In the Arrawdha General Hospital Endoscopy Unit, gastroenterologists use specialized tools to view, diagnose and treat conditions of the digestive tract with most advanced technology available and a broader range of endoscopic procedures.
- Abdominal Pain
- Acid Reflux and Barrett’s Esophagus
- Bleeding in the Small Intestine
- Colorectal Cancer
- Other Digestive Diseases
- Zenker’s Diverticulum
Abdominal Pain is sometimes caused by too-tight pressure of the muscle at the bottom of the bile and pancreatic ducts. This condition is called sphincter of Oddi dysfunction (SOD). Often, people are misdiagnosed with pancreatitis or have gallbladder pain after the gallbladder has been removed, when they actually have undiagnosed SOD. Endoscopic retrograde cholangiopancreatography (ERCP), using X-ray fluoroscopy, can reveal the sphincter, and ERCP with sphincter of Oddi manometry can analyze the muscle. If it is too tight, the SOD can be cured simply by a sphincterotomy that is performed in less than a minute during ERCP.
Acid Reflux and Barrett’s Esophagus:
Barrett’s Esophagus occurs when there are changes in the cells that line the esophagus, which can sometimes lead to esophageal cancer. Acid reflux is the main risk factor for Barrett’s. About 10% of people with chronic reflux disease (when stomach contents backflow into the esophagus) develop Barrett’s Esophagus and one out of 200 with the earliest form of Barrett’s develops esophageal cancer. A screening endoscopy to diagnose Barrett’s takes only a few minutes.
Colorectal cancer is the 3rd most commonly diagnosed cancer and the 3rd leading cause of cancer death in men and women in the US. Polyps in the colon or rectum, which are usually benign, may become cancerous over time. When screening detects colon or rectal polyps at an early stage, they can be removed, and colorectal cancer can be prevented. Screening for colorectal cancer should begin at age 50, or earlier if there is a family history of colorectal cancer or other high-risk factors. Colonoscopy is the preferred procedure to detect colorectal cancer in its early stages.
Other Digestive Diseases and Cancer:
Other areas where digestive diseases or cancer may occur include the linings of the upper and middle digestive tract (esophagus and stomach).
Zenker’s is a pouch in the wall of the throat that results when a muscle in the upper esophagus doesn’t relax. When swallowing, bits of food can get trapped in the pouch and may cause irritation. If the pouch is very large, food may spill into the throat hours after eating. The traditional treatment is to cut the muscle that won’t relax.
In the Endoscopy Unit, a qualified endoscopist is assisted by specially trained Registered Nurses and endoscopy technicians, as well as dedicated anesthesiologists. An anesthesiologist spends time with each patient before a procedure is performed, monitors them during the procedure and during recovery.
Procedures used to detect, diagnose and treat conditions of the digestive tract include:
ERCP (Endoscopic Retrograde Cholangiopancreatography) uses X-ray fluoroscopy, to reveal the sphincter and ERCP with sphincter of Oddi manometry to analyze the muscle.
Injection Sclero therapy of Oesophageal Varices.