Services

Medical TreatmentThe physicians of Hampshire Gastroenterology Associates, LLC provide treatment for a broad spectrum of gastrointestinal problems. Some of our most common procedures include a colonoscopy, an endoscopic retrograde cholangiopancreatography (ERCP), a sigmoidoscopy, an upper GI endoscopy and a liver biopsy using the latest navigation techniques. Hampshire Gastroenterology Associates, LLC provides you with the most advanced gastrointestinal treatment available and confidence that you are receiving the highest quality care.  For more information, click on the ASGE Patient Information link for each proceedure.

Colonoscopy

ASGE Patient InformationASGE Patient Information – Understanding Colonoscopy
Frequently Asked Questions About Colonoscopy
During a colonoscopy, your doctor will insert a colonoscope, a camera inside a plastic tube, into the anus and move it through the large intestine in order to check for abnormalities. These abnormalities may include bleeding sites in the colon, polyps that are present or even cancer. If your doctor believes that an area of your colon needs further assessment, a biopsy will be taken and the sample will be tested.

In order to prepare for your colonoscopy, you must follow your doctor’s specific dietary instructions on how to completely cleanse your colon. Usually the doctor advises patients to drink cleansing solutions, use laxatives and enemas and stay on a diet of clear liquids for the days preceding the procedure.

Preparing for a Colonoscopy, produced by The American Gastroenterological Association

Endoscopic Retrograde Cholangiopancreatography (ERCP)

ASGE Patient InformationASGE Patient Information – Understanding ERCP

An endoscopic retrograde cholangiopancreatography is performed to detect diseases of the pancreas, bile ducts, liver and gallbladder. For example, an ERCP can determine whether a person’s jaundice is caused by gallstones or tumors rather than from a disease, such as hepatitis.

Before the ERCP, the patient should not eat after dinner the night before the procedure or for at least six hours prior in order to have an empty stomach. To begin, the patient is sedated, and the physician will insert an endoscope through the mouth, down the esophagus and through the stomach into the small intestine. After the liver and pancreatic ducts are visible, a catheter is moved through the endoscope and a iodine-containing dye is injected. X-rays are taken and then evaluated.

Flexible Sigmoidoscopy

ASGE Patient InformationASGE Patient Information – Understanding Flexible Sigmoidoscopy

Your doctor will do a flexible sigmoidoscopy, which is very similar to a colonoscopy.  A plastic tube is inserted into the anus and moved through to the rectum and lower part of the large intestine in order to check for abnormalities. If your doctor believes that an area of your colon needs further assessment, a biopsy will be taken and the sample will be tested. Usually all that is found during a flexible sigmoidoscopy are polyps, which can be removed. If you have a large polyp, your doctor will likely recommend that you have a colonoscopy.

Just as with a colonoscopy, in order to prepare for a flexible sigmoidoscopy, you must follow your doctor’s specific dietary instructions on how to completely cleanse your colon. Usually the doctor advises patients to drink cleansing solutions, use laxatives and enemas and stay on a diet of clear liquids for the days preceding the procedure.

Upper GI Endoscopy

ASGE Patient InformationASGE Patient Information – Understanding Upper Endoscopy

To investigate the causes of persistent upper abdominal pain, nausea, vomiting or difficulty swallowing, the doctor performs an upper GI endoscopy on their patients.  An upper GI endoscopy can also be used to detect inflammation, ulcers or tumors of the esophagus, stomach, small intestine as well as cancer.

Before the upper endoscopy, the patient should not eat after dinner the night before the procedure or for at least six hours prior in order to have an empty stomach. To begin, the patient is given numbing throat spray and sometimes a sedative, and the doctor will insert an endoscope through the mouth, down the esophagus and through the stomach into the small intestine in order to check for the problems previously mentioned.

Liver Biopsy

Liver biopslyA liver biopsy is a procedure done in a hospital where a doctor removes a small piece of your liver to use as a sample for testing. To remove the piece, the doctor will inject a local anesthetic into the area where your liver is found. After the pain killer takes effect, the doctor will then use a needle to quickly remove a tiny piece of your liver. Removing this small piece is not significant enough to permanently harm you.

By performing the biopsy, your doctor will be able to find out more about the health of your liver. This is especially important if you have hepatitis C or any other liver disease, and you’re deciding on treatments. Your doctor may also want to perform a liver biopsy if you have a problem that can not be explained.

After this procedure, you should only have to stay in the hospital no longer than four to six hours. This procedure is not usually painful, but you will need to avoid certain kinds of physical activity for one to two weeks afterward.

Hemorrhoid Banding

Hemorrhoid disease is common and often can be managed by treating the underlying bowel condition with both natural and prescription topical remedies. In situations where conservative methods fail to relieve symptoms or the hemorrhoid disease is severe or very symptomatic, we offer a non-surgical technique called rubber band ligation. We use a disposable ligator to gently pull the appropriate tissue and tie off the base of the hemorrhoid in a location where no pain-causing nerve endings are present. This is done in the office and does not require sedation or medication. Evaluation of hemorrhoid disease begins with an office consultation to evaluate whether you require evaluation and treatment for an underlying bowel disease or whether a diet and lifestyle, medication, banding or surgical referral is most appropriate to address symptoms.