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Endoscopy is a process that allows physicians to better examine the body’s passageways, including the esophagus, stomach, colon, etc. Through a piece of equipment known as an endoscope, the doctor can directly look at specific areas to better evaluate and detect problems.
University Hospital’s endoscopy unit performs a variety of procedures: EGD, colonoscopy, flexible sigmoidoscopy, bronchoscopy, paracentesis, liver biopsy, endoscopic ultrasound, small bowel enteroscopy and ERCP. There are many advanced procedures that are performed on a daily basis: stent placements, cryotherapy, , Bravo ph studies, FNA, PEG placement, direct J-tube placement, manometry with impedence, capsule endoscopy, endoscopic ultrasound, endoscopic bronchial ultrasound, and enteryx. The latest technology inendoscopic procedures is continuously presented in this teaching facility. Autoflorences, to identify cancerous tissue in the pulmonary airways, and pleuroscopy, to obtain open lung biopsy (without the need for surgery and recovery), are examples. We also visualize the inside of the bile duct for diagnostic and therapeutic treatment using a choledochoduodenoscope.
The endoscopy unit is located on the second floor of the main hospital in the Diagnostic Center and is staffed with 41 physicians from pulmonary, surgery, and gastroenterology/hepatology and 25 dedicated and professional endoscopy personnel. The majority of the staff are experienced intensive care unit and emergency room nurses, 12 of whom are certified in advanced therapeutic procedures.
Training for Physicians and Nurses
University Hospital offers small group or individual courses on new technology for physicians and Nurses. To find out about upcoming courses, call 513-584-3637. Fellowship credentialing information may be obtained through the University of Cincinnati. Just recently, physicians from around Ohio came to The University Hospital to complete a successful course in advanced biliary and pancreatic ERCP.
For more information, call 513-584-3637
This is a sample of the vast number of procedures done in University Hospitals Endoscopy unit. We specialize in complicated and challenging cases and accept referrals from across the country.
EGD
A procedure that allows the physician to view the esophagus, stomach and first part of the small bowel (duodenum) through a scope that is passed through the mouth. Symptoms that may call for an EGD are nausea, vomiting, heartburn, difficulty swallowing and pain.
Colonoscopy
Colonoscopy is the visualization of the colon from the rectum to the cecum (beginning of the large intestine). Colonoscopies screen for colon cancer, bleeding, iron deficiency anemia, IBD, surveillance of Chrohn's or colitis
Sigmiodoscopy
Sigmiodoscopy is a visualization of approximately eight inches of the colon. No sedation is required for this test. This screens for colorectal cancer and evaluates persistent diarrhea and bleeding from internal hemorrhoids.
ERCP
ERCP is a visualization of the common bile duct and pancreatic ducts with use of fluoroscopy. It is used to diagnose and treat biliary tree and pancreatic diseases.
Liver Biopsy
A liver biopsy is used as a vital diagnostic tool to evaluate for liver diseases. A tissue sample of the liver is taken through a needle during a liver biopsy.
Small Bowel Enteroscopy
Small Bowel Enteroscopy is a visual examination of the small bowel. to find a source of chronic bleeding or undiagnosed bleeding after standard endoscopic procedures have not identified a source.
Endoscopic Ultrasound
A technique in which a high frequency transducer is built into the tip of an endoscope and is used to visualize images of the GI tract and adjoining structures within 45 cm of the gastrointestinal wall. Endoscopic ultrasound is used to find and stage tumors, biopsy nodes and drain cysts.
Manometry
A procedure that measures pressures at different sites in the body for diagnostic purposes. Different types of manometry are Anorectal, Esophageal, Sphincter of Oddi.
Ph Monitoring
A recording device that measures the level of Ph in the esophagus that may be endoscopically placed. This is done with a 24-hour catheter or a 48-hour capsule. The patient wears a recording device and returns in 24 or 48 hours to have it removed and downloaded. Ph monitoring is used to document abnormal esophageal acid exposure and monitor patients with GERD.
Capsule Endoscopy
An imaging capsule that contains a camera allows the physician to see the entire small bowel. It is used to view the small bowel of individuals with unexplained bleeding and suspected small bowel disease.
The PillCam procedure examines the esophagus with the use of a capsule containing a camera.
No sedation is required. It is used to evaluate for GERD, erosive esophagitis and Barrett's esophagus.
Remicade Infusions
A medication infusion that is used to treat Crohns and rheumatoid arthritis.
Secretin Testing
A medication injection and a series of timed blood draws to assist in the diagnosis of gastrinoma.
Paracentesis
Paracentesis drains excess fluid from the abdomen, due to certain liver diseases.
Feeding Tube Placement
A feeding tube is placed in the stomach or jejunum to provide alternative nutrition for individuals who are unable to eat.
Thoracentesis
Thoracentesis drains excess fluid from the pleural cavity (cavity that surrounds the lungs). It is used in patients with excess fluid in pleural cavity and lung cancer patients.
Bronchoscopy
Bronchoscopy is the direct visualization of the upper respiratory system. During a bronchoscopy specimens are collected, tissue biopsies are obtained or a stent may be placed. A stent is a threadlike, rod or bar placed in a tubular structure like a vein or in this case a bronchial tube.
Pleuroscopy
Pleuroscopy is used to obtain a biopsy of the outer lung without the need for surgery.
Endobronchial Ultrasound (EBUS)
A technique which uses a high frequency transducer to visualize images outside the lungs and large airways. EBUS is used to biopsy lymph nodes and stage tumors.
Contact Us
For more information, call 513-584-3637
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