The digestive system. Medicine and technology. Normal structure and function Diagnostic methods Example diseases and therapies

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "The digestive system. Medicine and technology. Normal structure and function Diagnostic methods Example diseases and therapies"

Transcription

1 The digestive system Medicine and technology Normal structure and function Diagnostic methods Example diseases and therapies

2 The digestive system An overview (1) Oesophagus Liver (hepar) Biliary system Pancreas Stomach Duodenum Small intestine Large intestine Rectum

3 The digestive system An overview (2) Nerve plexa Mucosa Inner muscle layer Outer muscle layer Mesentery

4 The digestive system Blood flow

5 The digestive system Nerve supply

6 The digestive system The four basic functions Motility Regulation Secretion Digestion Absorption

7 Motility

8 Secretion og absorption

9 Digestion and absorption

10 Regulation Luminal Endocrine Nervous Paracrine

11 The digestive system Main diagnostic methods Basic clinical examination Radiology Endoscopies Other methods

12 Gastrointestinal radiology - basic (1)

13 Gastrointestinal radiology - basic (2) CT upper abd-normal Ultrasound upper abd-normal

14 Gastrointestinal endoscopy - basic (1)

15 Gastrointestinal endoscopy - basic (2) Biopsy forceps Snare Hemoclip

16 Gastrointestinal endoscopy - Taking a biopsy -

17 Gastrointestinal endoscopy the diatermy principle Both mono- and bipolar systems can be used for cutting or coagulation or as mixed modes Coagulation mode Interrupted current (50-100) Square pulses Cutting mode Continous current Sinus mode

18 Other methods one example (1a) Small intestinal examination - enterocapsule

19 Other methods another example (1b) Small intestinal examination ballon enteroscope

20 Other methods yet another example (2a) Manometry and ph in the oesophagus

21 Other methods the latest for ph (2b) Wireless logging of ph in the oesophagus

22 Oesophagus, stomach and duodenum

23 Oesophagus (1) - normal

24 Oesophagus (2) reflux oesophagitis Oesophagitis Barrett Stenosis

25 Oesophagus (3) reflux oesophagitis - Laparoscopic surgery -

26 Oesophagus (4) reflux and stricture - Endoscopic dilatation -

27 Oesophagus (5) - cancer

28 Oesophagus (6) - cancer - Staging by endoscopic ultrasound - Normal ultrasound image Lymph node metastasis M SM MP S

29 Oesophagus (7) - cancer - Palliative stenting -

30 Stomach normal anatomy

31 Stomach normal endoscopy

32 Gastric ulcer (1)

33 Gastric ulcer (2) The major complications Bleeding Perforation Obstruction

34 Gastric ulcer (3) bleeding Arterial bleeding Injection therapy The hemoclip

35 Gastric ulcer (4) argon plasma

36 Gastric ulcer (5) - perforation

37 Gastric ulcer (6) - obstruction

38 The cause of the classic peptic ulcer Helicobacter pylori Eradication (A) or not (B)

39 Gastric cancer (1) - diagnosis

40 Gastric cancer (2) - therapy

41 Duodenum (normal)

42 Duodenum (ulcer)

43 Duodenum (what is this?)

44 The small intestine

45 The normal small intestine Barium double contrast X-ray

46 Crohn s disease of the small intestine Barium X-ray Enteroscopy

47 Diagnosis by capsule endoscopy Bleeding Stricture

48 Patient with weight loss and diarrhea (1) Healthy person This patient

49 Patient with weight loss and diarrhea (2) Healthy person

50 Large intestine and rectum

51 Large intestine normal anatomy

52 Rectum normal anatomy

53 The appendix

54 Laparoscopic appendectomy An example of minimally invasive surgery

55 Ulcerative colitis

56 Polyps of the colon and polypectomy

57 Cancer of the colon Colonoscopy X-ray

58 Cancer of the colon surgical assessment

59 Liver and the biliary system

60 Liver (1) normal

61 Liver (2) normal

62 Liver (cirrhosis)

63 Liver (portal hypertension) Endoscopy Schematic Band ligation

64 Regional anatomy of the Duodenum-pancreas-biliary system

65 Ultrasound gallbladder

66 Papilla Vateri From above From below

67 Endoscopic findings - papilla Vateri Hemobilia Cancer Cholangitis

68 Biliary cannulation through the papilla Vateri

69 Endoscopic papillotomy (1)

70 Endoscopic papillotomy (2) Cannulation Incision

71 Stone extraction

72 ERCP, papillotomy, stone extraction

73 Stent - malignant obstruction of the bile ducts (1)

74 Stent - malignant obstruction of the bile ducts (2)

Billing Guideline. Subject: Colorectal Cancer Screening Exams (Invasive Procedures) Effective Date: 1/1/2012 Last Update Effective: 4/16

Billing Guideline. Subject: Colorectal Cancer Screening Exams (Invasive Procedures) Effective Date: 1/1/2012 Last Update Effective: 4/16 Subject: Colorectal Cancer Screening Exams (Invasive Procedures) Effective Date: 1/1/2012 Last Update Effective: 4/16 Billing Guideline Background Health First administers benefit packages with full coverage

More information

Digestive Disorders Center

Digestive Disorders Center Digestive Disorders Center 200 Lothrop St. Pittsburgh, PA 15213-2582 412-647-8666 toll-free, 1-866-4GASTRO (442-7876) http://gi.medicine.pitt.edu To find a UPMC doctor, call 412-647-UPMC (8762) or 800-533-UPMC.

More information

Gastrointestinal Bleeding

Gastrointestinal Bleeding Gastrointestinal Bleeding Introduction Gastrointestinal bleeding is a symptom of many diseases rather than a disease itself. A number of different conditions can cause gastrointestinal bleeding. Some causes

More information

2016 Quick Reference Coding Chart

2016 Quick Reference Coding Chart 43197 Trans nasal esophagoscopy 43198 Biospy Trans Nasal Esophagoscopy Esophagoscopy 43200 Esophagoscopy Includes collection of specimen(s) by brushing or washing, when performed. 43201 Submucosal injection

More information

Gastrointestinal Endoscopy: Smaller Scopes and Bigger Pictures

Gastrointestinal Endoscopy: Smaller Scopes and Bigger Pictures Gastrointestinal Endoscopy: Smaller Scopes and Bigger Pictures Frank R. Burton, M.D. Frank R. Burton, M.D. Professor of Medicine Director of Endoscopy Division of Gastroenterology & Hepatology Saint Louis

More information

HMM 4401 Gastrointestinal disease

HMM 4401 Gastrointestinal disease HMM 4401 Gastrointestinal disease Ett sykehus - nær deg og dine Admissions to inpatient hospital, > 70 yrs Main diagnoses Blefjell hospital, all dep Patient admissions Cancer and cancer related 500 Cardiovascular

More information

Bleeding in the Digestive Tract

Bleeding in the Digestive Tract Bleeding in the Digestive Tract Bleeding in the digestive tract is a symptom of a disease rather than a disease itself. Bleeding can occur as the result of a number of different conditions, some of which

More information

How to Effectively Code for Endoscopic Procedures in Gastroenterology

How to Effectively Code for Endoscopic Procedures in Gastroenterology How to Effectively Code for Endoscopic Procedures in Gastroenterology Ariwan Rakvit, MD Associate Professor Interim Chief, Division of Gastroenterology Texas Tech University Health Science Center All rights

More information

Bleeding in the Digestive Tract

Bleeding in the Digestive Tract Bleeding in the Digestive Tract National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH Bleeding in the digestive tract is a symptom

More information

Extrahepatic bile duct cancer is a rare disease in which malignant (cancer) cells form in the part of bile duct that is outside the liver.

Extrahepatic bile duct cancer is a rare disease in which malignant (cancer) cells form in the part of bile duct that is outside the liver. EXTRAHEPATIC BILE DUCT CANCER General Information Extrahepatic bile duct cancer is a rare disease in which malignant (cancer) cells form in the part of bile duct that is outside the liver. A network of

More information

POEM Procedure for. Esophageal Achalasia

POEM Procedure for. Esophageal Achalasia POEM Procedure for Esophageal Achalasia POEM (Per-Oral endoscopic myotomy) is an incisionless procedure to treat esophageal achalasia, totally performed by endoscopy, without cutting the surface of the

More information

Digestive System. Coding Tips Digestive Conditions. Diverticulosis and Diverticulitis

Digestive System. Coding Tips Digestive Conditions. Diverticulosis and Diverticulitis Codes for gastrointestinal (GI) disorders are located in chapter 11 (Diseases of the Digestive System). This section of the Navigator discusses several GI conditions frequently encountered in radiology,

More information

Intestinal Cancer. Intestinal cancer is rare. But eating a high-fat diet or having certain digestive diseases can raise a person s risk.

Intestinal Cancer. Intestinal cancer is rare. But eating a high-fat diet or having certain digestive diseases can raise a person s risk. Intestinal Cancer Introduction This reference summary discusses cancer of the small intestines, not cancer of the colon. Intestinal cancer starts in the cells of the small intestine. The small intestine

More information

Gallbladder cancer is a disease in which malignant (cancer) cells form in the tissues of the gallbladder.

Gallbladder cancer is a disease in which malignant (cancer) cells form in the tissues of the gallbladder. Gallbladder cancer Gallbladder cancer is a disease in which malignant (cancer) cells form in the tissues of the gallbladder. Gallbladder cancer is a rare disease in which malignant (cancer) cells are found

More information

By Anne C. Travis, M.D., M.Sc. and John R. Saltzman, M.D., FACG Brigham and Women's Hospital Harvard Medical School Boston, MA

By Anne C. Travis, M.D., M.Sc. and John R. Saltzman, M.D., FACG Brigham and Women's Hospital Harvard Medical School Boston, MA SMALL BOWEL BLEEDING: CAUSES, DIAGNOSIS AND TREATMENT By Anne C. Travis, M.D., M.Sc. and John R. Saltzman, M.D., FACG Brigham and Women's Hospital Harvard Medical School Boston, MA 1. What is the small

More information

BILIARY TRACT DISORDERS, GALLBLADDER DISORDERS AND GALLSTONE PANCREATITIS

BILIARY TRACT DISORDERS, GALLBLADDER DISORDERS AND GALLSTONE PANCREATITIS BILIARY TRACT DISORDERS, GALLBLADDER DISORDERS AND GALLSTONE PANCREATITIS By Young Choi, M.D. & William B. Silverman, M.D. FACG Division of Gastroenterology / Hepatology University of Iowa Hospitals and

More information

The Role of Industry Representatives in the Endoscopy Unit

The Role of Industry Representatives in the Endoscopy Unit The Role of Industry Representatives in the Endoscopy Unit Vivek Kaul, MD 1 and Douglas Faigel, MD, FASGE 2 Introduction The modern endoscopy unit is a busy workplace environment. With the patient as the

More information

PANCREATIC CANCER. Two different categories of cancer can affect the pancreas: Exocine and Endocrine cancers

PANCREATIC CANCER. Two different categories of cancer can affect the pancreas: Exocine and Endocrine cancers PANCREATIC CANCER INTRODUCTION More than 42,000 Americans develop cancer of the pancreas each year; it is the fourth leading cause of cancer-related death in the United States. Two different categories

More information

This handout is for informational purposes only. Talk with your doctor or health care team if you have any questions about your care.

This handout is for informational purposes only. Talk with your doctor or health care team if you have any questions about your care. PATIENT EDUCATION patienteducation.osumc.edu What is the esophagus? The esophagus (food pipe) is a tube that connects your throat to your stomach. It is about 10 inches long and runs behind your trachea

More information

Therapeutic Endoscopy. Fantastic Voyage Now a Reality Robert Luís Pompa, MD Gastroenterology

Therapeutic Endoscopy. Fantastic Voyage Now a Reality Robert Luís Pompa, MD Gastroenterology Therapeutic Endoscopy Fantastic Voyage Now a Reality Robert Luís Pompa, MD Gastroenterology History of Endoscopy Two major obstacles: The gut is not straight It s dark in there! Dr. Kussmaul 1868 first

More information

Management of Bile Duct Problems Treatment Overview

Management of Bile Duct Problems Treatment Overview Management of Bile Duct Problems Treatment Overview Bile Duct Obstruction Bile duct (or biliary) obstruction occurs for numerous reasons. Causes can include cancerous and non-cancerous processes as well

More information

ERCP (Endoscopic Retrograde Cholangio-Pancreatography) Patient Information from SAGES

ERCP (Endoscopic Retrograde Cholangio-Pancreatography) Patient Information from SAGES SAGES Society of American Gastrointestinal and Endoscopic Surgeons http://www.sages.org ERCP (Endoscopic Retrograde Cholangio-Pancreatography) Patient Information from SAGES Author : SAGES Webmaster What

More information

Small Intestine Cancer

Small Intestine Cancer Small Intestine Cancer What is the Small Intestine? The small intestine, also called the small bowel, is part of the body s gastrointestinal tract or digestive system. Its jobs are to: Break down food

More information

CHAPTER 11 DISEASES OF THE DIGESTIVE SYSTEM (K00-K95) April MVP Health Care, Inc.

CHAPTER 11 DISEASES OF THE DIGESTIVE SYSTEM (K00-K95) April MVP Health Care, Inc. DISEASES OF THE DIGESTIVE SYSTEM (K00-K95) April 2014 2014 MVP Health Care, Inc. CHAPTER SPECIFIC CATEGORY CODE BLOCKS K00-K14 Diseases of oral cavity and salivary glands K20-K31 Diseases of esophagus,

More information

ABDOMINAL PAIN. By Lawrence R. Schiller, M.D. Baylor University Medical Center Dallas, Texas

ABDOMINAL PAIN. By Lawrence R. Schiller, M.D. Baylor University Medical Center Dallas, Texas ABDOMINAL PAIN By Lawrence R. Schiller, M.D. Baylor University Medical Center Dallas, Texas What is abdominal pain? Ordinarily, we are unaware of any of the actions of the organs in the abdomen or any

More information

CPT COD1NG UPDATES Gastroenterology CPT Advisors

CPT COD1NG UPDATES Gastroenterology CPT Advisors 2014 CPT COD1NG UPDATES Gastroenterology CPT Advisors Joel V. Brill, MD, AGA CPT Advisor Daniel C. DeMarco, MD, ACG CPT Advisor Glenn D. Littenberg, MD, ASGE CPT Advisor The American College of Gastroenterology

More information

ERCP in Post Surgical Anatomy

ERCP in Post Surgical Anatomy ERCP in Post Surgical Anatomy ACG Western Regional Course, 2013 John G. Lee, MD Division of Gastroenterology University of California, Irvine Medical Center Common surgical alterations Intact pancreaticobiliary

More information

PATIENT CONSENT TO PROCEDURE - ROUX-EN-Y GASTRIC BYPASS

PATIENT CONSENT TO PROCEDURE - ROUX-EN-Y GASTRIC BYPASS As a patient you must be adequately informed about your condition and the recommended surgical procedure. Please read this document carefully and ask about anything you do not understand. Please initial

More information

GLOSSARY. Abdomen: The part of the body that contains the pancreas, stomach, intestines, liver, gallbladder, and other organs.

GLOSSARY. Abdomen: The part of the body that contains the pancreas, stomach, intestines, liver, gallbladder, and other organs. GLOSSARY Abdomen: The part of the body that contains the pancreas, stomach, intestines, liver, gallbladder, and other organs. Abdominal: Having to do with the abdomen, which is the part of the body between

More information

Abdominal pain. Agnieszka Dobrowolska- Zachwieja, MD, PhD Department of Gastroenterology and Human Nutrition

Abdominal pain. Agnieszka Dobrowolska- Zachwieja, MD, PhD Department of Gastroenterology and Human Nutrition Abdominal pain Agnieszka Dobrowolska- Zachwieja, MD, PhD Department of Gastroenterology and Human Nutrition Most common symptoms of abdominal disease Pain Nausea and/or vomiting Change in bowel movements

More information

35 Stomach Intestine Contents

35 Stomach Intestine Contents Stomach Intestine 35 36 Prof. Dr. med. Ayman Agha Head of Department Department for General-, Visceral-, Endocrine and Minimally Invasive Surgery > Bogenhausen Hospital Englschalkinger Straße 77 81925

More information

UCLA Asian Liver Program

UCLA Asian Liver Program CLA Program Update Program Faculty Myron J. Tong, PhD, MD Professor of Medicine Hepatology Director, Asian Liver Program Surgery Ronald W. Busuttil, MD, PhD Executive Chair Department of Surgery Director,

More information

The Whipple Procedure. Sally Hodges, Ph.D.(c) Given the length and difficulty of the procedure, regardless of the diagnosis, certain

The Whipple Procedure. Sally Hodges, Ph.D.(c) Given the length and difficulty of the procedure, regardless of the diagnosis, certain The Whipple Procedure Sally Hodges, Ph.D.(c) Preoperative procedures Given the length and difficulty of the procedure, regardless of the diagnosis, certain assurances must occur prior to offering a patient

More information

ENDOSCOPIC ULTRASOUND (EUS)

ENDOSCOPIC ULTRASOUND (EUS) ENDOSCOPIC ULTRASOUND (EUS) What you need to know before your procedure Your Doctor has decided that an EUS is necessary for further evaluation and treatment of your condition. This information sheet has

More information

DISEASES OF THE DIGESTIVE SYSTEM

DISEASES OF THE DIGESTIVE SYSTEM DISEASES OF THE DIGESTIVE SYSTEM DISEASES OF ORAL CAVITY, SALIVARY GLANDS AND JAWS (520-529.9) 520 DISORDERS OF TOOTH DEVELOPMENT AND ERUPTION 520.0 ANODONTIA 520.1 SUPERNUMERARY TEETH 520.2 ABNORMALITIES

More information

Clinical Gastroenterology and Hepatology (CGH)

Clinical Gastroenterology and Hepatology (CGH) 1 The following document includes the most frequently asked coding and billing questions received by the AGA Coding and Billing Answer Line. Answers are provided by the AGA s staff of certified and experienced

More information

Liver Cancer What is the liver? What is liver cancer?

Liver Cancer What is the liver? What is liver cancer? Liver Cancer What is the liver? The liver is the largest internal organ in the body and is important in digesting food. The liver performs many other functions, including collecting and filtering blood

More information

Lab 18 The Digestive System

Lab 18 The Digestive System Lab 18 The Digestive System Laboratory Objectives Identify on a diagram, model or cadaver the parts of the digestive system and accessory organs. Describe the general histology of the digestive system.

More information

Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions

Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions What are the Colon and Rectum? The colon and rectum together make up the large intestine. After

More information

2016 Procedural Reimbursement Guide for Endoscopy

2016 Procedural Reimbursement Guide for Endoscopy 2016 Procedural Reimbursement Guide for Endoscopy THIS PROCEDURAL REIMBURSEMENT GUIDE, FOR SELECT ENDOSCOPY PROCEDURES, provides coding and reimbursement information for physicians and facilities. The

More information

Colorectal Cancer Care A Cancer Care Map for Patients

Colorectal Cancer Care A Cancer Care Map for Patients Colorectal Cancer Care A Cancer Care Map for Patients Understanding the process of care that a patient goes through in the diagnosis and treatment of colorectal cancer in BC. Colorectal Cancer Care Map

More information

WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS

WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS This is a patient information booklet providing specific practical information about gall bladder polyps in brief. Its aim is to provide the patient

More information

Lenox Hill Hospital Department of Surgery General Surgery Goals and Objectives

Lenox Hill Hospital Department of Surgery General Surgery Goals and Objectives Lenox Hill Hospital Department of Surgery General Surgery Goals and Objectives Medical Knowledge and Patient Care: Residents must demonstrate knowledge and application of the pathophysiology and epidemiology

More information

Endoscopy and infection: Prevention of infection during endoscopy Treatment of infection by endoscopy. M. Arvanitakis SRBG June 2009

Endoscopy and infection: Prevention of infection during endoscopy Treatment of infection by endoscopy. M. Arvanitakis SRBG June 2009 Endoscopy and infection: Prevention of infection during endoscopy Treatment of infection by endoscopy M. Arvanitakis SRBG June 2009 Outline Antibiotic prophylaxis during endoscopy Upper GI endoscopy Lower

More information

Pancreatic Cancer Understanding your diagnosis

Pancreatic Cancer Understanding your diagnosis Pancreatic Cancer Understanding your diagnosis Let s Make Cancer History 1 888 939-3333 cancer.ca Pancreatic Cancer Understanding your diagnosis When you first hear that you have cancer you may feel alone

More information

Gallbladder and Bile Duct Surgery (Cholecystectomy and Common Duct Exploration) A simple guide to help answer your questions

Gallbladder and Bile Duct Surgery (Cholecystectomy and Common Duct Exploration) A simple guide to help answer your questions Gallbladder and Bile Duct Surgery (Cholecystectomy and Common Duct Exploration) A simple guide to help answer your questions What is a gallbladder? The gallbladder is the organ in the body which is responsible

More information

Chapter 6 Gastrointestinal Impairment

Chapter 6 Gastrointestinal Impairment Chapter 6 Gastrointestinal This chapter consists of 2 parts: Part 6.1 Diseases of the digestive system Part 6.2 Abdominal wall hernias and obesity PART 6.1: DISEASES OF THE DIGESTIVE SYSTEM Diseases of

More information

Marginal Ulcers. Marginal Ulcers. Gastric Remnant Ulcers. Double Balloon Enteroscopy. Marginal Ulcer. Gastrojejunal Stricture.

Marginal Ulcers. Marginal Ulcers. Gastric Remnant Ulcers. Double Balloon Enteroscopy. Marginal Ulcer. Gastrojejunal Stricture. Upper Abdominal Pain in the Bariatric Surgery Patient Martin L. Freeman, M.D., FASGE,FACG Professor of Medicine Director, Pancreaticobiliary Endoscopy Fellowship Interim Director, Division of GI, Hepatology

More information

Health Science 1111 Module 15 Digestive System Lab 15. As you view the film The Body Invaders Digestion answer the question on your lab worksheet.

Health Science 1111 Module 15 Digestive System Lab 15. As you view the film The Body Invaders Digestion answer the question on your lab worksheet. Health Science 1111 Module 15 Digestive System Lab 15 As you view the film The Body Invaders Digestion answer the question on your lab worksheet. Anatlab o On campus students: Double-click on the Anatlab

More information

Pancreatic Cancer. What does the pancreas do? What is cancer?

Pancreatic Cancer. What does the pancreas do? What is cancer? Pancreatic Cancer Pancreatic cancer mainly occurs in people over 60. If it is diagnosed at an early stage, then an operation to remove the cancer followed by chemotherapy with or without radiation therapy

More information

11/10/2014. I have nothing to Disclose. Covered Stents discussed are NOT FDA approved for the indications covered in my presentation

11/10/2014. I have nothing to Disclose. Covered Stents discussed are NOT FDA approved for the indications covered in my presentation I have nothing to Disclose Ramsey Dallal, MD, FACS Vice Chair Department of Surgery Chief Bariatric i and Minimally i Invasive Surgery Einstein Healthcare Network Nemacolin, PA 2014 Covered Stents discussed

More information

LOWER GI ENDOSCOPIES So why is CMS yanking our chain? General Concepts for all GI Endoscopy Procedures

LOWER GI ENDOSCOPIES So why is CMS yanking our chain? General Concepts for all GI Endoscopy Procedures LOWER GI ENDOSCOPIES We have lots of changes to lower GI coding for 2015 to talk about. Code definitions have been revised and many new codes have been added to this chapter. First the good news: All these

More information

Acute abdominal conditions Key Points

Acute abdominal conditions Key Points 7 Acute abdominal conditions Key Points 7.1 ASSESSMENT AND DIAGNOSIS Referred abdominal pain Fore gut pain (stomach, duodenum, gall bladder) is referred to the upper abdomen Mid gut pain (small intestine,

More information

Peptic Ulcer. Anatomy The stomach is a hollow organ. It is located in the upper abdomen, under the ribs.

Peptic Ulcer. Anatomy The stomach is a hollow organ. It is located in the upper abdomen, under the ribs. Peptic Ulcer Introduction A peptic ulcer is a sore in the lining of your stomach or duodenum. The duodenum is the first part of your small intestine. Peptic ulcers may also develop in the esophagus. Nearly

More information

Inflammatory Bowel Disease

Inflammatory Bowel Disease Inflammatory Bowel Disease Digestive problems are among the most common conditions affecting Americans today. There are many different types of digestive problems, from gastrointestinal infections that

More information

Basic Laparoscopy and Lap. Suturing and Stapling course Course Contents

Basic Laparoscopy and Lap. Suturing and Stapling course Course Contents Online Courses on Laparoscopic GI Surgery for GISurgery.info Lap Skills course Harshad Soni 1. Basic Laparoscopy and Lap. Suturing and Stapling course H. Soni 2. Laparoscopic UGI Surgery Course J Mistry

More information

GI Bleeding. Thomas S.Foster,Pharm.D. PHR 961 Integrated Therapeutics

GI Bleeding. Thomas S.Foster,Pharm.D. PHR 961 Integrated Therapeutics GI Bleeding Thomas S.Foster,Pharm.D. PHR 961 Integrated Therapeutics Overview Because GI bleeding is internal, it is possible for a person to have GI bleeding without symptoms. Important to recognize

More information

Gary M. Annuniziata, D.O., F.A.C.P. Anh T. Duong, M.D. Jonathan C. Lin, M.D., MPH. Preparation for EGD, ERCP, Peg Placement.

Gary M. Annuniziata, D.O., F.A.C.P. Anh T. Duong, M.D. Jonathan C. Lin, M.D., MPH. Preparation for EGD, ERCP, Peg Placement. Gary M. Annuniziata, D.O., F.A.C.P. Anh T. Duong, M.D. Jonathan C. Lin, M.D., MPH Phone- (760) 321-2500 Fax- (760) 321-5720 Preparation for EGD, ERCP, Peg Placement Patient Name- Procedure Date and Time-

More information

Learning Objectives. Introduction to Medical Careers. Vocabulary: Chapter 16 FACTS. Functions. Organs. Digestive System Chapter 16

Learning Objectives. Introduction to Medical Careers. Vocabulary: Chapter 16 FACTS. Functions. Organs. Digestive System Chapter 16 Learning Objectives Introduction to Medical Careers Digestive System Chapter 16 Define at least 10 terms relating to the digestive Describe the four functions of the digestive Identify different structures

More information

Appropriate use of GI endoscopy

Appropriate use of GI endoscopy GUIDELINE Appropriate use of GI endoscopy This is one of a series of position statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American

More information

Learning Luncheon 7: Endoscopic Mucosal Resection: When, Where and How?

Learning Luncheon 7: Endoscopic Mucosal Resection: When, Where and How? Endoscopic Mucosal Resection (EMR): When, Where, and Charles J. Lightdale, MD Columbia University New York, NY Endoscopic Mucosal Resection (EMR) EMR developed for removal of sessile or flat neoplasms

More information

Northumbria Healthcare NHS Foundation Trust Northumbria Endoscopy Service STUDENT NURSE AND NEW STAFF TRAINING AND INDUCTION PORTFOLIO FOR ENDOSCOPY

Northumbria Healthcare NHS Foundation Trust Northumbria Endoscopy Service STUDENT NURSE AND NEW STAFF TRAINING AND INDUCTION PORTFOLIO FOR ENDOSCOPY Northumbria Healthcare NHS Foundation Trust Northumbria Endoscopy Service STUDENT NURSE AND NEW STAFF TRAINING AND INDUCTION PORTFOLIO FOR ENDOSCOPY Northumbria Healthcare NHS Foundation Trust Surgical

More information

CEU Update. Pancreatic Cancer

CEU Update. Pancreatic Cancer CEU Update A semi-annual publication of the National Association for Health Professionals June 2015 Issue #0615 Pancreatic Cancer The Pancreatic Cancer Action Network, Inc. (PanCAN), established in 1999,

More information

The Digestive System

The Digestive System School of Social Work The Digestive System Undergraduate researcher: Nancy D. Bergerson (2010). 1 The Digestive System breaks down and absorbs food. When food is eaten, it is not in a form the body can

More information

Colon cancer is a disease in which malignant (cancer) cells form in the tissues of the colon.

Colon cancer is a disease in which malignant (cancer) cells form in the tissues of the colon. Colon cancer Colon cancer is a disease in which malignant (cancer) cells form in the tissues of the colon. The colon is part of the body s digestive system. The digestive system removes and processes nutrients

More information

understanding GI bleeding

understanding GI bleeding understanding GI bleeding a consumer education brochure American College of Gastroenterology 4900B South 31st Street, Arlington, VA 22206 703-820-7400 www.acg.gi.org American College of Gastroenterology

More information

Bile Duct Diseases and Problems

Bile Duct Diseases and Problems Bile Duct Diseases and Problems Introduction A bile duct is a tube that carries bile between the liver and gallbladder and the intestine. Bile is a substance made by the liver that helps with digestion.

More information

Surgery for oesophageal cancer

Surgery for oesophageal cancer Surgery for oesophageal cancer This information is an extract from the booklet Understanding oesophageal cancer (cancer of the gullet). You may find the full booklet helpful. We can send you a free copy

More information

Colon and Rectal Cancer

Colon and Rectal Cancer Colon and Rectal Cancer What is colon or rectal cancer? Colon or rectal cancer is the growth of abnormal cells in your large intestine, which is also called the large bowel. The colon is the last 5 feet

More information

Gastrointestinal Stromal Tumor (GIST) What is cancer?

Gastrointestinal Stromal Tumor (GIST) What is cancer? Gastrointestinal Stromal Tumor (GIST) What is cancer? The body is made up of trillions of living cells. Normal body cells grow, divide to make new cells, and die in an orderly way. During the early years

More information

BSGIE national survey : The endoscopy unit

BSGIE national survey : The endoscopy unit BSGIE national survey : The endoscopy unit Dear Colleagues, The BSGIE organises a national survey on the organisation, equipment and activity of the endoscopic units in our hospitals. The results of this

More information

SOD (Sphincter of Oddi Dysfunction)

SOD (Sphincter of Oddi Dysfunction) SOD (Sphincter of Oddi Dysfunction) SOD refers to the mechanical malfunctioning of the Sphincter of Oddi, which is the valve muscle that regulates the flow of bile and pancreatic juice into the duodenum.

More information

DRG 182 Esophagitis, Gastroenteritis and Miscellaneous Disorders Age >17 With Complication/Comorbidity. ICD-9-CM Coding Guidelines

DRG 182 Esophagitis, Gastroenteritis and Miscellaneous Disorders Age >17 With Complication/Comorbidity. ICD-9-CM Coding Guidelines Esophagitis, Gastroenteritis and Miscellaneous Disorders Age >17 With Complication/Comorbidity ICD-9-CM Coding Guidelines The below listed esophagitis, gastroenteritis and miscellaneous digestive disorders

More information

Biliary Stone Disease

Biliary Stone Disease Biliary Stone Disease Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm You have

More information

GI Bleed. Steven Lichtenstein, D.O. Chief, Division of Gastroenterology Mercy Health System. Director, Endoscopy/GI Lab Mercy Fitzgerald Hospital

GI Bleed. Steven Lichtenstein, D.O. Chief, Division of Gastroenterology Mercy Health System. Director, Endoscopy/GI Lab Mercy Fitzgerald Hospital October 3, 2015 GI Bleed Steven Lichtenstein, D.O. Chief, Division of Gastroenterology Mercy Health System Director, Endoscopy/GI Lab Mercy Fitzgerald Hospital Clinical Associate Professor of Medicine

More information

Objectives of Training in the Subspecialty of Gastroenterology

Objectives of Training in the Subspecialty of Gastroenterology Objectives of Training in the Subspecialty of Gastroenterology This document applies to those who begin training on or after July 1 st, 2011. (Please see also the Policies and Procedures. ) DEFINITION

More information

Understanding. Pancreatic Cancer

Understanding. Pancreatic Cancer Understanding Pancreatic Cancer Understanding Pancreatic Cancer The Pancreas The pancreas is an organ that is about 6 inches long. It s located deep in your belly between your stomach and backbone. Your

More information

Patient Interview Form

Patient Interview Form Patient Interview Form www.austingastro.com Patient Information First Name: Date Of Birth: Last Name: Age: Email Please check one as your preferred email for communications Personal: Work: Race Select

More information

understanding IBD INFLAMMATORY BOWEL DISEASE A patient s guide from your doctor and

understanding IBD INFLAMMATORY BOWEL DISEASE A patient s guide from your doctor and understanding IBD INFLAMMATORY BOWEL DISEASE A patient s guide from your doctor and To help you understand and manage your condition, the AGA Institute provides you with the following information, designed

More information

Center for Endoscopic Research & Therapeutics

Center for Endoscopic Research & Therapeutics Center for Endoscopic Research & Therapeutics 5758 South Maryland Avenue (MC9028) Chicago, Illinois 60637 (773) 702-1459 www.uchospitals.edu Center for Endoscopic Research & Therapeutics To refer a patient

More information

Imaging For Suspected Bile Leak Following Cholecystectomy

Imaging For Suspected Bile Leak Following Cholecystectomy January 2015 Imaging For Suspected Bile Leak Following Cholecystectomy Kyle Checchi, Harvard Medical School Year IV Our Patient: Presentation Middle aged male with h/o chronic cholecystitis s/p CCY 2 weeks

More information

Gastroenterology Delineation of Clinical Privileges and Procedures

Gastroenterology Delineation of Clinical Privileges and Procedures Gastroenterology Delineation of Clinical Privileges and Procedures Basic Education: MD or DO Training & Experience: Training: Successful completion of a residency in internal medicine, followed by fellowship

More information

National Cancer Institute. What You Need TM. To Know About. Stomach Cancer. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health

National Cancer Institute. What You Need TM. To Know About. Stomach Cancer. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute What You Need TM To Know About Stomach Cancer U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute Services This is only one of

More information

Treatment for cancer of the gall bladder

Treatment for cancer of the gall bladder Treatment for cancer of the gall bladder Hepatobiliary Services Information for Patients Liver i Stomach Pancreas Gall bladder Introduction The aim of this booklet is to help you understand more about

More information

Neuroendocrine Tumors

Neuroendocrine Tumors Neuroendocrine Tumors Neuroendocrine tumors arise from cells that release a hormone in response to a signal from the nervous system. Neuro refers to the nervous system. Endocrine refers to the hormones.

More information

Guide to Abdominal or Gastroenterological Surgery Claims

Guide to Abdominal or Gastroenterological Surgery Claims What are the steps towards abdominal surgery? Investigation and Diagnosis It is very important that all necessary tests are undertaken to investigate the patient s symptoms appropriately and an accurate

More information

www.ghadialisurgery.com

www.ghadialisurgery.com P R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal

More information

The Two Sides of Gastroenterology

The Two Sides of Gastroenterology The Two Sides of Gastroenterology Jill Young, CPC, CEDC, CIMC 1 Disclaimer This material is designed to offer basic information for coding and billing. The information presented here is based on the experience,

More information

What are peptic ulcers?

What are peptic ulcers? Information about Peptic ulcers www.corecharity.org.uk What are the symptoms? What are the causes? What are peptic ulcers? When should I consult a doctor? What will the doctor do? How should I treat peptic

More information

A Guide for Patients Living with a Biliary Metal Stent

A Guide for Patients Living with a Biliary Metal Stent A Guide for Patients Living with a Biliary Metal Stent What is a biliary metal stent? A biliary metal stent (also known as a bile duct stent ) is a flexible metallic tube specially designed to hold your

More information

Endotherapy for high grade dysplasia & early oesophageal neoplasia in Barrett s oesophagus: A single centre retrospective audit

Endotherapy for high grade dysplasia & early oesophageal neoplasia in Barrett s oesophagus: A single centre retrospective audit Endotherapy for high grade dysplasia & early oesophageal neoplasia in Barrett s oesophagus: A single centre retrospective audit U Duffy, K Gowland, AI Morris, HL Smart Department of Gastroenterology, Royal

More information

OMG (Oh my gallbladder) Attack of the gallbladder. Presented by: Jeanne L.L. Plouffe, CPC, CGSC

OMG (Oh my gallbladder) Attack of the gallbladder. Presented by: Jeanne L.L. Plouffe, CPC, CGSC OMG (Oh my gallbladder) Attack of the gallbladder Presented by: Jeanne L.L. Plouffe, CPC, CGSC Fun Facts The gallbladder is a sac located under your liver Primary function of gallbladder is to store and

More information

Laparoscopic Gall Bladder Removal

Laparoscopic Gall Bladder Removal Laparoscopic Gall Bladder Removal Gallbladder removal is a common surgical procedure all over the world. Today, gallbladder surgery is performed laparoscopically (key-hole surgery). The medical name for

More information

www.ghadialisurgery.com

www.ghadialisurgery.com P R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal

More information

This program is jointly provided by the New York Society for Gastrointestinal Endoscopy and Mount Sinai Beth Israel

This program is jointly provided by the New York Society for Gastrointestinal Endoscopy and Mount Sinai Beth Israel This program is jointly provided by the New York Society for Gastrointestinal Endoscopy and Mount Sinai Beth Israel Japan Society 333 East 47th Street (near First Avenue) 10017 COURSE DESCRIPTION The Spring

More information

Digestive System. Gross Anatomy and Physiology

Digestive System. Gross Anatomy and Physiology Digestive System Gross Anatomy and Physiology I. Introduction A. Base Function: Working with the circulatory system the digestive system provides the body with fuel. B. Main players: 1. Digestive tract:

More information

Screening guidelines tool

Screening guidelines tool Screening guidelines tool Disclaimer: This material is intended as a general summary of screening and management recommendations; it is not intended to be comprehensive. Colorectal cancer (CRC) screening

More information

Billing Diagnosis & Billing in Endoscopy

Billing Diagnosis & Billing in Endoscopy Billing Diagnosis & Billing in Endoscopy Luis S. Marsano,MD Professor of Medicine Division of Gastroenterology, Hepatology and Nutrition University of Louisville and Louisville VAMC 2014 Billing Diagnosis

More information

Acute Abdominal Pain following Bariatric Surgery. Disclosure. Objectives 8/17/2015. I have nothing to disclose

Acute Abdominal Pain following Bariatric Surgery. Disclosure. Objectives 8/17/2015. I have nothing to disclose Acute Abdominal Pain following Bariatric Surgery Kathy J. Morris, DNP, APRN, FNP C, FAANP University of Nebraska Medical Center College of Nursing Disclosure I have nothing to disclose Objectives Pathophysiology

More information

Having an ERCP. Patient Information

Having an ERCP. Patient Information Having an ERCP Patient Information Author ID: G Banait and N Prasad Leaflet Number: End 004 Name of Leaflet: Having an ERCP Date Produced: March 2014 Review Date: March 2016 Having an ERCP Page 1 of 8

More information