Advanced Endoscopy Techniques

Expert Care from the Most Highly Trained Endoscopy Team in South Texas

Your doctor may recommend an advanced endoscopy procedure to help diagnose or treat a problem in your digestive tract. You want assurance the doctor threading a tube through your body has the experience and training needed to ensure your comfort and safety.

University Health System is home to the only advanced endoscopy group in South Texas where all endoscopists are fellowship trained. That means we have more training and more skill so you get the highest possible level of care.

Advanced Endoscopy Services We Offer

Advanced endoscopy procedures diagnose and treat conditions of the esophagus, stomach, small intestines, pancreas, gallbladder, bile duct, liver, colon and rectum in adults and children. These procedures include those listed here.

Endoscopic Retrograde Cholangio-Pancreatography (ERCP)

During ERCP, your doctor passes an endoscope (tube outfitted with a miniature camera) through your mouth and stomach into your duodenum (first part of your small intestine) to reach your bile ducts, pancreas and gallbladder. The doctor adds a contrast dye to see inside your organs on a special type of X-ray (fluoroscopy). Your doctor can diagnose and treat problems and blockages with this minimally invasive procedure.

ERCP is one of the most common procedures advanced endoscopists perform, and University’s are the most skilled in this procedure. We even work with medical device leaders to develop new tools to advance ERCP treatment.

Endoscopic Ultrasound (EUS)

Your doctor passes an endoscope equipped with an ultrasound transducer into your stomach by way of your mouth. This allows your doctor to see your pancreas, liver, gallbladder, upper intestines and the area around them. This procedure is called endoscopic ultrasound (EUS). This state-of-the-art technology allows our endoscopy team to detect problems and take tissue samples through the endoscope for examination.

EUS is one of the most common procedures advanced endoscopists perform, but it requires experience and skill to obtain accurate diagnoses. University’s advanced endoscopists have performed hundreds of EUS procedures and are among the most experienced in South Texas.

Laser Lithotripsy

Your doctor uses an endoscope to deliver laser energy in the form of light to areas of your pancreas and biliary ducts to break apart large stones. These smaller pieces can then pass naturally through your digestive system.

Treating the stones can reduce your risk for liver, pancreas and gallbladder disease. University’s advanced endoscopists are well trained in using laser to treat biliary and pancreas stones that would otherwise require surgical removal.

Sphincter of Oddi Manometry (SOM)

Your doctor passes a catheter and pressure gauges through an endoscope to check your pancreas and biliary system. This technique (called sphincter of Oddi manometry or SOM) records measurements of pressure in your digestive tract. If your pressures are higher than normal, you may have a problem that could lead to disease.

SOM requires highly specialized, sensitive equipment. Only experienced endoscopists like ours perform this procedure.

SpyGlass Ductal Endoscopy

Your doctor puts an endoscope with fiberoptic imaging capabilities into small areas of your pancreas, bile ducts and gallbladder to diagnose and treat problems. Ductal endoscopy is a relatively new technology that uses the SpyGlass Direct Visualization System. This device allows your doctor to take tissue samples for biopsy and perform laser therapy instead of invasive surgery.

University’s advanced endoscopists are internationally recognized as experts in ductal endoscopy. We have developed new ways to treat stones in the bile duct and pancreas.