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Procedures |
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Using the latest technological advances, the Endoscopy Unit in Children's Hospital Boston's GI/Nutrition Department performs routine and advanced tests and procedures to evaluate and treat patients. We also provide comprehensive sedation and anesthesiology services for patients as needed. Procedures performed include:
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For diagnosis and treatment of disorders of the esophagus, stomach and duodenum (the first portion of the small bowel) including:
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- Diagnostic Upper GI endoscopy
- Foreign body removal
- Percutaneous endoscopic gastrostomy (PEG) - for feeding tube placement
- Therapeutic homeostasis including sclerotherapy, band ligation, clipping and electrocautery techniques - to prevent or stop bleeding
- Dilation of esophageal and other strictures
- Endoscopic gastroplication (anti-gastroesophageal reflux procedure)
- Achalasia dilation
- BoTox injection of esophageal sphincter or pyloric muscle
- Esophageal capsule endoscopy
- Endoscopic closure of chronic gastrocutaneous fistula (after removal of gastrostomy tube)
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For diagnosis and treatment of disorders of the large bowel including:
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- Diagnostic colonoscopy
- Polypectomy
- Percutaneous endoscopy colostomy (PEC) for irrigation tube placement
- Flexible sigmoidoscopy
- Pouchoscopy
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For diagnosis and treatment of disorders of the entire small bowel including:
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- Capsule endoscopy (swallowed or placed endoscopically)
- Push enteroscopy
- Intraoperative enteroscopy
- Ileoscopy (through stoma)
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For diagnosis and treatment of disorders of the liver, bile ducts, gallbladder and pancreas including:
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- Diagnostic ERCP
- Stone removal
- Stricture dilation
- Stent placement
- Sphincterotomy
- Sphincter of Oddi manometry
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For diagnosis and treatment of disorders of the upper and lower GI tract, liver, gallbladder, bile ducts and pancreas with suspected tumors including:
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- Diagnostic EUS
- EUS-guided tissue biopsies
- EUS-guided pancreatic pseudocyst drainage
- EUS-guided celiac ganglion neurolysis (for pain management)
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- Breath hydrogen testing for lactose and other carbohydrate malabsorption
- Indirect calorimetry
- Bioelectric impedance
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- Urea breath testing for H. Pylori infection
- Change of gastrostomy tubes
- Replacement of gastrojejunal feeding catheters
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- Esophageal and pH and impedance monitoring
- Esophageal function testing
- Anorectal manometry
- Anorectal biofeedback training
- Suction rectal biopsy
- Antroduodenal manometry
- Colon manometry
- Esophageal manometry
- BoTox injection of anal sphincter
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