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Dr. Carlos A. Olivares Moreno

General Surgeon & Gastroenterologist

 

GASTRO SURGERY - LAPAROSCOPY ENDOSCOPY

COLONOSCOPY- OBESITY SURGERY

Cuadro de texto: Opening the inlet duct into the intestine (sphincterotomy). 
Dilate narrow segments (stenosis of the bile ducts). 
Remove or grind gallstones. 
Take tissue samples to diagnose: 
tumor of the pancreas, bile ducts or gallbladder; 
conditions called biliary cirrhosis or sclerosing cholangitis. 
Drain blocked areas 
Usually made ​​Imaging tests to diagnose the cause of symptoms before ERCP. These include ultrasound, CT scan or MRI.
Cuadro de texto: Esophageal manometry is done to see if the esophagus is contracting and relaxing properly. The test helps diagnose problems in swallowing. During the exam, the doctor may also check to see if the LES opens and closes properly. 
The test may apply if you have symptoms of: 
Heartburn or nausea after eating (gastroesophageal reflux disease or GERD). 
Problems swallowing (feeling as if food was stuck behind the breastbone).

Esophageal Manometry

 

t is a test to measure how well the esophagus is working.

The esophagus is the tube that carries food from the mouth to the stomach. When you swallow, muscles in the esophagus are compressed (contract) to help push food toward the stomach. Valves or sphincters, inside the esophagus open to let food and liquid through.

Then close to prevent food, liquid, and stomach acid to come back. The sphincter at the bottom of the esophagus called the lower esophageal sphincter or LES, for its acronym in English

.

Cuadro de texto: Once in place is left in place for 24 hours, during which the patient can continue their normal life, including food and activities. The cable is connected to a recorder that is placed on a belt. The patient must register a button on the recorder, whenever you feel heartburn or heartburn. 

Within 24 hours, you will take the cable to the patient and the information is downloaded from the recorder.
Cuadro de texto: pHmetry

The pH monitoring is indicated when the patient has a lot of heartburn and endoscopic findings do not match the patient's symptoms. It can also be used when the patient does not respond to standard treatment or antacid when the patient has atypical symptoms of gastroesophageal reflux disease such as cough or chronic hoarseness and some cases of difficult asthma. 
the pH probe, a thin wire is placed with an electrode at its end through the nose, which is placed in the esophagus above the lower esophageal sphincter.
Cuadro de texto: Endoscopic capsule

The capsule endoscope is a device of small dimensions, through oral ingestion, allowing imaging of the gastrointestinal tract during its physiological via this route. 
Its main contribution is made in the study of diseases of the small intestine, digestive segment in which there are still difficulties with current diagnostic techniques, including enteroscopy
. 

The complete system consists of an endoscopic capsule-shaped device, a VCR that the patient carries during the intestinal transit of the capsule and an external computer to process the images obtained.

CLINICAL STUDIES

Cuadro de texto: ERCP
 Endoscopic retrograde cholangiopancreatography
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to identify stones, tumors, or narrowing in the bile ducts. The procedure is done through an endoscope. 
The procedure is used primarily to treat any problem of the pancreas or bile ducts that can cause abdominal pain (usually in the upper right or upper middle area of the stomach) and yellowing of the skin and eyes (jaundice).
ERCP can be used to:

DISEASES

PROCEDIRES

ENDOSCOPIA DIGESTIVA ALTA

COLONOSCOPIA

CPRE

· Anus Diseases

· Appendicitis

· Abdominal pain

· Colitis

· Chronic constipation

· Gallbladder

· Gallstones

· Gastritis

· Hernias

· Hiatal Hernia

 

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