Gastroenterology

Don’t ignore digestive issues. Our Gastroenterology department provides consultation and treatment for the full spectrum of gastrointestinal, biliary, pancreatic and liver diseases including but not limited to:

Intestinal Disorders:

• Gastroesophageal reflux disease
• Esophageal strictures
• Esophageal motility disorders (e.g. achalasia, esophageal spasm)
• Peptic ulcer disease
• Gastroparesis (delayed emptying of the stomach)
• Irritable bowel syndrome
• Inflammatory bowel diseases (e.g. Crohn's, ulcerative colitis, lymphocytic colitis)
• Other diarrheal disorders (e.g. celiac disease, parasitic disease, Clostridium difficille)
• Other causes of constipation (e.g. colonic inertia, pelvic floor dysfunction)
• Intestinal polyps and tumors
• Gastrointestinal bleeding
• Attributable to bariatric surgery

Biliary disorders:

• Cholelithiasis and choledocholithiasis (stones in the gallbladder and bile ducts)
• Biliary dyskinesia (symptoms attributable to gallbladder dysfunction)
• Bile duct strictures (benign and malignant)
• Disease of the ampulla of Vater (e.g. stenosis, polyp, cancer)

Pancreatic disorders:

• Acute pancreatitis
• Chronic pancreatitis
• Autoimmune pancreatitis
• Hereditary pancreatitis
• Pancreatic cysts (benign and malignant)
• Other tumors of the pancreas (e.g. neuroendocrine tumors, adenocarcinoma, lymphoma)

Liver disorders:

• Abnormal liver function tests
• Alcoholic liver disease
• Viral hepatitis (e.g. hepatitis B, hepatitis C)
• Autoimmune hepatitis
• Steatohepatitis (fat in the liver with associated inflammation)
• Primary biliary cirrhosis
• Primary sclerosing cholangitis
• Other liver disorders (e.g. hemochromatosis, alpha-1-antitrypsin deficiency, Wilson's disease)
• Liver tumors (benign and malignant)
• Cirrhosis and its complications (e.g. esophageal varices, ascites, encephalopathy)

Endoscopic procedures include:

• Upper GI endoscopy (e.g. esophagogastroduodenoscopy, small bowel enteroscopy)
• Variceal band ligation
• Stricture dilation (e.g. esophageal, pyloric, duodenal)
• Esophageal and duodenal stent placement
• Botulinum toxin injection therapy (e.g. achalasia)
• Colonoscopy
• EUS (endoscopic ultrasonography)
• ERCP (endoscopic retrograde cholangiopancreatography)
• Wireless small bowel video capsule endoscopy
• Intraoperative endoscopy

A certified gastroenterology registered nurse provides case management (coordination, tracking and support of patients) throughout their treatment process. Services provided include:

• Infusion therapy (e.g. Remicade for inflammatory bowel disease)
• Care and monitoring of patients with Hepatitis B and Hepatitis C
• Esophageal motility including impedance manometry
• 24-hour ambulatory pH & impedance testing for suspected gastroesophageal reflux
• Performance of wireless small bowel video capsule endoscopy

Direct booking without consultation is available for most endoscopic procedures, esophageal motility, 24-hour ambulatory pH and impedance and capsule endoscopy.