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Doctor insights on: Gastroenterology

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Dr. Charles Cattano
1,287 doctors shared insights

Gastroenterology (Overview)

Gastroenterology is a field of study in which a person specializes in the function and disorders of the entire digestive tract, which begins at the lips and ends at the anus. Included organs are the pancreas, esophagus, stomach, intestines, etc


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For digestive diseases ( gastroenterolgy hepatology) ?

For digestive diseases ( gastroenterolgy hepatology) ?

Is this a question?: For diseases of these systems see a specialist if needed. ...Read more

Dr. Charles Cattano
1,287 doctors shared insights

Gastroenterology (Overview)

Gastroenterology is a field of study in which a person specializes in the function and disorders of the entire digestive tract, which begins at the lips and ends at the anus. Included organs are the pancreas, esophagus, stomach, intestines, etc


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Whats a pediatric gastroenterology clinic?

Whats a pediatric gastroenterology clinic?

See below: A pediatric gastroenterology clinic specializes in the evaluation and treatment of children with disease of the esophagus, stomach, intestine, colon, liver and pancreas. ...Read more

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Gastro esophageal reflux disease diet recommedations?

Gastro esophageal reflux disease diet recommedations?

Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read more

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Would an upper GI endoscopy reveal celiac disease?

Would an upper GI endoscopy reveal celiac disease?

Depends: A person would need to be consuming at least some gluten on a daily basis for 3 weeks prior to the studies for a biopsy to obtain tissue consistent with the diagnosis. That could be as little as a slice of wheat bread/day, but someone who has been avoiding gluten can make the study less accurate. Just looking (endoscopy) is not diagnostic. ...Read more

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Upper GI endoscopy and colonoscopy simultaneously?

Upper GI endoscopy and colonoscopy simultaneously?

Yes sometimes needed: it can be done at the same time (different scopes!). by performing both, you get anesthesia only once but get two procedures done, minimizing risks of future anesthesias. This is only done if both are medically needed (regardless of physician reimbursement), no need to do them always together. ...Read more

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Who usually performs colonoscopies, gastroenterologists or colon and rectal surgeons?

Who usually performs colonoscopies, gastroenterologists or colon and rectal surgeons?

Both: Both do however if a mass is there the colon and rectal surgeon can take care of it. In addition a colorectal surgeon would be more agressive at removing a polyp whereas a GI may be more apt to recommend surgery. This is based on personal experience. Fyi colonoscopy was pioneered by a general and cardiothoracic surgeon at beth israel in ny. Dr wolff and dr shinya invented polypectomy. ...Read more

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Is there board certification for digestive diseases ( gastroenterolgy hepatology) ?

Is there board certification for digestive diseases ( gastroenterolgy hepatology) ?

Yes: The american board of internal medicine (abim.Org) grants board certification to internists and all sub specialists through a rigorous system which requires ongoing maintenance of certification. ...Read more

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Can upper GI endoscopy shows intestinal cancer?

Can upper GI endoscopy shows intestinal cancer?

Sometimes but not: Often. Egd examines esophagus, stomach, duodenum (technically small intestine, but only the very first part), and sometimes the first portion of jejunum, which is the true small intestine. The small intestine is about 30 feet long. Then there is the large intestine, or colon, for which you need colonoscopy. The middle 29+ feet is not accessble via endocsopy. ...Read more

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Can upper GI endoscopy show intestinal cancer?

Can upper GI endoscopy show intestinal cancer?

Some areas.: Upper endoscopy can look at the esophagus, stomach, and at least the 1st portion of the duodenum; also the opening where the bile exits. It cannot look at and therefore cannot diagnose problems in the remainder of the duodenum, the ileum or the jejunum. However, capsule endoscopy can look at these other areas. ...Read more

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Is an upper GI endoscopy considered surgery?

Is an upper GI endoscopy considered surgery?

No: It is an outpatient procedure where an endoscope is descended through the mouth to look at the upper gastrointestinal tact, the patient is sedated lightly and some biopsies can be taken, but it is not considered surgery. ...Read more

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Chronic gastritis; chronic duodenitis, hyperemic gastric mucosa; positive helicob. Pylori stool test. Do i need treatment for helicobacter pylori?

Chronic gastritis; chronic duodenitis, hyperemic gastric mucosa; positive helicob. Pylori stool test. Do i need treatment for helicobacter pylori?

Helicobacter pylori: Yes, you definitely need treatment. This organism can promote the development of gastric cancer as well as producing the inflammatory changes in your GI tract that you have noted and which must be producing severe symptoms. ...Read more

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Whats GERD gastro esophageal reflux disease?

Whats GERD gastro esophageal reflux disease?

GERD defined: Gastroesophageal reflux disease (gerd) involves movement of stomach contents back into your esophagus. Gerd can be "silent" in a substantial # of patients, manifesting with ear/nose/throat & lung problems without heartburn. Heartburn is the common presentation of burning discomfort in your chest with exposure of the esophagus to stomach contents. See earlier healthtap answers for gerd prevention. ...Read more

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Do colonoscopies see the duodenum?

Do colonoscopies see the duodenum?

No: Colonoscopy gets to the proximal start of the colon. The duodenum is the beginning of the small intestine into which the stomach empties. To see the duodenum, a telescopic tube is inserted through the mouth and past the stomach. ...Read more

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Can an upper endoscopy and a colonoscopy diagnose gastroparesis?

Can an upper endoscopy and a colonoscopy diagnose gastroparesis?

Sometimes: It's actually a clinical diagnosis, based on high level of suspicion (i.e., if you are a diabetic, for example) a "snapshot" (upper endoscopy, aka egd) may show liquid in the stomach after 8-10 hours of fasting; but no fluid does not negate the clinical diagnosis. Plus, many medications can stop evacuation from a healthy stomach. ...Read more

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Who needs esophageal manometry?

Who needs esophageal manometry?

Swallowing problems: Test is best to look for problems with the muscles of the esophagus, how they function and what could be going on when they are not functioning and a person is having difficulty swallowing or undefined chest pain without clear source. Best for diagnosing things like achalasia and esophageal spasm and hypomotility. ...Read more