Although most endoscopic exams (Upper Digestive Endoscopies and Video Colonoscopies) are indicated only for diagnosis, the procedure is often used therapeutically. This is the case, for example, of removing a small intestinal polyp or cauterizing a small bleeding artery, procedures that can be performed together with the procedure for diagnostic purposes.
With the evolution of contemporary endoscopy, several advanced procedures have been successfully performed. Interventions that would not have been possible before and that would probably lead to the indication of surgery are now performed safely and with the advantage of a faster and less uncomfortable recovery, as a result of minimally invasive procedures.
It is no exaggeration to say that therapeutic endoscopy evolves in confluence with surgical techniques with minimal invasion. On the other hand, in many of these cases, the structure of an examination room is insufficient to carry out complex procedures. Thus, a hospital-standard operating room structure is required, which allows for longer procedures, often under general anesthesia.
Unfortunately, many patients who could be treated with advantages through the endoscopic route are still submitted to complex surgeries due to the difficulties in finding professionals and adequate technical structure for advanced therapeutic endoscopy.
It is common that endoscopists do not have a hospital grade operating room structure in their clinical practice. On the other hand, in hospitals operating rooms generally do not have specific endoscopic equipment.
And for these reasons, we instituted our Therapeutic Endoscopy Program at Colono – Digestive System Day-Hospital. Under the coordination of Dr. Thiago Sampaio and Dr. Fábio Soares, we have all the technical and human conditions to perform a wide range of therapeutic endoscopic procedures.
Our Ambulatory Surgery Unit has full operating room facilities, as in the best hospitals. The great differential in our premises is that we have state-of-the-art endoscopy and electrosurgery equipment, which includes high-resolution equipment for upper digestive endoscopy (EDA) and videocolonoscopy. Advanced electrosurgical equipment and argon plasma cautery are also available on site.
In this way, several procedures such as mucosectomies and polypectomies in the stomach, esophagus, colon and rectum can be performed with greater safety. Cauterizations with argon plasma of vascular lesions (angiodysplasias) and actinic proctitis. Treatment of weight regain after bariatric surgery is performed by our team, as well as placement and removal of intragastric balloon.
To assist in the nutrition of patients in home care and with swallowing difficulties, endoscopic gastrostomies can be performed. In addition, advanced treatments for Gastroesophageal Reflux Disease (GERD) such as the STRETTA method and its complications (such as Barrett’s esophagus) are also available.
For patients with swallowing difficulties (dysphagia) and esophageal motility, such as in achalasia, Botox application directly to the affected muscle layers can be performed.
These and other procedures can now be performed by our team in a hospital-standard operating room environment, with the advantages of home recovery that our Ambulatory Surgery protocol offers!
If you have any questions about the advanced endoscopic treatments available, please contact us. We are ready to help you!
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