125 Medical Campus Dr.
Lansdale, PA 19446
ENDOSCOPY and COLONOSCOPY
At the NORTH PENN SURGICAL ASSOCIATES
we offer a complete range of advanced, minimally invasive Endoscopic and Laparoscopic Surgery. Most of these proceedures are performed on an "out-patient" basis or with a short (1-2 day), in-patient status. Procedures are performed at Abington Health, Lansdale Hospital in Lansdale, Pennsylvania.
Along with the Hernia Institute, we offer contemporary surgical management in a wide range of areas. This includes Colonoscopy and Upper Endoscopy. Dr. Robert V. Kolecki has advanced Surgical Fellowship training in the areas of both Endoscopy and Laparoscopic Surgery, including:
COLONOSCOPY- A colonoscopy is a visual examination of the colon using a fiber optic endoscope (flexible telescope). With the patient awake but sedated, this instrument is inserted into the rectum and moved through the bowel, giving a direct view to the physician. The bowel is examined for polyps, hemorrhagic sites, ulcerations, etc. Sometimes the professional performing the colonoscopy may do other minor procedures such as a tissue biopsy or, polypectomy.
Colonoscopies are performed:
- to evaluate an abnormality found by a barium enema
- to remove colon polyps
- to discover the reason for blood in the stools
- to screen for colon cancer, especially when there is a strong family history of the disease. Screening Colonoscopy should be recommended in all adults over age 50.
- to diagnose/manage inflammatory bowel disease, Crohn's disease, irritable bowel syndrome, etc.
- Other conditions at the discretion of your physician
UPPER ENDOSCOPY (Esophago-Gastro-Duodenoscopy or EGD)- In this procedure, a small flexible fiber optic tube or telescope the size of a pen-light with a camera attached is passed gently through the mouth into the food pipe (esophagus), stomach, and the duodenum (the beginning of the intestine). This enables our physicians to fully examine the inner lining of these organs, and if necessary, obtain a biopsy if any abnormalities are found. Treatment of some abnormalities can be performed at the same time when appropriate. Patients are sedated throughout the procedure, comfortable and relaxed.
Diagnostic EGD is generally performed for evaluating:
- Upper abdominal complaints which persists after a trial of medical therapy.
- Upper abdominal complaints that may suggest serious organic disease (e.g. weight loss, loss of appetite).
- Difficulty in swallowing or pain on swallowing.
- Esophageal reflux symptoms which persist despite therapy or if the symptoms recur.
- Persistent vomiting of unknown cause.
- Familial adenomatous polyposis.
- Suspected upper gastrointestinal bleeding, i.e., black stool in patients with upper abdominal complaints, or vomiting blood.
- Cirrhotic patients to evaluate for esophageal varices.
- Acute injury after caustic ingestion.
- Barium upper GI series demonstrating suspected cancer, ulcers, strictures, obstructions.
Periodic Diagnostic EGD May Be Indicated For:
- Patients requiring periodic surveillance of proven Barrett's esophagus; familial adenomatous polyposis.
- Follow-up of selected esophageal, gastric or stomal ulcers to demonstrate healing.
patients with prior adenomatous stomach polyps.
- Follow-up of prior sclerotherapy or banding of esophageal varices.
LAPAROSCOPY-This involves the insertion of a telescope into the abdominal cavity and an exploratory procedure to evaluate abdominal symptoms such as pain, weight loss or other abdominal abnormalities. This may include organ biopsy. Laparoscopy can be performed quite often as an out-patient procedure.
CALL our office for an appointment with
Dr. Robert V. Kolecki, M.D.