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Endoscopy is a technique used by gastroenterologists to view inside the body’s upper and lower gastrointestinal tract with an endoscope. The experts at the Center for Digestive Health at St. Joseph’s offer several advanced endoscopy services and procedures using state of the art technology:
Colonoscopy – A procedure that allows your physician to examine the inside of your colon and rectum.
Endoscopic Retrograde Cholangiopancreatography (ERCP) – A complex procedure that helps doctors diagnose problems in the ducts of the pancreas, gall bladder, or liver. In this procedure, an endoscope is passed down the throat, through the stomach, and into the first part of the small intestine. The doctor then guides a tiny tube at the end of the endoscope into the common bile duct, which connects the intestine with the pancreas. A small amount of contrast material (dye) is pushed in, and x-rays are taken. The dye helps outline the bile ducts and pancreatic duct. The x-rays can show whether the ducts are narrowed or blocked, which could be caused by a gallstone or a cancer. The doctor doing this test can also put a small brush through the tube to take out some cells for biopsy.
Endoscopic ultrasound – A small transducer is placed on the tip of an endoscope and used to take a picture of abnormal cells and see how they may have spread. A transducer uses sound waves to detect echoes and convert this information into an image. An endoscopic ultrasound provides a better image than a standard ultrasound because of the shorter distance the sound waves have to travel. This technique can also be used to get a tissue sample for further evaluation.
Upper Endoscopy (EGD) – a procedure that allows a physician to examine the lining of the esophagus, stomach and duodenum.
Enteroscopy – A small flexible instrument used to examine the small bowel to evaluate gastrointestinal bleeding.
Manometry – The measurement of muscle pressure within either the esophagus or anal sphincter.
Stenting – A device placed to increase an opening in any of the following areas:
Video capsule endoscopy – A video capsule containing tiny cameras, a light bulb, battery and radio transmitter is swallowed. As it travels through the esophagus, stomach and small intestine it take photographs rapidly and transmits the images to a small receiver worn by the patient. After about 8 hours the photographs are downloaded from the receiver into a computer so they can be reviewed by a physician. The capsule itself is passed by the patient and flushed.