McKinney Gastroenterologist Procedures

Upper Endoscopy/EGD/Esophagogastroduodenoscopy

This procedure uses a thin, flexible tube with a camera to visualize the esophagus, stomach, and duodenum. It’s used to diagnose and treat conditions like ulcers, inflammation, and tumors, and allows for biopsies. The endoscope is inserted through the mouth, providing direct visual examination of the upper digestive tract.

Colonoscopy

A colonoscopy is a key gastroenterology procedure in examining the large intestine, including the rectum and entire colon, and is vital for diagnosis, treatment, and colorectal cancer screening. This endoscopic procedure utilizes a flexible tube equipped with a camera to identify polyps, abnormalities, and signs of gastrointestinal diseases, including inflammatory bowel disease. It also enables the removal of polyps and the collection of tissue for biopsy during the same procedure. For patients at average risk, this procedure offers many benefits, including early detection and long-term treatment planning.

Flexible Sigmoidoscopy

A flexible sigmoidoscopy offers a less extensive examination of the lower portion of the digestive system, focusing on the sigmoid colon, descending colon, and rectum. While not as comprehensive as a full colonoscopy, it’s useful for detecting abnormalities in the distal colon and offers a less invasive option for certain screening needs.

Capsule Endoscopy

Capsule endoscopy provides a unique method for gastroenterologists to examine the small intestine, a region that traditional endoscopic procedures cannot easily access. By swallowing a small capsule containing a camera, images of the digestive tract are captured as the capsule passes naturally through the organs. This method is particularly valuable for evaluating unexplained bleeding, Crohn’s disease, and other obscure digestive conditions.

EUS (Endoscopic Ultrasound)

We can perform advanced imaging techniques, such as Endoscopic Ultrasound (EUS). EUS combines traditional endoscopy with high-resolution ultrasound imaging using a built-in ultrasound probe. This method is ideal for visualizing the deep layers of the digestive tract, as well as nearby organs such as the pancreas, liver, and gallbladder. It plays a crucial role in staging cancer, evaluating pancreatic cysts or masses to prepare for upper GI tract surgery, and investigating disorders of the biliary system.

ERCP (Endoscopic Retrograde CholangioPancreatography)

Another advanced procedure is Endoscopic Retrograde Cholangiopancreatography (ERCP), which blends endoscopy with fluoroscopic imaging to examine the bile and pancreatic ducts. Through this method, contrast injection outlines the biliary and pancreatic ducts for imaging, allowing doctors to treat blockages, place stents, remove stones, or obtain tissue samples. ERCP is vital in managing complex conditions affecting the bile ducts, pancreatic ducts, and surrounding anatomy.

Hemorrhoid Banding

One of the most effective treatments for internal hemorrhoids is hemorrhoid banding. This simple outpatient technique uses a small rubber band to cut off the blood supply to the hemorrhoid, causing it to shrink and fall off. It is a safe and commonly used method that helps treat symptomatic hemorrhoids with minimal downtime and discomfort.

Bravo pH for Acid Reflux

To assess gastroesophageal reflux disease (GERD), we use Bravo pH monitoring, which involves temporarily attaching a small wireless capsule to the esophagus during an upper endoscopy. This capsule records pH levels for up to 96 hours, enabling gastroenterologists to pinpoint acid exposure and tailor treatment accordingly. This gastroenterology procedure provides essential data to guide the diagnosis and management of reflux and related esophageal disorders.