Esophageal testing

This includes many different forms of testing including a pH testing for reflux as well as testing of the motility of the esophagus.

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EGD (Upper Endoscopy)

An endoscopic procedure that is usually done under sedation. A flexible scope with a camera and a light source is usually inserted into the mouth down into the esophagus, stomach as well as the small bowel (usually to the duodenum, the first part of the small bowel). This procedure is done for multiple reasons including GERD, problems swallowing and even abdominal pain.

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Esophageal dilation

An endoscopic procedure that usually requires sedation. A flexible scope with a camera and a light source is inserted into the mouth. The narrowing of the esophagus is then evaluated, and if indicated, dilation, or stretching, of the esophagus is performed.

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EGD with PEG (Percutaneous Endoscopic Gastrostomy)

An endoscopic procedure that is usually done with sedation. This is done to insert a feeding tube from the skin into the stomach as a means to provide nutrition for the patient. It has also been used as a means for "venting" in patients that have an obstruction of the bowel.

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Capsule endoscopy

An endoscopic procedure that is usually done with no sedation. This procedure is usually done after a small bowel prep. A capsule the size of a pill is swallowed. The capsule has the ability to take pictures and those pictures are captured onto a recorder. This test is usually used to evaluate the small bowel, especially the small bowel that is not seen with an EGD or colonoscopy. It is used to evaluate disorders of the small bowel such as small bowel tumors, causes of small bowel bleeds, and even inflammatory bowel disease and celiac disease.

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Colonoscopy

An endoscopic procedure that is usually done under sedation. A flexible scope with a camera and a light source that is inserted through the rectum or ostomy to evaluate the colon. This procedures is done for multiple reasons, including to screen for colon cancer as well as to evaluate causes for abdominal pain, rectal bleeding, or even diarrhea.

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Flexible sigmoidoscopy

An endoscopic procedure that can be done with or without sedation. A flexible scope with a camera and a light source is inserted into the rectum to evaluate up to the left colon, or the sigmoid colon. This has been used to screen for colon cancer in the past, but is not used so much for the reason anymore due to the possibility of missed cancer in the right colon. It has been used for other reasons, including to screen for cancer in patient with inflammatory bowel disease that only has a very small portion of colon left or to treat hemorrhoids.

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