Interventional Gastroenterology Treatment
Interventional gastroenterology is a gastrointestinal inspection that is done endoscopically rather than through invasive surgery. An endoscope is a long fiber optic tube with a light source at its tip that is passed through the mouth into the gastrointestinal tract. A small video chip is present on the tip of the endoscope that transmits the images of the gastrointestinal tract to a television monitor so that the gastroenterologist can visualize the inside of the gastrointestinal tract.
The endoscope is advanced through the body’s natural orifices such as mouth and rectum that helps in avoiding the complications which are associated with surgery and provide faster recovery. An endoscope can also be used to make images of the surrounding organs such as the pancreas. Interventional endoscopy is done to diagnose and treat the following problems –
1. Colon and rectal bleeding, polyps and cancer. Complete and colon polyp resection is done.
2. Complication that occur from bariatric surgery.
3. Diseases of the esophagus such as achalasia, Barrett’s esophagus, dysplasia, esophageal cancer etc.
4. Gallbladder diseases including gall stones, chronic gallbladder inflammation, gall bladder cancer etc.
5. Gastric stomach diseases such as gastric cancer, gastrointestinal bleeding, gastrointestinal pain from malignancies.
6. Gastroesophageal reflux disease (GERD).
7. Pancreatic disease which include acute and chronic pancreatitis, pancreatic cyst, cancer, divisum, insufficiency and pain from malignancies.
8. Stomach ulcers.
Interventional endoscopy is preferred when compared with traditional open heart techniques as there are lesser complications along with low costs. The recovery is also very quick and in most of the cases, patients go back home on the same day. Some of the procedures that are performed related to interventional gastroenterology are –
1. Argon plasma coagulation hemostases of bleeding lesions.
2. Biliary and pancreatic duct endoscopy.
3. Pancreatic pseudocyst drainage.
4. Feeding tube placement and management.
5. Endoscopic ultrasound for staging and fine-needle aspiration and to diagnose and stage cancers of the GI tract, bile ducts and pancreas.
6. Endoscopic management after gastric bypass surgery.
It is a minimally invasive technique in which an endoscope is used to make colored images of the esophagus and intestinal tract.
Some diseases that are treated include colon and rectal bleeding, polyps, gallbladder disease, pancreatic disorders, esophagus disease etc.
When compared with open surgical technique, there are fewer complications, lower costs and quicker recovery.
Common procedures include endoscopic ultrasound, biliary and pancreatic duct endoscopy, pancreatic pseudocyst drainage etc.