dditional Gastroenterology Procedures (sources for the following can be found by clicking here and viewing the “Gastroenterology Procedural Lecture Series” at the bottom of the page):

• Flexible sigmoidoscopies to a depth of 60+ cm recognizing common colorectal pathology (hemorrhoids, polyps, and cancer)
• Biopsies, manipulating forceps
• Polypectomy, using both biopsy and snare techniques Sclerotherapy and banding with variceal hemorrhages Injection therapy, heater probe, and electorcautery with bleeding lesions of the upper and lower gastrointestinal tract
• Invasive therapeutic techniques including transhepatic cholangiography and drainage, transhepatic liver biopsy, percutaneous gastrostomy placement, vascular embolization, and placement of internal proto-systemic shunts (TIPS)
• Percutaneous endoscopic gastrostomy
• Placement of feeding tubes
• Placement of Sengstaken-Blakemore or Minnesota tubes for tamponade of bleeding varices
• Percutaneous liver biopsy, identify suitable biopsy site by percussion/palpation or ultrasound
• Paracentesis, indlucing the ability to diagnose ascites using percussion (shifting dullness) and ultrasound
• Capsule Endoscopy
• Basic endoscopy including: intubating the esophagus under direct visualization, understanding normal and post-surgical anatomy, and reaching the proximal small bowel during an upper endoscopy and the cecum during a colonoscopy in almost all patients.
• pH studies and basic esophageal and anorectal motility studies.