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Digestive Gastroenterology

State-Of-The-Art Digestive Gastroenterology Procedures in Knox County

Endoscopy is a visual inspection of a body cavity. This is done with the use of scopes – small, lighted and flexible tubes that have cameras on the end. The tube is inserted into a body opening (mouth or anus) and the camera sends the image to a screen. The doctor and staff can look for and repair/remove what might be causing problems. Endoscopy is often used for swallowing difficulties, stomach ulcers, colon polyps, and to locate sources of bleeding. This department focuses on the digestive (gastrointestinal) and respiratory (lungs) systems.

The most common procedures include:

  • Colonoscopy – a visual inspection of the large intestine (colon). Screenings for colonoscopies typically begin at age 45.
  • EGD (esophagogastroduodenoscopy) – a visual inspection of the esophagus (swallowing tube), stomach and duodenum (first portion of the small bowel).
  • PEG (feeding tube) – same as an EGD but includes the placement of a feeding tube for somebody unable to chew or swallow, or for people who have poor appetites or are otherwise unable to maintain healthy nutrition.
  • ERCP (endoscopic retrograde cholangiopancreatography) – with the use of a scope and X-ray, the doctor can see the ducts of the gallbladder and pancreas.
  • Bronchoscopy – a visual inspection of the airways.

Other services include:

  • Hepatitis C Clinic – Your primary care physician will refer you to one of our gastroenterologists for treatment. An endoscopy RN assists in tracking your treatment and frequent lab work.
  • Capsule Endoscopy – This is a camera in a capsule and is used to view the small intestine. The camera takes over 60,000 photos and sends them to a receiver, which a patient wears for eight hours after swallowing the capsule. The photos are turned into a video that is reviewed by staff to look for any abnormality that could be causing symptoms.
  • Endoscopic Ultrasound (EUS) – This procedure allows the doctor to view your stomach, intestines as well as study other internal organs that are nearby, such as the gallbladder and pancreas.
  • Endobronchial Ultrasound (EBUS) – This procedure allows the doctor to view your airways and lungs.
  • Radio-Frequency Ablation – A method of treatment for Barrett’s esophagus.
  • Manometry (esophageal and anorectal) – These studies show how well muscles contract by measuring the pressure during muscle movement.
  • Most procedures require moderate sedation. Medication is administered through an IV by an anesthesia provider to provide relaxation and comfort. Before your procedure is scheduled, it is very important to talk to your doctor about all medications you are taking. Use of some medication for chronic pain, anxiety, depression, etc., may require stronger medication for your procedure.

Before Your Procedure

Please follow the instructions provided by your doctor to help you have the best exam possible. Call the office if you have any questions.

Diabetics: Ask your doctor about insulin medication. An endoscopy nurse will call you the working day before your procedure to review information and answer any questions you may have.

The Day of Your Procedure

You may take heart and blood pressure medicines with a sip of water. Leave valuables at home. Bring your insurance card(s) and an updated list of your medications including dosage and frequency.

Please arrive 90 minutes before your scheduled procedure time. We recommend you use the free Health Pavilion valet parking service offered by Good Samaritan. This will give you enough time to go through patient access (registration) and have any lab work performed that may be needed. You will need a driver. You will be given sedation medicines that can stay in your system for several hours. You will be instructed not to drive, operate machinery or make any legal decisions the entire day of your procedure.

The Procedure

Duration varies from person to person, generally 15 to 60 minutes, depending on procedures performed. Recovery time is an additional 30 to 60 minutes. Your goal is to have a safe and comfortable experience.

After the Procedure

The doctor will speak with you and your companion after the procedure. Since you will have received sedation, you will be awake but might not remember everything you hear. You are encouraged to ask questions at any time; the endoscopy team is happy to share any information they can.

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