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Advanced Endoscopy

Uniquely, at Geisinger, we have all possible technologies available, so that the appropriate one can be tailored for each individual patient.  In addition, our high level of expertise in using these various treatment modalities maximizes our ability to achieve positive outcomes.

Procedures include:

Endoscopic ultrasound (EUS)

  • Endoscopic ultrasound (EUS) is a procedure used to image the digestive tract, including the pancreas. A thin, flexible, lighted tube with a small ultrasound probe attached to the end (echoendoscope) is passed through the patient’s mouth into the stomach and the top part of the small intestine. The ultrasound component of the endoscope uses sound waves to create visual images of the pancreas.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

  • ERCP is a procedure that allows a gastroenterologist to diagnose and treat problems in the bile ducts, and pancreas.

Endoscopic mucosal resection (EMR)

  • With EMR, a special device is used to remove a larger piece of tissue about the size of a dime; this can completely remove early cancers, avoiding the need for surgery. In addition, the larger piece of tissue leads to more accurate diagnosis.

Radiofrequency ablation (BARR-X)

  • RF ablation has been available for almost 10 years; however, there are few programs with the expertise and case volume that we have. Applications include treatment of Barrett’s esophagus with dysplasia or pre-cancerous change, and certain types of gastrointestinal bleeding (Watermelon stomach).

Liquid nitrogen cryoablation

  • We are one of a limited number of centers with the technology and expertise to use liquid nitrogen cryoblation in cases that other treatment modalities won't work.