The Tripler Army Medical Center Gastroenterology Department has 3 fully-equipped procedure rooms in which the staff performs more than 3,500 procedures a year. Descriptions of the most common procedures are:
A colonoscopy is an outpatient procedure completed in our Gastroenterology department. During this procedure, the Gastroenterologist will exam the entire inner lining of the large intestine which includes the colon and rectum. This procedure is completed with the utilization of conscious sedation. It is essential to have a good bowel prep for this exam.
Colonoscopy Preparation List
Colonoscopy Consent Form
PillCam Capsule Endoscopy
Capsule endoscopy provides your doctor with pictures of your small intestine. This procedure involves ingesting a capsule that contains a light source and a camera. The capsule will naturally pass through the intestines and take pictures. The patient wears a data recorder on their waist and the images are transmitted onto the data recorder. This procedure will require a small bowel prep.
PillCam Capsule Preparation List
PillCam Capsule Consent Form
Manometry is a procedure in which a thin catheter is placed through your nose and then down into your esophagus to evaluate difficulty swallowing. This test will measure the strength and function of the Eosphagus.
Esophageal Manometry Preparation List
Esophageal Manometry Consent Form
Flexible sigmoidoscopy lets your doctor examine the lining of the rectum and a portion of the colon by inserting a flexible tube and slowly advancing it into the rectum and lower part of the colon. Preparation consists of one or two enemas prior to the procedure but could also include laxatives or dietary modifications. This procedure does not involve sedation.
Flexible Sigmoidoscopy Preparation List
Flexible Sigmoidoscopy Consent Form
An EGD lets your doctor examine the lining of the upper part of your gastrointestinal tract, which includes the esophagus, stomach and duodenum (first portion of the small intestine). Your doctor will use a thin, flexible tube called an endoscope to view the images on a video monitor. This procedure requires the use of moderate sedation.
Esophagogastroduodenoscopy (EGD) Preparation List
Esophagogastroduodenoscopy (EGD) Consent Form
Bravo pH Monitoring
Bravo pH Monitoring is a test for gastroesophageal reflux disease (GERD) or heartburn. This test involves the placement of a miniature pH capsule into the esophagus that is placed via EGD procedure. This capsule will measure the pH in the esophagus and transmits this information to a small device worn on your waist. The capsule will continue to record GERD episodes for 48 hours.
Bravo pH Monitoring Preparation List
Bravo pH Monitoring Consent Form
Endoscopic Retrograde Cholangiopancreatography is a procedure that is completed in Radiology by your Gastroenterologist. This procedure examines and treats problems within the ducts that drain the gallbladder, liver, and pancreas. The Gastroenterologist will pass a small tube through the endoscope and into these ducts. A special dye is then injected through the tube and live video X-ray is taken to view any problems within these ducts. This procedure involves the use of general anesthesia.
ERCP Preparation List
ERCP Consent Form