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Gastroenterology

Baptist Health is a leader in the diagnosis and treatment of digestive conditions and is a pioneer in minimally invasive gastrointestinal procedures:

Device Procedure
Colonoscopy Biopsy, laser ablation, polypectomy, radiation colitis, and tattoo (marks area for further study or removal)
Esophagogastroduodenoscopy (EGD) Biopsy, bipolar cauterization, dilatation, insertion percutaneous endoscopic gastrostomy (PEG), remove foreign body, scleratherapy and tattoo
Endoscopy Double balloon, plication (Nissen fundoplasty), ultrasound fine needle aspirate, and ultrasound tumor staging
Endoscopic retrograde cholangiopancreatography (ERCP) Common bile duct lithotripsy, papilotomy, and stenting (biliary, pancreatic, metal, pseudocyst)
Motility Study Anal, biliary and esophageal

Baptist Downtown is the only hospital in Northeast Florida that performs the bilary motility study.

Imaging Capsule Studies of the small intestine using a tiny camera in an ingestible capsule
pH Monitoring Monitors possible reflux for up to 24 hours

Double Balloon Endoscopy
Physicians at Baptist Downtown can endoscopically evaluate and treat disorders of the small intestine, previously inaccessible without invasive surgery, thanks to Fujinon Double Balloon Endoscopy.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

consultation
ERCP enables the physician to diagnose problems in the liver, gallbladder, bile ducts and pancreas. ERCP uses an endoscope, which is a flexible, lighted tube with imaging capability which is guided through the patient's mouth and throat, then through the esophagus, stomach and duodenum. A tube is then passed through the scope, and a dye is injected so the organs can be seen on X-ray.

Endoscopic Ultrasound (EUS)
EUS combines endoscopy and ultrasound in order to obtain images and information about the digestive tract and the surrounding tissue and organs. Ultrasound uses high-frequency sound waves to produce images of the organs and structures inside the body.

Endoscopic ultrasound allows the physician to look just beyond the outer surface of the digestive tract to structures that surround the intestinal tract. For example, it can enable the physician to look at a tumor within the digestive tract and detect its penetration within the layers of the wall of the digestive tract. Endoscopic ultrasound can be used to evaluate a possible malignancy.

Imaging Capsule
The small intestine's size, shape and position in the body make it a difficult area to examine, but Baptist Health physicians have a non-invasive way of looking at the small intestine -- a pill-size camera that patients swallow. The ingestible Imaging Capsule is a "wireless" endoscopy system, which features a small camera inside a capsule the size of a large vitamin that weighs about four grams. Its smooth surface makes it easier to swallow than an aspirin. The capsule moves naturally through the small intestine as the intestine contracts.

The capsule/camera sends images (for up to eight hours) to a data recorder, which is housed in a belt that the patient wears. The system's portability allows patients to leave the hospital after they ingest the capsule. When they return, information is downloaded from the data recorder to a computer workstation with software that allows physicians to look at single images or streaming video of a patient's small intestine.

Scheduling
Your physician will schedule your procedure and provide you with specific instructions regarding preparation for your test and recovery. Report directly to the Center for Endoscopy (take the Tower elevators) for all your pre-operative through post-operative services. You will need to arrange for a driver to take you home after the procedure.

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