Advanced Gastrointestinal Services in Georgia

Advanced Gastrointestinal Endoscopy practice, has been a central feature at Gastrointestinal Specialists of Georgia (GSG) for more than a decade. Our advanced endoscopy team is comprised of nationally recognized, board certified, highly experienced gastroenterologists, who provide leading-edge therapies for patients. We manage a diverse group of referral patients with complex gastrointestinal conditions; collaborate on the various endoscopy procedures to achieve excellent medical outcomes for patients.

Endoscopic Retrograde Cholangiopa Pancreatogram (ERCP)

Endoscopic Retrograde Cholangiopancreatogra (ERCP) enables physicians to examine the pancreatic and bile ducts. An endoscope is put through the mouth and gently moved down the throat into the stomach and the first part of the small intestine (duodenum). The small opening in the duodenum is identified, and a plastic tube is passed through the endoscope and into this opening. Dye is injected and X-rays are taken to study the ducts of the pancreas and liver.

Preparation
EGD / ERCP / EUS

Endoscopic Ultra Sound

Endoscopic Ultra Sound (EUS), allows the physician to examine the esophageal and stomach linings as well as the walls of the upper and lower gastrointestinal tract. EUS is also used to study the lungs, liver, gall bladder and pancreas. An endoscope (thin flexible tube with a built-in miniature ultrasound probe) is passed through the patient’s mouth or anus area for exam. Sound waves from the ultrasound are used to create visual images of the digestive tract.

Preparation
EGD / ERCP / EUS
Lower EUS / Miralax

Spyglass

Cholangioscopy is an effective diagnostic and therapeutic noninvasive endoscopic method used for direct visualization of bile ducts. Chlangioscopy is performed at Wellstar Kennestone Endocopy Center, using “Spy-Glass DS” system in conjunction to ERCP. This is a single-operator system attached to the ERCP scope, wherein a small bore scope is inserted directly into the bile ducts to guide both optical and accessory devices for diagnostic and therapeutic applications during therapeutic ERCP.

While ERCP, an adequate first step to diagnosis and treat most bile and pancreatic ducts diseases using x-ray imaging, the SpyGlass DS can later be suggested if ECRP falls short of providing this information. “Spy-Glass DS” provides direct visualization of the bile ducts allowing the endoscopist to a targeted biopsy characterizing benign versus malignant natures of biliary strictures and diagnosing intraductal tumors. The system also allows for direct fragmentation of bile or pancreatic duct stones by using electrohydraulic lithotripsy.

Patient preparation and recovery for this procedure is not different from those for ERCP. The duration of the procedure is longer but is still considered an outpatient procedure and is done at Wellstar Kennestone Endocopy Center.

Preparation
EGD / ERCP / EUS

Advanced Endoscopy Team

Raja-Sappati-Gastroenterology-and-Hepatology

Dr. Raja R. Sappati Biyyani

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Suku-George-Gastroenterology

Dr. Suku George

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Sachin-Goel-GI-Specialist

Dr. Sachin Goel

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