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    Advanced Services


    Deaconess Gastroenterology now offers a wide range of procedures that once required patients to travel out of town. These procedures are now conveniently offered right here in the tri-state.


    Advanced Endoscopy Line

     812-490-5653

    We have a dedicated hotline set up to respond to the advanced/therapeutic endoscopy needs in our region. Please call this number if you have any questions about services provided or if one of your patients may benefit. We have dedicated staff assigned to answer these calls and schedule your patient in a timely manner in the office or for a procedure.



    ESD

    For mucosal and submucosal lesions/tumors. Resection of large colonic and gastric polyps and early-stage cancers of the esophagus, Barrett's segment, stomach, colon and rectum. 


    Hybrid ESD


    Endoscopic Cystogastrostomy

    For pancreatic and peripancreatic fluid collections, abscesses and walled-off necrosis. 


    Gall Bladder and Bile Duct Drainage, Cholecystogastrostomy/Duodenostomy


    EHL/Spyglass with Lithotripsy

    For PD and CBD stones


    ESWL

    Extracorporeal shockwave lithotripsy for large PD stones that aren't amendable to standard ERCP removal. 


    Bile Duct RFA


    Endostitch/Endoscopic Suturing

    Closure of fistulas, leaks, recurrent migration of esophageal stents. 


    Celiac Plexus Neurolysis


    POEM (per oral endoscopy myotomy)

    Gastric POEM for diabetic gastroparesis/outlet obstruction. Esophageal POEM for achalasis. Zenker's diverticulotomy and zPOEM.


    Over-the-Scope Clip

    For closing fistulas and perforations. 


    Altered Anatomy ERCP

    Post Whipple, Roux-en-Y, Billroth I and II anastomoses. 


    EUS-Guided Transgastric ERCP (EDGE) Procedure

    Allows access to the excluded stomach for Roux-en-Y bypass patients and avoids surgical exploration


    Lap-Assisted ERCP


    Enteroscopy with ERCP


    TIF

    Transoral incisionless fundoplication: As an alternative to Nissen fundoplication given its improved adverse event profile. For patients with partially controlled or uncontrolled reflux as well as for patients who would benefit from coming off their PPL, considering the long-term side effects. 


    Ampullectomy

    Difficult Biliary and Pancreatic Cannulation - With EUS-guided access/rendezvous technique. 


    Fixed Sigmoid Colon/Redundant Colon Making Colonoscopy Difficult

    We have new specialized scopes and stiffening wires for this purpose.


    Endoscopic Gastrojejunostomy

    For bypass of malignant gastric outlet obstruction and doudenal obstruction where stenting or surgery is not feasible. 


    Luminal Stenting

    Esophageal, duodenal, gastric and colonic. 


    Radiofrequency Ablation (BARRX)

    Treatment of Barrett's Esophagus

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