Posted 2016.09.14 at 2:54 pm by medsite
Procedures that Gl performs:
Using a video scope with image generation on a special medical-grade monitor the whole large bowel, hemorrhoids and even portions of the small intestine can be visualized with great accuracy. This procedure allows the physician to detect and remove some cancers early reducing the need for open surgeries and chemotherapy. It also allows for the detection of bleeding, inflammation, ulcers, scarring and other diseases of the colon and hemorrhoids and allows endoscopic treatment and definitive diagnosis in a quick and painless setting.
Upper Endoscopy or
Using a slightly thinner videoscope – with image generation on a special medical grade monitor – the whole esophagus, stomach, and a portion of the small intestine can be visualized with great accuracy and allows endoscopic treatment and definitive diagnosis of ulcers, tumors, lymphomas, bleeding lesions, inflammation and varices (bleeding due to chronic liver disease).
Using a specially modified video scope with image generation on a special medical-grade monitor the small intestine, papilla, and ducts (tubes) in the liver and pancreas can be visualized under fluoroscopy (x-ray) and allow for detection of diseases of the pancreas and liver such as scar tissue in the ducts, tumors, and migrating gallstones.
Using a specially constructed scope the physician can evaluate the patient’s pancreas and other portions of the upper and lower gastrointestinal tract using sound waves to better understand from what layer of tissue these growths originate from.
Small Bowel Wireless Capsule
A novel diagnostic technology which allows for remote detection of diseases of the small bowel and definitive diagnosis of ulcers, lymphomas, tumors, and bleeding.
Who should get a colonoscopy:
- Any abdominal pain not readily explained
- Any patient over the age of 45 or 50
- Any patient with new or worsening anemia
- Any patient over the age of 40 with a family history of colon cancer or colon polyps
- Personal history of colon cancer
- Personal history of colon polyps
- Unexplained or worsening diarrhea
- Unexplained or worsening constipation
- Any rectal bleeding
- Stool positive for occult blood
- Personal history of Inflammatory Bowel Disease
Who should get an upper endoscopy:
Any abdominal pain not readily explained
Any patient with history of Aspirin use or related medications such as ibuprofen
Any patient with gastroesophageal reflux disease
Persistent and unexplained vomiting and vomiting of blood
Any patient with abdominal bloating
Part of the work-up for anemia
Personal history of upper gastrointestinal cancer or lymphoma
Family history of upper gastrointestinal cancer in lymphoma
Seventy-five million Americans suffer from hemorrhoid flare and pruritus (itching) at some point in their lives. Depending on size (graded medically by degrees) hemorrhoids are treated by surgery. Our Gl uses two non- surgical methods to treat up to third degree and prolapsing hemorrhoids. Utilizing a banding device placed on the end of an endoscope or infrared applicator physician can achieve equivalent results of hemorrhoid surgery with little or no patient discomfort in an ambulatory setting so that patients can return to work the same day, or next day.
Who should get an ERCP:
Known or suspected Common Bile Duct or Pancreatic Duct stones
Cut of papilla/ampulla for suspected Sphincter of Oddi Dysfunction
Drainage of the Common Bile Duct due to tumor, stricture (scar), stone impaction
Clarify level of biliary scar
Assess abnormal liver enzymes or imaging studies suggestive of cholestasis
Endoscopic treatment of benign or inoperable malignant biliary stricture
Work-up of unexplained pancreatitis, pseudocysts
Endoscopic treatment of abnormal pancreatic anatomy such as pancreas divisum
Endoscopic treatment of post-operative complications in the bile duct
Endoscopic treatment of bile duct infection (sepsis)
>Ampullary cancers and bile duct cancers and/or pancreatic cancers
Who should get an
Evaluation and or fine needle biopsy of pancreatic cysts
Evaluation of tumors both benign and malignant of the upper and lower gastrointestinal tract
Who should get a
Small Bowel Wireless Capsule:
Part of work-up for anemia with negative upper and lower endoscopy
Part of work-up of rectal bleeding with a negative upper and lower endoscopy
Diarrhea with a negative upper and lower endoscopy
Colonoscopy is the GOLD STANDARD in colon cancer
detection and prevention.
Colon cancer is the second most common leading cause of cancer related deaths in the United States. Twenty percent of all cancer deaths are due to this preventable disease. Every year 130,000 Americans are diagnosed with colon cancer and 50,000 people will die from it. Colon cancer is curable in up to 90% of cases if diagnosed early.
Most colon cancers develop from polyps which are small growths found inside the intestine. About 93% of all cases of colon cancer occur in people older than 50. The American Cancer society recommends that all persons undergo colon cancer screenings beginning at age 50. The goal of screening for colon cancer is to detect early-stage cancerous tumors and to detect and remove polyps which may develop into colon cancer.
For further consultation please make an appointment to see our Gastroenterologist right away. Please remember that early detection by quick and accurate diagnosis utilizing advanced endoscopic technology can prevent surgery, chemotherapy, permanent bodily injury due to disease and even death.
There in no waiting time for procedures and we
could be contacted for personal navigation for
endoscopic procedures at:
Our gastroenterologist consults over 6000 patients a year and personally performing over 3500 endoscopic procedures per year with particular emphasis on colonoscopy, complex and difficult polypectomies, hemorrhoid ligation and infrared treatments, ERCP, upper endoscopies and small bowel wireless capsules. In total he has performed over 35,000 endoscopic procedures and consults in the New York and New Jersey area. Endoscopies are performed in Brooklyn, Bronx, Lenox Hill Hospital, New York and Roseland, New Jersey.
Our leading Gastroenterologist attended the prestigious Brown University School of Medicine and completed his training in Internal Medicine and Gastroenterology at Lenox Hill Hospital in Manhattan. Lenox Hill Hospital is rated as one of the best hospitals in the United States for gastroenterology and is a Center of Excellence for advanced therapeutic endoscopy. Our specialists worked with leaders in the field of colonoscopy, ERCP and Inflammatory Bowel Disease. He has been an Endoscopy Proctor at Lenox Hill Hospital since 2001 providing training in endoscopy to the Gastroenterology fellows.
Our gastroenterologist have extensive experience in current treatments of Inflammatory Bowel Disease and Hepatitis B and C and has participated in local leadership groups examining their collective experiences with treatments of these diseases.