All of our physicians can perform a variety of endoscopic procedures. These procedures involve inserting a long flexible camera through the mouth or anus to visualize the gastrointestinal tract. Most of these procedures are done under general anesthesia.
This is the most common procedure we perform. This test involves inserting a flexible fiberoptic camera (endoscope) through the mouth and into the esophagus, stomach and small intestine. This can be a useful test to evaluate for acid reflux, ulcers, eosinophilic esophagitis, celiac disease and inflammatory bowel disease. This test is done as an outpatient with either sedative medications (conscious sedation) or general anesthesia. Click here for a video about upper endoscopy.
This test involves the insertion of a flexible fiberoptic camera (colonoscope) into the rectum, throughout the colon and into the last part of the small intestine (ileum). This can be a useful test to evaluate for colon polyps, inflammatory bowel disease and other causes of bleeding from the gastrointestinal tract. This test is done as an outpatient with either sedative medications (conscious sedation) or general anesthesia. Click here for a video about colonoscopy.
Gastrostomy and GJ tube placements
Many children who are unable to take in adequate nutrition orally or who have specialized nutritional needs require a feeding tube. A percutaneous endoscopic gastrostomy (PEG) is one method to place a feeding tube directly through the skin into the stomach.
Children who are unable to tolerate gastric feedings may require placement of a more specialized feeding tube. These gastrojejunal (GJ) tubes are placed endoscopically and travel through the stomach and into the small intestine.
Wireless capsule endoscopy
This test involves swallowing a capsule which contains a camera and wireless transmitter. The capsule is used to visualize the small intestine to evaluate for gastrointestinal bleeding or inflammation that cannot be seen via standard upper endoscopy or colonoscopy. For smaller children, who are unable to swallow the capsule, it can be placed during an upper endoscopy. This test is done as an outpatient and interpreted by one of our pediatric gastroenterologists.