Doctor insights on:
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
Can a general surgeon do the following procedure: endoscopic retrograde cholangiopancreatography (ercp)?
Yes, but inquire exp: All bariatric-only surgeons started as general surgeons. Surgeons who do a variety of procedures are sometimes your best technical operators. You do want to ask about experience. Also want to make sure he/she has a good after-surgery program. Finally, look for a compassionate surgeon. ...Read moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
Pancreas cancer surg: This procedure is most often used to treat cancer in the "head" of the pancreas. It involves removing about half of the pancreas then reattaching the liver (bile ducts) and remaining pancreas to the intestines. There are multiple ways to actually do the surgery in terms of how the various organs are re-attached. ...Read moreSee 2 more doctor answers
EGD: Esophagogastroduodenoscopy (egd) is a test to examine the lining of the esophagus (the tube that connects your throat to your stomach), stomach, and first part of the small intestine. It is done with a small camera (flexible endoscope) that is inserted down the throat. Read more at www.Browardgi.Com. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Bypass preop: See a surgeon for consultation. If they think you are a good candidate and meet the bmi requirements, you then see a dietician and social worker for evaluation. You also get an egd done, labs, chest x-ray, ekg, ultrasound of your liver, etc. Once you have been cleared by everyone and insurance authorization has been obtained, you get scheduled for surgery. This process takes 4-6 weeks. ...Read moreSee 1 more doctor answer
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
After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?
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
No incisions: Similar to a nissen, it wraps the stomach around the distal esophagus but only for approximately 240degrees (not the typical 360) and it is done inside the stomach through use of an endoscopic and not from the outside requiring incisions. Not everyone is a candidate for a tif so speak with a qualified surgeon. ...Read moreSee 1 more doctor answer
Camera looks down: An endoscope is essentially a rubber tube with a video camera at the end of it. Usually, a patient receives some sedation and the camera is inserted down the throat thru the esophagus and into the stomach and often past the stomach into the duodenum. The endoscope transmits images to a video screen which the doctor can look at to detect ulcers. ...Read more