Procedures We Perform

The 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.

Colonoscopy

During a colonoscopy, the physician 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 the physician 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 physician 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

Insurance Copay

If your colonoscopy has been scheduled for screening (meaning you have no symptoms with your bowels )*, and Your doctor finds a polyp or tissue that has to be removed during the procedure, this colonoscopy is no longer considered a screening procedure, it is considered a surgical procedure and your insurance benefits maychange. Please check with your insurance company prior to starting the bowel preparation.

*Symptoms such as change in bowel habits, diarrhea, constipation, bleeding, anemia, etc. are not considered screening.

Endoscopic Retrograde Cholangiopancreatography (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

The physician does 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 the physician 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 physician 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

To investigate the causes of persistent upper abdominal pain, nausea, vomiting or difficulty swallowing, the physician 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 physician 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

A 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, the physician 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.

Video Capsule Endoscopy

How the Procedure Works

A patient fasts starting at midnight the day before the procedure. The following morning they arrive at the physician’s office where they are prepped for the procedure. This includes attaching the sensor array to the patient’s abdomen and the data recorder to a belt around the patient’s waist. Once these tasks have been completed the patient will be given a glass of water to help swallow the vitamin-sized pill. The patient can resume daily activities once he or she has successfully swallowed the PillCam video capsule. After 8-hours the patient returns to the physician’s office to return the device and the pill passes naturally with a bowel movement usually within 24 hours. You may be asked to do a small colon cleansing preparation such as you would for a colonoscopy.

See pill cam consent under forms.

Click here to view BRAVO CAPSULE Ph TEST