Interventional Procedures

Treating complex digestive disorders with minimally invasive endoscopic techniques

Interventional endoscopy is the most innovative diagnostic and therapeutic approach, using state-of-the-art technology and techniques to treat patients with complex gastrointestinal disorders.

“We’re here to serve patients and improve their wellbeing. With these techniques, we optimize outcomes and offer efficient, safe and effective care – often allowing the patient to avoid intensive, life-altering surgery.”

– Dr. Abdelhai Abdelqader, FDHS Interventional Endoscopist in Sarasota

Conditions endoscopically diagnosed and treated include:

Premalignant and early GI cancers
Benign & malignant strictures and obstructions
Pancreatic and biliary diseases, cancers and stones
Pancreatic pseudocyst and wall-off necrosis drainage
Ablative therapy for premalignant and malignant cancers
Anti-reflux procedures
Barrett’s esophagus
Zenker’s diverticulum
Obesity (incisionless) bariatric procedures, even after prior bariatric surgery
GI fistulae, leaks, strictures (including post-surgery)
General GI illnesses (IBD, IBS, hemorrhoids, liver illness, etc.)

Procedures performed (but not limited to)

Ablative Therapies

Cryotherapy for Barrett’s esophagus
Radiofrequency ablation (esophageal, biliary, pancreatic neuroendocrine tumors)
PDT (Photodynamic Therapy) for cholangiocarcinoma

Pancreatic and Biliary Endoscopy

Endoscopic ultrasound (EUS) with fine-needle aspiration or biopsy of pancreatic or liver masses or cysts
EUS-guided liver biopsy
Endoscopic retrograde cholangiopancreatography (ERCP)
ERCP in altered anatomy
Ampullectomy
Extracorporal Shock Wave Lithotripsy (ESWL) for large pancreatic stones

Therapeutic Endoscopy

Stent placement (esophageal, gastric, duodenal, colonic)
Endoscopic incision-less fundoplication (TIF)
Anti-Reflux Mucosectomy (ARMS)
Endoflip (endoluminal functional lumen imaging)
Esophageal Manometry, pH-impedance and Bravo pH testing

Therapeutic Endosonography

EUS-guided celiac plexus neurolysis and block
EUS-guided fiducial placement
EUS-guided glue and coils injection
EUS-guided biliary, pancreatic and gallbladder drainage
EUS-directed transGastric ERCP (EDGE)
EUS-guided transmural pseudocyst and walled-off necrosis drainage, pancreatic necrosectomy

Enteral Nutrition

PEG, PEG-J and PEJ (Percutaneous Endoscopic Gastrostomy, Gastrojejunostomy, Jejunostomy) placement/adjustment/removal

Obesity Procedures

Endoscopic sleeve gastroplasty (ESG)
Endoscopic balloon placement
Aspire tube placement
Transoral gastric Outlet Reduction (TORE) who have regained weight after bariatric surgery

Third Space Endoscopy

Endoscopic Submucosal Dissection (ESD) or Full-Thickness Resection (EFTR)
Peroral endoscopic myotomy (POEM) for achalasia and other esophageal motility disorders
Gastric POEM for pyloric stenosis and gastroparesis
Zenker’s diverticulum therapy (Z-POEM and septotomy)

Contact

Learn more about our advanced endoscopists or request an appointment: