Endoscopic Rendezvous Biliary Access

Endoscopic Necrosectomy

Endoscopic Cyst Gastrostomy



Endoscopic Cyst Gastrostomy


Esophageal Ablation

Radio frequency ablation (BARRX-HALO) uses an electrode mounted either on a balloon or endoscope to deliver heat energy to the diseased lining of the esophagus. A number of studies have demonstrated that BARRX-HALO safely results in a high rate of complete eradication of Barrett’s esophagus, as well as a reduction in the progression of the disease to high-grade dysplasia and cancer. Because of a favorable safety profile, studies have been performed assessing the efficacy of RFA for the earliest stages of Barrett’s, as well as later stages.

Ultrasound Endoscopy

Endoscopic ultrasound, also known as EUS or endoscopic ultrasonography, is a test that gastroenterology specialists can use to diagnose problems of the gastrointestinal (GI) walls and surrounding organs like the liver, pancreas, gallbladder and lungs. Unlike the devices used during colonoscopy and other traditional endoscopic procedures, which have a camera at the tips, EUS requires an endoscope with a tiny, ultrasound tool at the end. This endoscope is inserting via a patient’s mouth or anus and guided toward whichever area of the body needs to be checked for disease. Visuals are captured with sound wave technology. Since most EUS exams require sedation, most patients say that they don’t remember their procedure once it’s over. However, soreness is normal during the days after the test.

Peptic Ulcer Disease

Peptic ulcer disease refers to painful sores or ulcers in the lining of the stomach or first part of the small intestine, called the duodenum.

What Causes Ulcers?

No single cause has been found for ulcers. However, it is now clear that an ulcer is the end result of an imbalance between digestive fluids in the stomach and duodenum. Ulcers can be caused by:

Infection with a type of bacteria called Helicobacter pylori (H. pylori)

Use of painkillers called nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, naproxen (Aleve, Anaprox, Naprosyn, and others), ibuprofen (Motrin, Advil, Midol, and others), and many others available by prescription. Even safety-coated aspirin and aspirin in powered form can frequently cause ulcers.

Excess acid production from gastrinomas, tumors of the acid producing cells of the stomach that increases acid output (seen in Zollinger-Ellison syndrome).