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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)

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