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Endoscopy

Endoscopy procedures allow physicians to diagnose and treat a variety of gastrointestinal disorders. Endoscopy involves inserting a long, flexible tube (Endoscope) into the mouth or rectum. A tiny camera on the end of the endoscope allows the physician to see and examine the surfaces of the esophagus, stomach, intestine, and colon. An endoscope can also be equipped with forceps to collect tissue samples or remove a suspicious growth. Thomas Health provides endoscopy services in both Charleston and South Charleston. Services that are provided weekdays in both locations include:

  • Barrett’s Esophagus
  • Cancer Diagnosis
  • Dysphasia/Difficult swallowing
  • Gastroparesis
  • Heartburn/Gastroesophageal Reflux Disease (GERD)
  • Hiatal Hernias
  • Irritable Bowel Syndrome WV
  • Simple Constipation and Diarrhea

Common Procedures

Barrx ablation is a procedure used to treat Barrett’s esophagus. Barret’s esophagus is a condition that can result from having chronic heartburn or GERD. In Barrett’s esophagus, tissue similar to the lining of your intestines replaces the tissue lining your esophagus.

Capsule endoscopy requires a patient to swallow a pill-sized video capsule that has a camera and light inside of it and allows the physician to search for bleeding, polyps, or other irregularities that cannot be reached by a colonoscopy.

A flexible scope is passed through the rectum to allow the physician to have direct visualization of the colon. During the colonoscopy, the physician is able to view the patient’s colon, obtain biopsies, and remove potentially cancerous polyps. The colonoscopy is one of the most important procedures for colon cancer screening.

Minimally invasive outpatient procedure that allows more accurate diagnosis, staging and treatment of gastrointestinal, pancreatic and pulmonary disease.

ERCP is used to detect gastrointestinal disorders such as gallstones, bile duct or pancreatic duct blockages and for placement of biliary stents for benign or malignant structures. It requires special equipment and the use of fluoroscopy. Some small gallstones may be removed through this therapy.

ESG is a Non-surgical treatment and does not require incisions. It is done under sedation as an outpatient, the procedure is very well tolerated, recovery time is short and patients return to a normal routine after a few days. ESG is a relatively safe procedure and the overall risk of complications is low as compared to surgery. ESG is performed with an endoscopy. Using an endoscopic suturing system we place sutures in the stomach to create a sleeve and reduce the volume of the stomach.

Obesity is a chronic medical condition. More than 90 million people in the United States have a body mass index (BMI) greater than 30 and are considered obese.

Bariatric surgery is an effective, long-term solution for the treatment of obesity. But only 1 percent of patients undergo bariatric surgery because they fear surgery, potential complications or anatomical changes. Doctors instead have developed minimally invasive endoscopic methods to promote weight loss.

What is endoscopic sleeve gastroplasty or ESG?

ESG is a non-surgical treatment and does not require incisions. It is done under sedation as an outpatient. The procedure is very well-tolerated by patients. Recovery time is short, and patients return to a normal routine after a few days. ESG is a relatively safe procedure and the overall risk of complications is low as compared to surgery. ESG is performed with an endoscope. Using an endoscopic suturing system, the physician places sutures in the stomach to create a sleeve and reduce stomach volume.

Who qualifies for the procedure?

ESG is ideal for patients who have a BMI of at least 30 and have not been successful in losing weight with diet and exercise alone. It is also a solution for those who don’t want to undergo surgery or those who do not qualify for surgery because of the risk of complications.

How does it work?

ESG reduces stomach volume by about 70 percent; therefore, patients are not able to eat as much. ESG also decreases the emptying of the stomach so that food stays in the stomach longer, extending the feeling of fullness. Some data also suggests that it can also lead to a change in hormones to promote weight loss.

How is it performed?

This animation video shows the ESG procedure. ESG is performed completely from inside the stomach. The physician advances an upper endoscope (a camera attached to a flexible tube) through the patient’s mouth and into the stomach. The endoscope is equipped with a suturing system that allows placement of stitches in the stomach. The procedure takes 60 to 90 minutes to complete.

How Much Weight You’ll Lose:

Results vary for each individual undergoing an ESG. Typically, patients can lose as much as 50 percent of their excess body weight. In a recent study, patients were able to maintain weight loss at five years post-procedure. Other benefits include improved blood pressure, better blood sugar control, a decreased risk of fatty liver disease, and even an improvement in sleep apnea. Commitment to the program is the single greatest factor in achieving success.

What is the cost?

Click here to learn more about the cost of an ESG procedure.

Video Resources

To make an appointment, call (304) 414-4THS (4847).

Varcies are large or swollen blood vessels. Varices can occur anywhere within the gastrointestinal tract but most commonly in the esophagus and stomach. Endoscopic therapy is a way of preventing and treating variceal bleeding without the requirement for surgery. Most commonly with endoscopic variceal banding, rubber bands are placed around varcies in the esophagus through a flexible endoscope which is used to visualize the vessels.

Esophageal dilation is a procedure that allows your doctor to dilate, or stretch, a narrowed area of your esophagus (swallowing tube).

EGD allows the physician to view the esophagus, stomach, and first part of the small bowel through a scope that is passed through the mouth.

Fecal Transplant is the transfer of stool from a healthy donor into the gastrointestinal tract for the purpose of treating recurrent c.difficle colitis.

Flexible sigmoidoscopy is an exam used to evaluate the lower part of the large intestine. During a flexible sigmoidoscopy exam, a thin, flexible tube is inserted into the rectum. A tiny video camera at the tip of the tube allows the doctor to view the inside of the rectum and most of the sigmoid colon. If necessary, biopsies can be taken through the scope during a flexible sigmoidoscopy exam.

Hemorrhoid banding is a good treatment option for hemorrhoids that don’t respond to home treatments. Hemorrhoid banding is a way to remove hemorrhoids by putting tight bands around the smaller veins in the lower rectum.

A liver biopsy is a procedure to remove a small piece of liver tissue so it can be examined under a microscope for signs of damage or disease.

Measures pressures at different sites in the body for diagnostic purposes. Different types of manometry are anorectal, esophageal, and sphincter of Oddi.

Paracentesis is a procedure intended to remove fluid that has collected in the abdomen.

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