Procedures & Testing

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Procedure / Testing Details

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. It is the single best test for detection of tumors or cancer, but it is not perfect. It is also used to diagnose the causes of unexplained changes in bowel habits or other intestinal symptoms. Colonoscopy enables the physician to see inflamed tissue, abnormal growths, ulcers, and bleeding.

UPPER ENDOSCOPY (EGD) enables the physician to look inside the esophagus, stomach, and duodenum (first part of the small intestine). The procedure might be used to determine the reason for swallowing difficulties, nausea, vomiting, reflux, bleeding, indigestion, abdominal pain, or chest pain. Upper endoscopy is also called EGD, which stands for esophagogastro-duodenoscopy.

FLEXIBLE SIGMOIDSCOPY enables your physician to examine the lining of the rectum into the lower intestine (sigmoid colon) to identify any abnormalities.  During this procedure, a flexible fiberop­tic tube (sigmoidoscope) is passed through the rectum into the sigmoid colon. A biopsy specimen (tiny bit of tissue) may be taken for microscopic ex­amination. You will not feel any sensa­tion or discomfort when the biopsy is performed.

VIDEO CAPSULE ENDOSCOPY allows the doctor to examine your small intestine for sources of bleeding. It is especially helpful for diagnosing obscure bleeding, Crohn’s Disease, malabsorption, unexplained abdominal pain, and cases of small bowel cancer.

BRAVO PH STUDY allows the physician to accurately measure acid reflux for 48 hrs in the esophagus and to correlate the pH (acid level) with your symptoms. The Bravo system involves a pH capsule, about the size of a gel cap that is temporarily attached to the wall of the esophagus. The Bravo pH Capsule measures pH levels in the esophagus and transmits readings via radio telemetry to the Bravo Receiver worn on the patient's belt or waistband.

INFRARED COAGULATION FOR HEMORRHOIDS (also called coagulation therapy) is a medical procedure used to treat small- and medium-sized hemorrhoids. During the procedure, the doctor uses a device that creates an intense beam of infrared light. The heat created by the infrared light causes scar tissue, which cuts off the blood supply to the hemorrhoid. The hemorrhoid dies, and a scar forms on the wall of the anal canal. The scar tissue holds nearby veins in place so they don't bulge into the anal canal.

AMBULATORY ESOPHAGEAL 24 HOUR IMPEDENCE STUDY is an outpatient test that measures the amount of non-acid reflux of stomach contents into the esophagus.  The sensors placed in the esophagus measure acid concentration, which corresponds to acidic reflux, and impedance, which corresponds to nonacid reflux. You will wear a data recorder during the test and record symptomatic episodes. Symptoms will be analyzed for any correlation to episodes of reflux.

ESOPHAGEAL MANOMETRY measures the pressures and patterns of muscle contractions in your esophagus. Abnormalities in the contractions and strength of the muscle or in the sphincter at the lower end of the esophagus can result in pain, heartburn, and/or difficulty swallowing. Esophageal manometry is used to diagnose the conditions that can cause these symptoms.

Esophageal Manometry Information Sheet

RADIOFREQUENCY ABLATION is a promising endoscopic treatment modality for treating Barrett’s Esophagus.  This is performed using a balloon-based bipolar electrode to remove Barrett’s mucosa.

Radiofrequency Ablation Information Sheet

ENDOSCOPIC ULTRASOUND (EUS) allows your doctor to examine your esophageal and stomach linings as well as the walls of your upper and lower gastrointestinal tract. The upper tract consists of the esophagus, stomach and duodenum; the lower tract includes your colon and rectum. EUS is also used to study other organs in close proximity to the gastrointestinal tract, such as the lungs, liver, gall bladder and pancreas.

ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHYE (ERCP) is a specialized technique used to study the bile ducts, pancreatic duct and gallbladder. Ducts are drainage routes.  The drainage channels from the liver are called bile or biliary ducts. The pancreatic duct is the drainage channel from the pancreas.


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