A procedure in which a flexible fiber-optic instrument is inserted through the anus in order to examine the colon. Special note regarding the difference between screening colonoscopy and diagnostic colonoscopy.
Screening colonoscopy is performed on an asymptomatic patient for the purpose of testing for the presence of colorectal cancer or colorectal polyps. Medicare and most third-party payors (health insurance companies) are required to cover such procedures without a co-pay or deductible.
Diagnostic colonoscopy is a test performed to evaluate an abnormal finding, sign or symptom (such as iron deficiency anemia, blood in stool, chronic diarrhea, etc.). Medicare and most payors (health insurance companies) do not waive the co-pay and deductible when the intent of the visit is to perform a diagnostic colonoscopy.
We encourage our patients to check with their insurance company regarding their coverage for screening versus diagnostic colonoscopy.
Percutaneous Endoscopic Gastrostomy Tube Placement
A procedure in which a flexible feeding tube is placed through the abdominal wall and into the stomach using an endoscope. This procedure is performed in the hospital.
Esophagogastroduodenoscopy is a diagnostic endoscopic procedure that visualizes the upper part of the gastrointestinal tract down to the duodenum.
Capsule endoscopy is a procedure used to record internal images of the gastrointestinal tract for use in medical diagnosis. The capsule is similar in shape to a standard pharmaceutical capsule, although a little larger, and contains a tiny camera and an array of LEDs powered by a battery. After a patient swallows the capsule, it passes along the gastrointestinal tract taking a number of images per second which are transmitted wirelessly to an array of receivers connected to a portable recording device carried by the patient.
Endoscopic retrograde cholangiopancreatography is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. Through the endoscope, the physician can see the inside of the stomach and duodenum, and inject a contrast medium into the ducts in the biliary tree and pancreas so they can be seen on radiographs. It is done at the hospital.
The causes of abdominal pain are numerous, but are often due to infections or inflammation in a certain area. The location of the pain helps medical providers narrow down the cause; to help with this process, the abdomen is divided into four equal areas called quadrants. Upper right quadrant pain, for example, can be associated with problems in the liver or gallbladder. The upper left quadrant contains most of the stomach, the spleen and the pancreas. Pain in the lower quadrants is often due to gynecological issues, appendicitis or a problem with the intestines.
Colon Cancer Screening
Since symptoms of colon cancer generally only occur during the latter stages of the disease, it's important to take advantage of a colonoscopy screening. An initial screening is recommended when you turn 50 because your risk of developing the cancer increase with age.
During the test, a thin, flexible scope that contains a light and miniature camera is passed through your anus, then into your large intestine and first part of your small intestine. The camera transmits images of the lining of your intestines to a digital screen, which allows your gastroenterologist to search for polyps or lesions. If any polyps are spotted, they're removed during the procedure and sent to a lab for a biopsy.