The ability to prevent disease, diagnose it early, and help patients through therapeutic endoscopy is a major goal of the Advanced Endoscopy Program at UT Southwestern Medical Center. Our specialists are dedicated to providing you with attentive, cutting-edge, and personalized care in an environment that is home to one of the nation’s pre-eminent health care facilities.
Advanced endoscopy is carried out using the most advanced techniques, which include:
- Advanced imaging techniques with chromoendoscopy and narrow band imaging
- Capsule endoscopy
- Endoscopic pancreatic pseudocyst drainage
- Endoscopic resection of large segment Barrett esophagus
- Endoscopic retrograde rholangiopancreatography (ERCP)
- Endoscopic suturing using hemoclips and tissue glue
- Endoscopic ultrasound (EUS)
- Endoscopic ultrasound guided tissue sampling
- Single balloon enteroscopy to evaluate conditions of the small bowel
Of these procedures, EUS and ERCP are performed on a daily basis. ERCP combines X-rays and endoscopy. After the endoscope is lowered through the stomach into the duodenum, catheters are introduced into the bile ducts and dye is injected, enabling X-rays to be taken to evaluate the ducts. ERCP is used primarily to evaluate and treat various problems of the bile ducts, including gallstones, cancer, and scarring.
EUS, in comparison, is used to diagnose tumors in the bile ducts, esophagus, liver, pancreas, and rectum. It is also used to help diagnose diseases in the lungs, mediastinum, and trachea. Therapeutic EUS is evolving and will find applications complementing ERCP in the very near future.
Research is ongoing to develop a practical endoscopic pancreas function test and to improve diagnostic and therapeutic endoscopic capabilities. UT Southwestern is also developing surgical approaches through the bowel rather than through the skin.