http___mediccarebih.com_gastroenteroloska-ambulanta__1.xml
2.1 3.1 4.1 5.1 6.1 6.2 6.3 7.1 8.1 9.1 10.1 10.2 11.1 12.1 12.2 13.1 14.1 14.2 15.1 15.2 16.1 17.1 18.1 19.1 20.1 21.1 22.1 22.2 23.1 23.2 24.1 24.2 25.1 26.1 26.2 27.1 28.1 29.1 29.2 29.3 30.1 31.1 32.1 33.1 34.1 35.1 36.1 36.2 37.1 38.1 39.1 40.1 40.2 41.1 42.1 42.2 43.1 44.1 44.2 45.1 46.1 47.1 47.2 47.3 48.1 49.1 50.1 50.2 51.1 52.1 52.2 52.3 53.1 54.1 55.1 56.1 57.1 57.2 57.3 58.1 58.2 58.3 59.1 60.1 61.1 62.1 62.2 63.1 64.1 64.2 65.1 65.2 66.1 67.1 68.1
2810 Frank Scott Pkwy W #716 Belleville, IL 62223 Call 618-355-0880 To Schedule An Appointment What is gastroenterology? Gastroenterology is a branch of medicine focused on the digestive tract and its related organs like the liver, pancreas and gall bladder. The digestive tract includes the esophagus, stomach, small intestine, large intestine or the colon. Dr Pai treats various conditions including but not limited to: Colon cancer, Gastroesophageal reflux disease, Stomach and duodenal ulcers, Crohn's Disease, Ulcerative Colitis, Celiac disease, Irritable bowel syndrome (IBS), Liver disease (hepatitis/cirrhosis), Gall bladder disease, Pancreatitis Uses: Anoscopy is a procedure used to diagnose anal fissures (tears in the lining of the anus), hemorrhoids, and some cancers. Procedure: This test is performed by using a small, tubular instrument called an anoscope. The anoscope is lubricated and gently inserted into the anus to evaluate problems of the anal canal and lower rectum. Uses: Capsule Endoscopy is a procedure used to diagnose diseases of the small intestine. This part of the digestive tract is quite long and cannot be easily examined using standard upper endoscopy or colonoscopy. Procedure: Capsule endoscopies utilize a video capsule the size of a large pill that contains a miniature camera. After the capsule is swallowed, it transmits images of the lining of the small intestine that are recorded on a small monitor worn by the patient throughout the procedure. After the study is completed, a physician can review the images on a computer screen. This procedure is used to diagnose problems of the small intestine such as bleeding, ulcers, Crohn's disease, tumors and Celiac sprue. Uses: A colonoscopy is an examination of the large intestine, also known as the colon. In patients with gastrointestinal bleeding, a colonoscopy can be used to identify and treat the source of the bleeding. Preparation: Prior to the procedure, the patient ingests a potent laxative preparation to evacuate all stool from the colon. Procedure: After proper sedation to ensure patient comfort, a long, flexible instrument is inserted into the rectum and carefully advanced to the beginning of the colon called the cecum. As the instrument is slowly withdrawn, the lining of the colon is carefully inspected by the physician using images transmitted by the colonoscope to a television monitor. Any abnormalities can be biopsied for further analysis. Precancerous growths called polyps can be removed using a wire loop known as a snare. Colonoscopies typically takes 30 minutes to complete. Complications are rare but may include perforation of the intestine or bleeding after removal of polyps. Uses: Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure to examine and treat diseases of the drainage system of the liver and gall bladder (bile ducts) and the pancreas (pancreatic duct). This procedure can be used to diagnose and treat problems such as gallstones trapped in the bile ducts, benign or cancerous strictures (a narrowing) of the ducts, and complications of pancreatic inflammation. Procedure: After the patient is deeply sedated, the physician passes a flexible tube (endoscope) through the mouth, esophagus, and stomach, and into the beginning of the small intestine called the duodenum. At this location, the bile and pancreatic ducts drain into the intestine through a small nipple-like opening called the papilla. A plastic tube called a catheter is then passed through the scope, into the papilla and up into either the bile duct or pancreatic duct. Contrast material is then injected into the ducts and images are obtained using an X-ray machine. Although generally safe, ERCP can cause complications such as pancreatitis, infection, and intestinal perforation or bleeding. Uses: Endoscopic Ultrasound (EUS) is a procedure to evaluate, diagnose, and treat abnormalities that lie in the wall beneath the lining of the gastrointestinal tract or in tissue outside of, but adjacent to, the digestive system. This procedure is used to diagnose and treat benign and malignant conditions of the esophagus, stomach, duodenum, colon and rectum, gallbladder, and pancreas. Procedure: After adequate patient sedation, a thin flexible instrument (called an endoscope) is passed though either the mouth or anus to the desired location in the digestive tract. Using a small ultrasound probe attached to the end of the scope, the physician can image abnormalities arising beneath the gastrointestinal lining or in the structures next to it. These areas cannot be seen during a standard endoscopic procedure such as upper endoscopy or colonoscopy, and may not be as well seen on a traditional ultrasound, CT scan, or MRI scan. By passing a needle through the scope, tissue biopsy samples can be obtained for further analysis. Uses: Esophageal motility study is a procedure to assess the motor or muscle function of the esophagus. The muscles in the wall of the esophagus contract and relax in an organized fashion to propel food from the mouth into the stomach. Abnormal muscle function can cause difficulty swallowing and sometimes even chest pain. Procedure: During the procedure, a very thin, flexible tube is passed through the nose into the esophagus. The motor function of the esophagus can then be investigated as the patient swallows. Uses: Esophageal pH monitoring is a test to diagnose the abnormal reflux of acidic stomach contents back up into the esophagus. This condition, known as GERD, is a common cause of heartburn, indigestion, and sometimes unusual symptoms such a chest pain, cough, sore throat, or laryngitis. Procedure: During this procedure, the acid level (pH) in the esophagus is measured over 24 to 48 hours by either a probe attached to the lining of the esophagus during an upper endoscopy procedure (Bravo pH capsule), or a long, thin tube inserted through the nose. The information is transmitted to a recording device worn by the patient during the procedure. The patient is also asked to record symptoms during the test. The physician analyzing the data can then determine if the patient's symptoms are related to GERD. Uses: Esophagogastroduodenoscopy (EGD/Upper Endoscopy) is a procedure to examine the esophagus, stomach, and first part of the small intestine (duodenum). EGD is typically performed to investigate symptoms such as heartburn, difficulty swallowing, abdominal pain, nausea, or vomiting. In patients with gastrointestinal bleeding, EGD can be used to identify and treat the source of bleeding. Procedure: After proper sedation to ensure patient comfort, a flexible instrument is inserted into the mouth and carefully advanced into the esophagus, stomach, and duodenum. The linings of these organs are carefully inspected by the physician using images transmitted by the scope to a television monitor. Any abnormalities can be biopsied for further analysis. This procedure typically takes 15 minutes to perform. Uses: Gastrostomy (PEG) tube placement is a procedure performed to place a small flexible feeding tube through the abdominal wall into the stomach. Procedure: After proper sedation to ensure patient comfort, a flexible instrument (called an endoscope) is inserted through the mouth and esophagus and into the stomach. Using the endoscope, the physician locates an area where the stomach lies just below the skin in the left upper portion of the abdomen. The tube is then inserted through a small incision in the abdominal wall. A feeding tube is typically inserted if the patient is unable to safely pass food from the mouth through the esophagus and into the stomach. This may be due to a stroke or other neurologic disorder or a cancerous growth in the throat or esophagus. The feeding tube can subsequently be removed if the patient recovers and is able to eat and drink normally. Uses:A Procedure:B Uses: Paracentesis is a procedure to evaluate and remove an abnormal collection of fluid in the abdominal cavity known as ascites. Ascites fluid most often accumulates in the abdomen as a complication of cirrhosis of the liver, congestive heart failure or cancer. Procedure: An appropriate site for fluid removal is chosen by either physical examination or by using an ultrasound machine. The skin and abdominal wall are numbed with an injection of Novocain. A small plastic tube is then inserted through an incision into the abdominal cavity. Fluid can then be removed for diagnostic testing. A large volume of fluid can also be removed to relieve symptoms such as bloating or abdominal pressure. Home | Services | Patient Information | Testimonials | Contact Us © 2013 Vasantha Pai, MD | 2810 Frank Scott Pkwy W #716 | Belleville, IL 62223 | (618) 355-0880
1.1 2.1 2.2 2.3 2.4 2.5 3.1 4.1 4.2 4.3 4.4 4.5 4.6 5.1 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 7.1 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 8.10 8.11 9.1 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 10.10 10.11 10.12 10.13 11.1 12.1 12.2 12.3 12.4
Gastroenteroloska ambulanta Gastroenterologija je disciplina Interne medicine. Naziv joj potiče od grčkih riječi gastros (stomak), enteron (crijeva) il ogos (nauka). Bavi se proučavanjem bolesti probavnog sistema i to kako bolesti Jednjaka, želuca, tankog crijeva,debelog crijeva, tako i bolesti bilijarnog sistema, pankreasa i peritoneuma. Najvažniji simptomi su disfagija, odinofagija, melena, haematomesis, bol u abdomenu, nagon na povraćanje te septični sindromi izazvani različitim bakterijskim infekcijama. Gastroenteroloske usluge u našoj ambulanti: Gastroenteroloski pregled Pregled gastroenterologa podrazumijeva razgovor doktora s bolesnika u cilju dobivanja detaljnih anamnestičkih podataka o sadašnjim tegobama, ranijim bolestima, operacijama, njihovom liječenju te bolestima u porodici. Također, doktor će se detaljno informirati o vašem apetitu, stolici, mokrenju, ostalim funkcijama i navikama, kao i lijekovima koje uzimate (trajno ili povremeno). Nakon toga doktor će Vas detaljno pregledati s posebnim osvrtom na trbuh i trbušne organe. U nekim slučajevima biti će potreban i digitorektalni pregled, tokom kojega doktor svojim kažiprstom pregledava unutrašnjost završnog dijela debelog crijeva u svrhu pronalaska mogućeg uzroka tegoba (npr. hemoroidi, fisure, polipi i slično). Anus se prethodno namaže posebnom kremom kako bi pregled bio manje neugodan. Nakon pregleda doktor Vam daje svoje mišljenje u kojem predlaže daljnje pretrage, ukoliko su one potrebne radi postavljanja točne dijagnoze, ili Vam propisuje terapiju u cilju rješavanja Vaših tegoba. Rektoskopija To je endoskopski pregled zadnjeg dijela debelog crijeva u dubinu do 20–25 cm. Ako znamo da se oko 80% tumoroznih tvorevina nalazi u zadnjih 20 cm debelog crijeva, to ćemo bolje shvatiti važnost ovog pregleda. Za rektoskopiju je važno reći sljedeće: - Priprema debelog crijeva za pregled nije potrebna, odnosno ne preporuča se „čišćenje“, i to iz dva razloga: prvo zato što možemo dobiti lažno pozitivni nalaz radi iritiranja sluznice, a zatim i zbog toga što se „isperu“ eventualni tragovi krvi iz gornjih partija debelog crijeva, pa nam taj važan podatak izostane. - Ovaj pregled potpuno je bolno neosjetljiv, ali su nažalost iskustva drugačija, prvenstveno zbog toga što se ne poštuje specifičnost građe ove regije. Rektoskopijom pregledava sluznicu zadnjeg crijeva, rektuma, tako da uvodi šuplju, metalnu, rigidnu cijev nešto deblju od prsta u rektum. Pretraga se još naziva proktoskopija, a instrument rektoskop ili proktoskop, obično je dužine od oko 30 cm. U položaju koljena-laktovi Vaš doktor će nakon podmazivanja analnog otvora anestetskim gelom i nakon učinjenog digitorektalnog pregleda (pregled zadnjeg crijeva prstom) uvesti polako instrument u rektum, izvaditi nastavak koji se naziva obdurator koji štiti rektoskop od ulaza stolice, staviti optički prsten, te pregledati perianalnu regiju, analni kanal i rektum, a ako je crijevo dovoljno čisto i dio sigmoidnog debelog crijeva, sve skupa najviše do 25 cm. Tom pretragom moguće je otkriti polipe u analnom kanalu, rektumu i dijelu sigmoidnog debelog crijeva, hemoroide i fisure, te promjene sluznice završnog debelog crijeva. Rektoskopija je zahvat koji koji je siguran, pa su komplikacije poput perforacije crijeva, mehaničke ozljede sluznice ili krvarenja iznimno rijetke. Gastroskopija Gastroskopija, poznata još kao gornja endoskopija ili ezofagogastroduodenoskopija je postupak koji omogućuje doktoru da detaljno pregleda vaš jednjak, želudac i dvanaesnik. Savitljiva glatka cijev sa rasvjetom na vrhu, debljine vašeg malog prsta, uvodi se kroz usta do jednjaka, želuca i dvanaesnika. Pregled se izvodi u pacijenata sa simptomima nelagode ili boli u gornjem dijelu trbuha, mučnine, nagona na povraćanje, žgaravice ili teškoća u gutanju. Metoda je vrlo pouzdana u otkrivanju uzroka krvarenja, upale ili tumora jednjaka, želuca i dvanaesnika. Pri endoskopij je moguće učiniti bezbolnu biopsiju specijalnim instrumentom, a uzeto se tkivo kasnije posebno analizira. Želudac mora biti potpuno prazan i stoga ne smijete ništa jesti ili piti osam sati prije pregleda. Ako trajno uzimate neke lijekove posavjetujte se prije toga sa doktorom možete li ih uzeti prije pregleda ili ne. Isto tako, ako bolujete od srčanih ili plućnih bolesti, porazgovarajte o njima sa doktorom i ponesite raniju medicinsku dokumentaciju. Pregled želuca iznutra putem sonde koja se kroz usta i jednjak plasira u želudac. Na ovaj načina otkriva se čir na želucu ili dvanaestopalačnom crevu, upala sluzokože kod infekcije sa Helicobacter pylori, dobroćudni i zloćudni tumori, želudačna kila, kao i efekat lečenja. Pregled traje nekoliko minuta. Kolonoskopija To je sigurna, učinkovita metoda za vizualno ispitivanje sluznice crijeva pomoću dugog, fleksibilnog, cjevastog instrumenta (kolonoskopa) koji na vrhu ima malu kameru. Koristi se za dijagnosticiranje problema debelog crijeva i rektuma, te za obavljanje biopsija i uklanjanje polipa debelog crijeva. Većina kolonoskopija se izvodi ambulantno uz minimalne neugodnosti i nelagodu. Kolonoskopija se može raditi i u analgosedaciji tj. bez bola i neprijatnosti. Prije kolonoskopije crijeva prvo moraju biti temeljito očišćena. To se učini po uputstvu za čišćenje koje ćete dobiti od sestre. Pacijent leži na lijevom boku a kolonoskop se pažljivo uvodi u debelo crijevo kroz anus i ukoliko je moguće prolazi sve do spoja sa tankim crijevom. Tokom pretrage gastroenterolog će ukloniti polipe ili uzeti biopsiju ako je potrebno. Cijeli postupak obično traje manje od pola sata. Da bi se stijenka crijeva mogla dobro analizirati, tijekom pregleda u crijevo se upuhuje manja količina zraka zbog čega tijekom i nakon kolonoskopije možete imati nelagodu i osjećaj napuhnutosti koja popušta nakon puštanja plina (flatulencije). Većina pacijenata može nastaviti svoju redovitu prehranu kasnije taj dan.Kolonoskopijom je sada moguće otkriti i ukloniti većinu polipa bez abdominalne operacije. Kolonoskopija je točnija od irigografije debelog crijeva za otkrivanje polipa ili ranog karcinoma debelog crijeva. Često se pronađeni polipi mogu odmah i ukloniti, što je veliki korak ka prevenciji raka debelog crijeva Ezofagoskopija Ezofagoskopija, osmatranje unutrašnjeg lumena i zida jednjaka uz upotrebu osvjetljenog dugačkog spekuluma u obliku ovalne cijevi (ezofagoskopa), koji se uvlači u jednjak pri anesteziji (lokalnoj ili opštoj) bolesnika. Ovaj metod primjenjuje se i za vađenje stranih tijela iz jednjaka. Ezofagoskopija je dijagnostička metoda kojom se dugi fleksibilni instrument uvodi kroz usta te uz izvor svjetla omogudava prikaz anatomskih struktura jednjaka zajedno sa svim patološkim promjenama na sluznici jednjaka. Znatna korist je i od endoskopske ultrasonografije(ultrazvuka) što nam daje informaciju i o dubini invazije bolesti i širenju na regionalne limfne čvorove.