Endoscopy

(985) 898-4412
6 a.m. to 4:30 p.m. Monday through Friday

Located on the 4th floor, take a left after exiting the elevators

St. Tammany Parish Hospital provides diagnostic procedures and treatment options for patients with digestive disorders and diseases of the:

  • Colon/intestines 
  • Liver
  • Esophagus 
  • Gallbladder/bile ducts
  • Pancreas
  • Stomach



PROCEDURES OFFERED AT THE ENDOSCOPY CENTER INCLUDE:


BRONCHOSCOPY

This procedure allows the physician to examine air passages, identify any problems and obtain tissue and fluid samples.

During a bronchoscopy, a tiny, flexible, fiber-optic tube is passed through the nose or mouth and windpipe into the lungs. 
The bronchoscope will be passed through the nostril or mouth. Coughing may be experienced. No discomfort is felt if biopsies are taken.

Oxygen will be given to patients through a mask or nasal prongs. The physician may choose to take x-rays or use a type of x-ray called fluoroscopy. The room will be darkened and the x-ray equipment turned on for a short period of time.

COLONOSCOPY

A colonoscopy allows the physician to examine the lining of the rectum and the large intestine (colon) to locate any abnormalities. A flexible, fiberoptic tube (colonoscope) is passed through the rectum into the lower intestinal tract.

While a patient is lying on the left side, the lubricated colonoscope will be carefully advanced through the colon. A biopsy specimen may be taken for microscopic examination. If a polyp (growth which develops in the colon) is identified, it may be removed by electrocautery through the colonoscope or clipped through the colonoscope. Clipped specimens are sent to the lab for microscopic examination. No discomfort is felt if polyps are removed or if biopsies are taken.

Many people do not recall any of the procedure because of the effects of sedation during the procedure.

Colorectal cancer is cancer that occurs in the colon or rectum. Colorectal cancer is the second leading cancer killer in the United States, but it doesn’t have to be. If everyone age 50 or older had regular screening tests, at least one-third of deaths from this cancer could be avoided.

Who gets colorectal cancer?

  • Both men and women.
  • Most commonly in people age 50 or older.
  • The risk of getting colorectal cancer increases with age.
  • Smokers.

Screening saves lives!

  • Colorectal cancer usually starts from polyps in the colon or rectum.
  • Over time, some polyps may become cancerous.
  • Screening tests can find polyps, so they can be removed before they become cancerous.
  • When colorectal cancer is detected early, the chance of being cured is good!

What are the symptoms?

  • Some people do not experience symptoms.
  • Blood in or on your stool.
  • Frequent, unexplained pain, aches or cramps in your stomach.
  • A change in bowel habits, such as stools that are narrower than usual.
  • Unexplained weight loss.

EGD

An esophagogastroduodenoscopy (EGD) procedure allows the doctor to examine the lining of the esophagus, stomach and duodenum (first portion of the small intestine) to locate any abnormalities. During this procedure, a flexible, fiberoptic tube (endoscope) is passed through the mouth and throat into the upper digestive tract.

While a patient is sitting up, the throat is sprayed with a numbing agent. The physician will then assist the patient in swallowing the thin, flexible endoscope. A biopsy specimen may be taken for microscopic examination. No discomfort is felt if biopsies are taken.

Many people do not recall any of the procedure because of the effects of sedation during the procedure.



ELECTROMAGNETIC NAVIGATION BRONCHOSCOPY

This procedure uses electromagnetic navigation to guide the physician through the patient's airways, similar to GPS (global positioning system) like technology.  This allows the physician to take tissue samples in regions of the lungs that are not reachable with traditional bronchoscopy.  Until now, physicians have relied on needle biopsy or surgery to take tissue samples.  Electromagnetic navigation bronchoscopy is a minimally invasive procedure that does not carry the risks often associated with surgery.

Electromagnetic navigation bronchoscopy provides the possibility to detect lung cancer early, even before symptoms are evident, enhancing treatment options for patients.  It can be used with a wide range of patients, including those who suffer from poor lung function or have had cancer surgery, chemotherapy or radiation therapy. 



ERCP

An Endoscopic Retrograde Cholangiopancreatography is an examination for the diagnosis of many diseases of the pancreas, bile ducts, liver and gallbladder. ERCPs also allow the physician to perform necessary treatments such as enlarging a bile duct opening, removing gallstones lodged in the bile duct, inserting a stent for drainage or taking a biopsy specimen. No discomfort is felt if biopsies are taken.

A flexible fiberoptic tube (duodenoscope) is passed through the mouth, esophagus and stomach into the duodenum (first part of the small intestines). The opening where bile and pancreatic ducts empty into the duodenum (ampulla) is located and a small plastic tube is passed through the duodenoscope into the ampulla. X-rays are taken to study the ducts. Any necessary treatments can be performed at that time.

Many people do not recall any of the procedure because of the effects of sedation during the procedure. 



ESOPHAGEAL MOTILITY STUDIES

Motility is the process of moving food and waste products through the digestive system. Esophageal Motility (manometry) measures the squeezing pressure of the esophagus. This test can be used to evaluate swallowing problems, reflux or esophageal spasms.



PH STUDY

Heartburn and GERD
Heartburn occurs when contents from the stomach flow into the esophagus. Usually, there is a sensation of fluid or food coming back into the throat and mouth that tastes bitter or sour. The sensation of burning occurs after eating and can last for an extended period of time. Heartburn can be a symptom of a more serious condition, called GERD (Gastro-Esophageal Reflux Disease). Damage caused by GERD can lead to serious medical problems such as narrowing of the esophagus, Barrett’s Esophagus or difficulty swallowing.

Diagnosing
A miniature pH capsule, about the size of a gel cap, is attached to the esophagus. The capsule measures the pH levels in the esophagus and transmits this information to a receiver worn just like a cellular phone. A diary will be provided to write down eating and sleeping times. The “black box buttons” are pushed during those times symptoms are experienced. After the test is completed, return the receiver and the diary so that information may be uploaded to a computer for review by the physician.

Monitoring Time Frame?
24 to 48 hours depending on physician request.

What happens to the capsule after the test?
The capsule is naturally eliminated from the body.

Can I have an MRI?
Patients are restricted from an MRI for 30 days.


SIGMOIDOSCOPY

A small, flexible, lighted tube is placed into the rectum. This test locates abnormalities, such as polyps, inside the rectum and lower third of the colon.