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Our
Procedures...
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Capsule
Endoscopy is the latest in cutting-edge technology allowing
direct visualization of the small intestine, previously only
seen via surgical techniques. The Capsule is a small camera
about the size of a vitamin capsule. It emits a light and takes
two (2) pictures per second as it traverses the gastrointestinal
tract. The pill is easily swallowed and transmits the images to
a recording device worn around the waist. These images are then
downloaded to a computer where they are reviewed by a physician.
The capsule passes through the digestive tract and is excreted
with a bowel movement. |
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Colonoscopy
lets the physician look inside your entire large intestine, from
the lowest part (the rectum) all the way up through the colon to
the lower end of the small intestine. The procedure takes about
30 minutes, and is used to look for early signs of cancer in the
colon and rectum. It is also used to diagnose the causes of
unexplained changes in bowel habits. Colonoscopy enables the
physician to see inflamed tissue, abnormal growths, ulcers, and
bleeding. For the procedure, you will lie on your left side on
the examining table. You will probably be given pain medication
and a mild sedative to keep you comfortable and to help you
relax during the exam. The physician will insert a long,
flexible, lighted fiber-optic tube into your rectum and slowly
guide it into your colon. The tube is called a colonoscope. The
scope transmits an image of the inside of the colon, so the
physician can carefully examine the lining of the colon. The
scope bends, so the physician can move it around the curves of
your colon. You may be asked to change position occasionally to
help the physician move the scope. The scope also blows air into
your colon, which inflates the colon and helps the physician see
better.
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Flexible
Sigmoidoscopy enables the physician to look at the inside of
the large intestine from the rectum through the last part of the
colon, called the sigmoid or descending colon. A flexible,
fiber-optic tube is used for this procedure, which typically
takes about 15 minutes. Physicians may use the procedure to find
the cause of diarrhea, abdominal pain, or constipation. They
also use it to look for early signs of cancer in the descending
colon and rectum. With flexible sigmoidoscopy, the physician can
see bleeding, inflammation, abnormal growths, and ulcers in the
descending colon and rectum. Flexible sigmoidoscopy is not
sufficient to detect polyps or cancer in the ascending or
transverse colon (two-thirds of the colon).
For the procedure, you will lie on your left side on the
examining table. The physician will insert a short, flexible,
lighted tube into your rectum and slowly guide it into your
colon. The tube is called a sigmoidoscope (sig-MOY-duh-skope).
The scope transmits an image of the inside of the rectum and
colon, so the physician can carefully examine the lining of
these organs. The scope also blows air into these organs, which
inflates them and helps the physician see better. If anything
unusual is in your rectum or colon, like a polyp or inflamed
tissue, the physician can remove a piece of it using instruments
inserted into the scope. The physician will send that piece of
tissue (biopsy) to the lab for testing.
Bleeding and puncture of the colon are possible complications of
sigmoidoscopy. However, such complications are uncommon.
Flexible
sigmoidoscopy takes 10 to 20 minutes. During the procedure, you
might feel pressure and slight cramping in your lower abdomen.
You will feel better afterward when the air leaves your colon. |
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Upper
Endoscopy (also known as gastroscopy, EGD, or
esophagogastroduodenoscopy) is a procedure that enables your
doctor to examine the lining of the esophagus (food pipe),
stomach and duodenum (first portion of the small intestine). A
flexible, lighted tube about the thickness of your little finger
is placed through your mouth and into the stomach and duodenum.
Upper endoscopy is performed to evaluate symptoms of persistent
upper abdominal pain, nausea, vomiting, difficulty swallowing or
heartburn. It is an excellent method for finding the cause of
bleeding from the upper gastrointestinal tract. It can be used
to evaluate the esophagus or stomach after major surgery. It is
more accurate than X rays for detecting inflammation, ulcers or
tumors of the esophagus, stomach and duodenum. Upper endoscopy
can detect early cancer and can distinguish between cancerous
and non cancerous conditions by performing biopsies of
suspicious areas. Biopsies are taken by using a specialized
instrument to sample tissue. These samples are then sent to the
laboratory to be analyzed. A biopsy is taken for many reasons
and does not mean that cancer is suspected.
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The Bravo
pH Monitoring system is used to measure esophageal pH
(acidity) levels in patients who have or are suspected of
having gastroesophagela reflux disease (GERD). A small pH
capsule is placed in the esophagus and transmits data to a
pager-size receiver worn by the patient. For the most part,
the patient can maintain a normal diet and activity level
during the testing. At the completion of the test, data is
downloaded from the receiver and reviewed by your physician to
assist in diagnosis and treatment plans. The capsule will
naturally detach from the esophagus and pass through the
gastrointestinal tract. |
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Ambulatory Surgery Center
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