EUS, ERCP, Upper GI Endoscopy, EMR
Advanced Endoscopy Procedures
At San Jose Gastroenterology, we are a team of board-certified gastroenterologists who are dedicated to providing expert care for a wide array of gastrointestinal, liver, and biliary tract diseases. That is why we offer a variety of advanced endoscopy procedures which can help you receive the diagnosis needed to move forward on your journey toward optimal health.
Endoscopy procedures allow us to look inside your digestive tract and nearby organs to diagnose and treat a range of conditions. Here’s a brief overview of some advanced endoscopic techniques we use:
Endoscopic Ultrasound (EUS) combines endoscopy with ultrasound imaging to provide detailed pictures of your digestive tract and surrounding organs. During the procedure, a thin, flexible tube with an ultrasound probe is inserted through the mouth or rectum, depending on the area being examined. This method is especially useful for diagnosing conditions such as bile duct or pancreatic cancer, as it helps us visualize the layers of the digestive tract and nearby structures more clearly.
What to Expect:
You will be given a sedative to help you relax and minimize discomfort.
The endoscope, equipped with an ultrasound probe, will be inserted through your mouth or rectum.
You may feel some pressure or discomfort, but the procedure is generally well-tolerated.
ERCP is a specialized procedure that combines endoscopy with X-ray imaging to examine the bile ducts, pancreas, liver, and intestines. By inserting an endoscope through the mouth and into the duodenum (the first part of the small intestine), we can inject a contrast dye into the bile and pancreatic ducts. X-rays are then taken to identify issues such as tumors, infections, leakage, or blockages.
What to Expect:
You will be sedated for comfort.
The endoscope will be guided into the duodenum, and a contrast dye will be injected.
X-rays will be taken to assess the conditions of your bile ducts and pancreas.
An upper GI endoscopy is used to investigate symptoms such as excessive heartburn, nausea, abdominal or chest pain, or difficulties with swallowing. A slim, flexible endoscope is inserted through the mouth and down the esophagus to examine the lining of the esophagus, stomach, and the first part of the small intestine. This procedure helps identify abnormalities such as inflammation, ulcers, or tumors.
What to Expect:
- You will receive a sedative to help you relax.
- The endoscope will be gently inserted through your mouth.
- You might experience a sensation of pressure or discomfort, but the procedure is generally quick.
Endoscopic Mucosal Resection (EMR) is a technique used to remove abnormal tissues from your gastrointestinal tract. This includes polyps, lesions, or cancerous cells. During EMR, a specialized tool is used to lift and remove the abnormal tissue through the endoscope, allowing for both removal and biopsy if needed.
What to Expect:
- You will be sedated for the procedure.
- The endoscope will be used to locate and remove the abnormal tissue.
- There may be some post-procedure discomfort, but recovery is generally quick.
Preparing for Your Procedure
- Pre-Procedure Instructions: Follow any specific instructions given by your healthcare provider, which may include dietary restrictions or medication adjustments.
- Post-Procedure Care: Depending on the procedure, you may need someone to drive you home. You may experience some temporary discomfort, but this usually resolves quickly.
These advanced endoscopic techniques are crucial for accurate diagnosis and effective treatment of various gastrointestinal conditions. If you have any questions or concerns about your procedure, please feel free to reach out to our team. We’re here to ensure you receive the best care possible.
- Follow Preparation Instructions Carefully
- Since you will likely be sedated during the procedure, arrange for someone to drive you home and assist you afterward.
- Don’t hesitate to ask questions about the procedure, risks, benefits, and any other concerns you may have.
Frequently Asked Questions
Most endoscopy procedures are performed under sedation or anesthesia to ensure you are comfortable and relaxed. You may be lightly sedated, so you may not remember the procedure or feel any discomfort.
While endoscopy is generally safe, there are some risks, including minor discomfort, bleeding, infection, or perforation of the digestive tract. Your healthcare provider will discuss potential risks with you and take steps to minimize them.
The duration of an endoscopy procedure depends on the type and complexity of the procedure. Generally, it can take anywhere from 15 minutes to an hour. Your healthcare provider will give you an estimated time based on your specific case.
Post-procedure, you might experience some bloating, gas, or mild discomfort, especially if air was used during the procedure. You will be monitored in a recovery area until the effects of sedation wear off. Most people can resume normal activities within a day.
