studies

This is an examination of the acidity in the esophagus. It is useful in evaluating acid reflux. The test is performed by attaching a pH sensor directly to the wall of the esophagus.

Barrx Halo

This procedure uses a special catheter to ablate Barrett's esophagus, a pre-cancerous condition affecting the lining of the esophagus.