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Gastric Sleeve Surgery: What Is It & Who Needs It

Fri, 22 Apr 2022 16:59:16 GMT

People struggling with losing weight may opt to try out weight loss surgery to restore their health. There are numerous options available, but one procedure to consider is sleeve gastrectomy or vertical gastric sleeve surgery.

However, undergoing this surgery is not something anyone should take lightly. If you are curious about this procedure, it is best to spend time and research first. To start, here is a brief guide on gastric sleeve surgery.

What Is Gastric Sleeve Surgery?

Gastric sleeve surgery is a type of bariatric surgery that removes part of the stomach and vertically removes a portion of the stomach lining. This results in a smaller stomach that can hold less food, so it’s easier to eat less and lose weight.

It is a relatively new surgery and is not widely practiced. When comparing it to gastric bypass surgery, the gastric sleeve has fewer risks and is less invasive.

Who Are Candidates for Gastric Sleeve Surgery?

Gastric sleeve surgery is not just for those who are morbidly obese. It can be used as a tool for any individual who is struggling to lose weight.

Those who may be considered for these surgeries typically fall under three categories:

1. A person with a BMI of 40 or greater who has at least one or more comorbid diseases such as diabetes and high blood pressure,

2. A person with a BMI of between 35 and 40 who is at risk of developing comorbidities, and

3. A person who has a BMI of 35 or greater, but is not a candidate for gastric bypass.

Not all surgeons will perform this procedure for people with a BMI under 35. Some consider the surgery too risky for those with a lower BMI, but consult with an experienced surgeon to learn more.

What Happens during Gastric Sleeve Surgery?

People who are interested in gastric sleeve surgery will have the following surgery:

1. The patient will be sedated, so he or she is asleep during the procedure.

2. First, the surgeon will make an incision in the abdomen. Some surgeons may choose to make several incisions.

3. The surgeon will then make a vertical incision in the upper, outer stomach area. This removes a portion of the stomach and creates the gastric sleeve.

4. The remaining stomach will be stapled and then reattached.

5. The surgeon will close the incisions with either staples or sutures.

6. The surgeon will then secure the sutures or staples on the outside of the body.

7. The patient will be put in a recovery area while he or she recovers from the procedure.

What Happens after Gastric Sleeve Surgery?

The patient will undergo a few weeks of recovery before being allowed to eat normally. Afterward, the patient can eat small meals that are low in fat and high in protein.

The patient will have to work with a dietician to create a meal plan that is healthy and can help with weight loss. If a patient does not make good eating choices, it could affect their weight loss.

For the first two or three months, the patient is encouraged to consume between 800 and 1,000 calories a day. This can be hard for the patient and the patient’s family to adjust to, but it will help the patient lose weight faster.

After that, the patient is able to increase the number of calories he or she consumes to approximately 1,500 to 1,800 calories a day.

Final Thoughts

Overall, gastric sleeve surgery is a tool that can be used to help a person lose weight. It is not the only way, but it may be the best option for some because it doesn’t require major changes to the digestive system. However, like with any other surgery, there are risks. Patients who are considering gastric sleeve surgery should consult with a surgeon first. The surgeon will meet with the patient and discuss any risks or benefits the surgery may have.

For endoscopic gastric sleeve surgery and similar procedures, give us a call at Michel Kahaleh Gastroenterologist. Dr. Kahaleh is a world-renowned endoscopist and gastroenterologist who will help you learn more about the best options for you. Message us today for more information.

Utilizing Upper GI Endoscopy to Detect Health Conditions

Fri, 15 Apr 2022 02:06:39 GMT

An endoscope is a thin, flexible tube with a light and a lens that can be used to look inside the upper digestive tract, including the esophagus, stomach, and at least the first part of the small intestine. Upper GI endoscopy, often called an esophagogastroduodenoscopy (EGD), is used by doctors to diagnose a variety of disorders and conditions.

An upper GI endoscopy can detect abnormalities with the lining of the upper GI tract or food obstructions. It can help you determine if you have any of these health issues below.

Gastroesophageal Reflux Disease

Gastric acid rushes from the stomach into the esophagus, causing GERD (gastroesophageal reflux disease). Barrett’s esophagus is caused by the formation of abnormal cells in the esophagus, which can progress to cancer.

If you’ve had GERD symptoms for a long time, your doctor may recommend an upper GI endoscopy. Heartburn, indigestion, regurgitation, and nausea are common symptoms.

Doctors use a special light to show problematic tissue during an upper GI endoscopy, and then they take a biopsy. The lining is seen here in a small sample. A pathology lab can determine if the cells are abnormal.

Inflammation

Inflammation of the upper GI tract, such as duodenitis, esophagitis, and gastritis, can be detected with an upper GI endoscopy and biopsy.

Over time, erosion and ulcers can be caused by inflammation. Most of the time, a Helicobacter pylori infection is a common cause of inflammation. This infection can cause ulcers in the duodenum and stomach (peptic).

If you have signs of inflammation or ulcer, your doctor may recommend an upper GI endoscopy. Nausea, vomiting, belching, bloating, and scorching stomach pain are common symptoms.

Tumors

During an upper GI endoscopy, doctors can discover ulcers, atypical lumps, and masses. Your doctor will do a biopsy in this scenario. The biopsy sample is evaluated in a lab to identify whether it is benign or malignant.

The most prevalent cancer in the upper GI tract is stomach cancer, followed by esophageal cancer. Duodenal carcinoma is a relatively uncommon malignancy.

If your doctor thinks that you have upper GI cancer, they may recommend an upper GI endoscopy, but they may also recommend it if you have a history of long-term gastritis. Additionally, if you have a family history of cancer, your doctor may also recommend the procedure.

Esophageal Stricture

The esophagus narrows due to esophageal stricture. It prevents food and drinks from passing through the stomach normally. Large pieces of food can get stuck as well. Strictures can be caused by GERD or tumors.

If you have symptoms of esophageal stricture, your doctor may recommend an upper GI endoscopy. Swallowing difficulties, chest tightness, shortness of breath, and vomiting are all common symptoms. During an endoscopy, your doctor can see and perhaps treat the stricture.

Esophageal Varices

Esophageal varices are swollen veins that might rupture and hemorrhage in the esophagus’s walls. Blood may be vomited, and feces may be black, tarry, or bloody if you have esophageal varices. The loss of blood can put your life in jeopardy. Until they bleed, there are typically no symptoms.

A major risk factor for esophageal varices is having liver disease. If you have liver illness, your doctor may perform an upper GI endoscopy to prevent serious issues. An upper GI endoscopy allows doctors to see and cure this condition. If there is active bleeding, it can be done as an emergency procedure.

Conclusion

One of the first steps in your preparation for an endoscopy is a consultation with a gastroenterologist. Your doctor will need to know about your medical history and your current symptoms. If there’s a suspicion that the endoscopy may be related to a condition, the doctor may decide to perform a more detailed test.

If you need a gastroenterologist in New Jersey , don’t hesitate to turn to Michel Kahaleh Gastroenterologist. Dr. Michel Kahaleh is a world-renowned endoscopist and gastroenterologist who has pioneered interventional endoscopy. Book your appointment with us today!

What's The Main Difference Between Heartburn And Acid Reflux?

Fri, 08 Apr 2022 14:39:46 GMT

Many people confuse acid reflux and heartburn together. They think that they're the exact same thing. In reality, they're a little different. Acid reflux happens in the stomach when the acid backs up into the esophagus and irritates the tissue. Heartburn, on the other hand, is simply a symptom of acid reflux. So, all heartburns are acid refluxes, but not all acid refluxes are heartburns.

Today, let's talk more about acid reflux and heartburn to help you tell the difference:

What Is An Acid Reflux? What Is A Heartburn?

Acid reflux is one of the most common health problems today. When we eat, our stomachs produce substances to help us digest the food. Those substances are called acid, and when too much is produced, it flows back into the esophagus. The esophagus is the tube that connects the mouth and the throat to the stomach.

Heartburn is a symptom of acid reflux. Anyone who suffers from acid reflux, at least once in a while, has heartburn. Heartburn is a burning sensation in the esophagus. It's the sense that something is trapped underneath the esophageal lining. The most common treatment (if you don't want to get rid of the reflux altogether) is to kill the acid production and reduce the acid flow back into the esophagus.

What Are The Causes Of Acid Refluxes (And Heartburn)?

There are several things that contribute to acid reflux. For example, being overweight is one of the main ones. The main problem here is being overweight makes it difficult to swallow. A lot of the time, this causes people to swallow air. The air then goes into the esophagus and results in irritation.

Another thing that causes acid reflux is gum chewing. You see, when you chew gum, the muscles in your throat move in a way that they're supposed to. The problem is they're not supposed to do this so often. Hence, they're not used to moving like that, and they produce acid refluxes.

Gastroesophageal Reflux Disease (GERD) is another thing that causes acid reflux. This is a condition where the LES (Lower Esophageal Sphincter) doesn't work properly. If the LES doesn't work properly, the food in your stomach can go back up to your throat, and the acid can irritate it.

What's The Main Difference Between Heartburn And Acid Reflux?

The main difference is that acid reflux is a problem in the stomach. Heartburn is a symptom of acid reflux. You see, when the acid refluxes into the esophagus, it's called heartburn. However, when that acid refluxes into the stomach, it's simply called acid reflux.

Conclusion

In a nutshell, heartburn is a symptom of acid reflux. It's not the problem itself. The problem is the acid refluxing into the esophagus. So, whenever you have heartburn, chances are you have acid reflux. In order to treat acid refluxes, you have to treat the root of the problem and not just the symptom.

For example, if you want to treat heartburn, you can't expect to solve it by taking a pill that just kills the acid reflux. The heartburn will return if you don't try to treat the real problem, which is acid reflux. Hence, what you need is a treatment that will kill the acid reflux and prevent it from refluxing into the esophagus. If you need help identifying a way to treat your acid reflux or heartburn, feel free to reach out to a doctor. They can advise you on lifestyle changes, prescribe drugs, and more to help you live an acid-reflux-free life!

Michel Kahaleh Gastroenterologist offers professional endoscopic procedures to treat a variety of problems. If you are looking for a gastroenterologist in NJ to help you with acid reflux and more, reach out to us today!

Everything You Need to Know about GERD and Its Diagnosis

Fri, 01 Apr 2022 08:38:27 GMT

There is a strong chance that you've had symptoms of gastroesophageal reflux in the past. After a heavy meal, you may have experienced heartburn or a sour or bitter backwash in your throat. This may be a normal reaction to a rich meal.

When you experience this sensation frequently, however, this may be linked to damage to the esophagus. A common yet serious condition related to esophageal damage is GERD or gastroesophageal reflux disease.

If you have been diagnosed with GERD or suspect that you have this condition, this article will run you through everything you need to know about this disease.

Understanding GERD

A human's gastrointestinal tract is a complex system of organs, muscles, and tubes. The esophagus is the tube that carries food from the mouth down to the stomach. A sphincter at the end of the esophagus and into the stomach prevents food from flowing backward to the mouth.

GERD is a chronic condition that happens when this sphincter cannot hold down the food or liquid from the stomach. This food and liquid backflows into the esophagus and causes the heartburn sensation and irritation to the esophagus.

The Telltale Signs of GERD

If you notice any of the following signs, it may be a good idea to see an interventional gastroenterologist near you and get tested for GERD:

Heartburn or the burning sensation experienced in the chest
Regurgitating your stomach's content as a liquid that may be sour or bitter
Feeling like your throat is constantly dry, sore, or irritated
Foul mouth odors
Feeling nauseous and wanting to vomit
Have a hard time swallowing food, drinks, or even your own saliva

It is important to note that regular heartburn is usually mild and may occur less than twice a week. GERD is a chronic condition with symptoms appearing more than twice a week.

GERD Diagnosis

If you suffer from frequent heartburn and the symptoms mentioned above, it will be best to consult your doctor.

They may diagnose your condition through various tests, including:

1 - GERD Endoscopy

This is a procedure where your doctor inserts a small tube with a light and camera down your throat. This enables a thorough inspection of your esophagus and stomach to detect inflammation or other issues.

2 - Esophageal pH and Impedance Monitoring

This test detects the quantity of acid in your esophagus as you do your regular activities, such as eating and sleeping.

Your doctor will insert a small tube via your nose or mouth into your stomach at a hospital or outpatient center. The tube is withdrawn to the esophagus and taped to the outside of your cheek.

The monitor is worn for 24 hours, and your doctor will urge you to keep a food diary to check if there are any trends related to your symptoms.

3 - Wireless Esophageal pH Monitoring

This test is similar to the previous one, but instead of a tube, the monitor is a tiny capsule put in your esophagus during an endoscopy. This transmits data to a receiver worn around your waist or belt.

The test typically lasts 48 hours, and the capsule passes through your digestive tract in a few days.

4 - Esophageal Manometry

When you swallow, the muscular contractions in your esophagus are measured. It can tell your doctor whether a weak sphincter muscle causes your symptoms.

5 - X-Ray of the Upper Digestive System

This technique, which is performed after you swallow a chalky beverage, allows your doctor to see a silhouette of your upper digestive system. You may also be asked to drink a barium pill to look for esophageal constriction or other disorders, such as hiatal hernias or ulcers.

Conclusion

If you are frequently suffering from heartburn, you may have GERD. The symptoms may be mild, but it is best to consult a doctor. It is crucial to determine whether you are dealing with GERD and treat it early to avoid complications.

Are you looking for a gastroenterologist in NJ ? Michel Kahaleh Gastroenterologist is a world-renowned endoscopist & gastroenterologist. Book your consultation today!

Addressing the Gastrointestinal Symptoms of Celiac Disease

Fri, 25 Mar 2022 07:55:04 GMT

While the path of managing underlying symptoms and restoring proper functioning is long in those with celiac disease, many avenues have shown some promise in relieving GI symptoms. The secret is to figure out what works best for you and begin a course of action towards recovery.

Understanding Celiac Disease

Celiac disease is a digestive illness that affects children and adults. It is an inherited autoimmune disorder that causes problems in the small intestine. The inflammation resulting from celiac disease can lead to pain, malnutrition, and even cancer.

Symptoms of celiac disease include:

Diarrhea
Gas
Constipation
Nausea
Vomiting
Abdominal pain
Increased abdominal size

Causes of Celiac Disease

The primary cause of celiac disease is a reaction to gluten, a protein found in wheat, rye, and barley. For celiac patients, ingesting even a small amount of gluten can lead to intestinal damage.

Alleviating GI Symptoms of Celiac Disease

The good news is, there are ways you can alleviate GI symptoms caused by this disease. Some of them include:

Adjust Your Diet

One of the most effective solutions to alleviate celiac disease symptoms is to make dietary changes. Your doctor may recommend eliminating gluten-containing food or even put you on a gluten-free diet.

Limit Alcohol Consumption

Alcohol is known to aggravate GI symptoms in celiac disease patients. It can trigger nausea, vomiting, and diarrhea. If you are going to drink, stick to one drink a day, and only after eating.

Get Adequate Sleep

Getting enough sleep is also necessary for a healthy GI tract. Lack of sleep can result in too much abdominal pressure, which may lead to more abdominal pain and nausea.

Eat Fiber-Rich Food

Fiber can help relieve various gastrointestinal symptoms, including gas and bloating. To combat these symptoms, you should try to consume more fiber. Good sources include beans, fruits, broccoli, and potatoes.

Practice Deep Breathing

Deep breathing can combat nausea and vomiting. It relaxes the muscles, which helps keep your stomach under control. Deep breaths can also help relieve abdominal pain.

Wear Loose Clothing

Although wearing loose clothing will not necessarily help relieve your symptoms, it will make you more comfortable. Tight clothing, especially around the abdomen, can cause more abdominal discomfort.

Take an Over-the-Counter Medication

OTC drugs can contain anti-nausea and anti-diarrhea ingredients that can alleviate intestinal symptoms. They can also help with nausea, vomiting, and abdominal pain.

Take Probiotics

Probiotics can help restore and maintain your intestinal balance and help alleviate GI symptoms. They also aid in regulating bowel movements and digesting food. For best results, look for liquid or chewable forms.

Try Herbal Remedies

Certain herbal remedies can help relieve GI symptoms caused by celiac disease. These include fennel, ginger, and peppermint.

Don't Let Celiac Disease Get You Down

The symptoms of celiac disease are not only painful, but they also disrupt the lives of those who experience them. However, you can alleviate these symptoms through a combination of diet and lifestyle adjustments. This can be the best way to get their lives back on track for many people.

Michael Kahaleh Gastroenterologist is a world-renowned endoscopist and gastroenterologist specializing in treating Barrett's esophagus metaplasia in New Jersey , among other health conditions. Let us help manage your celiac disease. Contact us!

4 Important Things You Should Know About Pancreatic Cancer

Fri, 18 Mar 2022 07:03:19 GMT

Pancreatic cancer became the second biggest cause of cancer-related death in the US last 2020. The American Cancer Society's estimates for pancreatic cancer patients will be around 62,210 patients this year alone.

As such, more awareness of this condition is needed to improve knowledge, action, and survival. Pancreatic cancer has one of the highest mortality rates of any cancer, especially among those suffering from obesity and diabetes. It is also more common among smokers and those with chronic pancreatitis.

If this disease is a concern in your family, here are four things you should know about pancreatic cancer:

1. Late Detection is Causing High Mortality Rates

Pancreatic cancer begins in the pancreas tissues that secretes digestive enzymes and hormones to help regulate blood sugar. It is notoriously tricky to diagnose in its early, more curable stages. Moreover, it does not have a conventional diagnostic instrument or validated early detection strategy.

Patients detected early with cancer may be eligible for surgery, which offers the highest chance of long-term disease control. However, often the cancer is found too late when surgery is no longer an option.

According to the National Cancer Institute, approximately 130,000 Americans are diagnosed with pancreatic cancer each year. Most victims are diagnosed when the disease has advanced to a later stage. As a result, just 5 percent of those diagnosed with this type of cancer will live to see another day after diagnosis.

As a result of a lack of early detection methods, doctors may advise patients who know they have a high risk of developing pancreatic cancer to undergo certain tests to establish their risk.

2. Early-Stage Pancreatic Cancer Patients Have a 70 percent Survival Rate

When pancreatic cancer is detected early, the chances of survival are significantly better than when it is detected late. Nevertheless, even in the case of late detection, the chance of survival is only at 70 percent.

In general, the longer it takes for a patient to acquire a diagnosis, the worse the prognosis for that patient becomes. Hopefully, new treatments and studies will be developed in the future years that will significantly impact the survival rates of cancer patients.

3. There Is No Definite Cause of Pancreatic Cancer

Experts still don't know what causes pancreatic cancer. Smoking, an unhealthy diet, and obesity are common culprits of the illness and its hereditary components. A greater incidence of pancreatic cancer was also seen among people who have previously undergone stomach or pancreatic surgery.

Men are also predisposed to pancreatic cancer more than women. They also get it at almost double the rate, probably since men have less constant access to healthcare services than women.

4. Precise Imaging is Difficult to Achieve

The pancreas is a complex organ to image using a CT scan or an MRI. It is located deep inside the abdomen and is surrounded by organs that are difficult to identify, such as the stomach and spleen, making imaging difficult.

Doctors can detect pancreatic cancer in its early stages using a procedure known as PET-CT, which can save lives. According to multiple studies, elevated protein levels are a trypsin-2 risk for developing pancreatic cancer.

Most doctors conduct pancreatic imaging with CT scans and MRIs. However, imaging can be difficult because it hides behind other organs. On the other hand, gastroenterologists using endoscopic ultrasound (EUS) have better imaging results because the organ is right beside the stomach and small intestine.

The EUS produces very detailed pancreatic images. This is typically performed in an outpatient setting and usually takes 20 and 45 minutes.

Conclusion

Since signs of pancreatic cancer frequently appear after the disease has progressed to a more advanced stage, increasing public awareness is vital. Detecting the ailment early is critical to a successful treatment outcome.

Lastly, go to your doctor for a regular check-up. Don't dismiss recurring symptoms as mere stress or fatigue, as they may be a signal of something worse in your body. However, aside from early detection and cure, living a healthier lifestyle is still crucial to avoiding life-threatening diseases such as pancreatic cancer.

If you have fears of pancreatic cancer and want to get an endoscopic ultrasound in New Brunswick, NJ, book an appointment with Dr. Michel Kahaleh, a world-renowned endoscopist, and gastroenterologist. At Michel Kahaleh Gastroenterologist, we provide interventional endoscopy backed by his extensive experience on various endoscopic procedures. Your quality of life is our priority. Contact us to know how you can get your life back today!

Laparoscopic Sleeve Gastrectomy Vs. Endoscopic Sleeve Gastroplasty

Fri, 11 Mar 2022 08:08:01 GMT

The popularity of laparoscopic sleeve gastrectomy (LSG) has increased as advancements in bariatric surgery have expanded treatment options. However, some doctors recommend endoscopic sleeve gastroplasty as an effective surgical weight loss procedure.

What Is Laparoscopic Sleeve Gastrectomy (LSG)?

Laparoscopic sleeve gastrectomy, or LSG, is a weight loss procedure that involves the surgical removal of a large portion of the stomach or its complete removal. Once the large part of the stomach is removed, a small gastric pouch is left behind. With the sleeve gastrectomy, about 80 percent of the stomach is removed, compared to 85 percent in gastric bypass surgeries.

What Are the Advantages of Laparoscopic Sleeve Gastrectomy?

A significant advantage of LSG is that it is a generally less painful and invasive procedure. The patient can expect to recover in three to five days and never be confined to the hospital. The procedure can be performed in an outpatient setting and is completed in three to four hours, resulting in less downtime and less recovery time.

What Are the Disadvantages of Laparoscopic Sleeve Gastrectomy?

One of the most significant disadvantages of LSG is that its results are not as effective as gastric bypass surgery. Sleeve gastrectomy is intended to help patients lose 1/3 to 1/2 of the weight they need, which is not always effective.

Additionally, the procedure can be very challenging when consuming various foods and drinks, including carbonated beverages and whole pieces of fruit.

What Is Endoscopic Sleeve Gastroplasty?

Endoscopic sleeve gastrectomy, or ESP, is not a widely used technique. However, it is a promising procedure because it is less invasive than LSG and is completed with endoscopic tools.

A stomach portion is physically removed from the patient in the ESP procedure. The remaining part of the stomach will fold over, or wrap around, the formed small gastric pouch, enabling the patient to feel full.

While LSG is typically used for direct weight loss, ESP is often reserved for patients with a BMI over 50 and certain medical conditions.

What Are the Main Advantages of Endoscopic Sleeve Gastroplasty?

The ESP procedure is less invasive than LSG and does not require large incisions. This helps the patient recover more quickly than other weight loss procedures. The procedure is also designed to be completed using endoscopic tools, which means that only minimal incisions are required.

This will help the patient recover more quickly and experience less pain. Additionally, the procedure can be completed in about 30 minutes, meaning that the patient can expect to be back home in a matter of hours.

What Are the Disadvantages of Endoscopic Sleeve Gastroplasty?

The endoscopic sleeve procedure is not as effective as LSG. While it is comparable to gastric bypass, or sleeve gastrectomy procedures, ESP is less effective than both and only designed to help a patient lose between 2/3 and 2/4 the amount of weight they need.

What Should I Consider When Choosing a Procedure?

Both laparoscopic sleeve gastrectomy and endoscopic sleeve gastroplasty are effective weight loss procedures. However, as with all medical systems, there are associated risks. If you consider weight loss surgery, you should make sure that your doctor is board-certified and consider speaking with a laparoscopic and bariatric surgeon.

Conclusion

Laparoscopic sleeve gastrectomy and endoscopic sleeve gastroplasty are both ways to treat obesity effectively. While these procedures are similar, significant differences should be considered before deciding which method to undergo.

Consult your most trusted gastroenterologist if you are considering endoscopic sleeve gastroplasty surgery. Dr. Michel Kahaleh is a gastroenterologist and endoscopist who pioneered interventional endoscopy. With significant experience, he can perform a wide variety of endoscopic operations. Make an appointment for a consultation today!

Determining the Causes and Symptoms of Barrett’s Esophagus

Fri, 04 Mar 2022 07:47:59 GMT

Barrett’s esophagus is a disorder in which acid reflux damages the flat pink lining of the esophagus or the swallowing tube that connects the mouth to the stomach, causing it to thicken and turn red.

To explain further, the lower esophageal sphincter (LES) is a vital valve that connects the esophagus with the stomach. The LES can collapse over time, causing acid and chemical damage to the esophagus, a condition known as gastroesophageal reflux disease (GERD). Barrett’s esophagus is a condition caused by a change in the cells lining the lower esophagus in some individuals.

Barrett’s esophagus is linked to a higher risk of esophageal cancer development. Despite the low risk of esophageal cancer, it’s critical to undergo regular exams that include meticulous imaging and extensive biopsies. These procedures are necessary to look for precancerous cells—also known as dysplasia.

Read on to know more about Barrett’s esophagus, its symptoms, and ways in how it can be treated.

Determining Symptoms

Barrett’s esophagus is most commonly caused by long-term GERD, which might involve heartburn and reflux of stomach contents on a regular basis. There’s also difficulty in swallowing food and sometimes chest pain.

Around half of those diagnosed with Barrett’s esophagus have little or no acid reflux symptoms, so it’s important to talk to your doctor about your digestive health and the likelihood of Barrett’s esophagus.

Consulting a Doctor

If you’ve had heartburn, regurgitation, or acid reflux for more than five years, consult your doctor about the possibility of Barrett’s esophagus.

Most importantly, seek quick assistance if you experience chest pain, which could be a sign of a heart attack. You also have to call immediate medical assistance if you have trouble with the following:

swallowing
unintentionally losing weight
passing black, tarry, or bloody stools
vomiting red blood(or blood that looks like coffee grounds)

Receiving a Diagnosis

Barrett’s esophagus is diagnosed through an endoscopy. This process requires an endoscope to be passed down your throat to check for evidence of esophageal tissue change. Esophageal tissue that is healthy appears pale and shiny. Barrett’s esophagus tissue is reddish-velvety in appearance.

Your doctor will take a biopsy of the tissue in your esophagus, and the degree of change can be determined by examining the biopsied tissue.

Figuring Out the Degree of Tissue Change

The degree of dysplasia in your esophageal cells is determined by a pathologist, a doctor who specializes in examining tissue in a laboratory. Because esophageal dysplasia can be difficult to diagnose, it’s best to have two pathologists agree on your diagnosis—at least one of whom specializes in gastroenterology pathology. Your tissue could fall into one of the following categories:

If Barrett’s esophagus is present but no precancerous changes in the cells, there is no dysplasia.
When cells exhibit minor precancerous changes, then it’s classified as low-grade dysplasia.
If there are numerous changes in the cells, it is called high-grade dysplasia. The final phase before cells transform into esophageal cancer is assumed to be high-grade dysplasia.

Conclusion

According to the American College of Gastroenterology, Barrett’s esophagus screening may be advised for males who have three conditions. If they have had GERD symptoms for at least a week, don’t react to proton pump inhibitor therapy, and have at least two additional risk factors, it’s best to seek screening immediately. In contrast, women are statistically less prone to develop Barrett’s esophagus. However, they should be tested if they have uncontrolled reflux or other Barrett’s esophagus risk factors.

If you believe you have Barrett’s esophagus metaplasia, don’t hesitate to go to Michel Kahaleh Gastroenterologist, the top gastroenterologist in New Jersey . Dr. Michel Kahaleh is a world-renowned endoscopist and gastroenterologist who has pioneered interventional endoscopy. With his extensive experience, he can perform a variety of endoscopic procedures. Set up a consultation with us today!

Setting Your Expectations for Your Bariatric Surgery

raffi@maxpullmarketing.com (RAFFI OHANIAN) — Fri, 25 Feb 2022 14:22:28 GMT

Bariatric surgery is a procedure that is meant to implement weight loss towards a patient. Basically, it is a surgery performed on the stomach to induce the said process. That being said, if you are planning to undergo this method, you must set a few expectations first so that you would be able to prepare for the procedure itself and what comes after.

Below are just a few pointers to set your focus before, during, and after the bariatric surgery has been done.

1. Before the Surgery

Have a clear idea of what you want to achieve through the procedure. This is one of the most important expectations you must set to know your ultimate goal. It may be a lifestyle change or just a weight loss goal that you are aiming for. Remember that bariatric surgery is not a quick fix to weight loss. It is a long and challenging process, so it is essential to determine how much you are willing to commit to the process so that you would not easily get discouraged.

Ensure that you have a healthy meal plan to comply with after the surgery is done. This will help you better your chances of succeeding in your weight loss goal. Another thing to consider is that you must also have a support group to help you reach your goal since there are instances that you might need it. Do not be afraid to have consultations from the different professionals out there, as they are there to help you prepare for the surgery itself.

2. During the Surgery

It’s important to remember that this is a serious surgery, so you must do it safely. With that, the doctors may evaluate the complications that might occur during the process.

You must make sure that you will comply with the restrictions imposed on you after the surgery is done. There is a need for you to have a healthy meal plan and regular exercise to be able to lose weight. You need to remain active during the process so that you will be able to keep up with the changes that might happen to your body.

If you are a smoker, you must quit it before the surgery. Though it is an optional procedure, your doctor will be able to help you cope with smoking after the surgery is done. It will significantly affect your lungs, so it is better to let the doctors know if you are a smoker before the surgery.

3. After the Surgery

Now that the procedure has already been done, you need to learn how to cope with the changes to your body. It is also important that you maintain a healthy lifestyle so that you can lose weight. Make sure that you follow the restrictions imposed on you by your doctor. You may also need to see a therapist to help you cope with the changes.

To help you stay focused, you need someone to help you work through the program. This is extremely important since you will be able to work through the weight loss process with the help of your family and friends.

Conclusion

Bariatric surgery is a form of surgery used to induce weight loss in a patient. It works by limiting the amount of food you can intake and changing your lifestyle. Your expectations before, during, and after the surgery will greatly affect your success. So you must always put in the right effort so that you would come out victorious in the end.

If you are looking for a clinic that offers endoscopic gastroplasty , a procedure akin to bariatric surgery, then I, Dr. Michel Kahaleh, Gastroenterologist, am at your service. I am a world-renowned endoscopist and gastroenterologist, and I am an expert in interventional endoscopy with extensive experience. Call my clinic today and let us discuss about your plans for undergoing this method.

7 Key Benefits of Having an Upper Endoscopy Procedure

Thu, 17 Feb 2022 22:29:19 GMT

Doctors utilize various tools and techniques to provide the best healthcare solutions for their patients. For instance, a GERD endoscopy may be requested by a physician to diagnose conditions on the esophagus, intestines, and stomach.

Through using the endoscope, which is a thin, flexible tube with a camera, patients may be able to receive these key benefits:

1. Receive Diagnosis for Celiac or Crohn’s Disease

A doctor may order an upper endoscopy procedure to identify and diagnose celiac disease or Crohn’s disease. According to the Celiac Disease Foundation, celiac disease occurs in 1 in 133 people in America. Those with celiac disease need to eat a diet that does not include any gluten.

Celiac disease and Crohn’s disease are two types of inflammation related to the small intestine. During an upper endoscopy procedure, doctors may use the camera to determine whether there is any damage to the small intestine because of these conditions.

2. Get the Answers behind Unexplained Symptoms

An upper endoscopy procedure may be used to determine why someone is experiencing severe upper abdominal pain or other unexplained symptoms. Once a person is found to have a particular illness, the doctor can recommend treatments or other medical options that may be required. Having a proper diagnosis is crucial to getting the right treatment and recovering from illness.

3. See a Close-up View of Your Esophagus and Stomach

During an upper endoscopy procedure, doctors use the camera to inspect the esophagus, stomach, and upper part of the small intestine. This allows the doctor to watch the stomach and esophagus moving and working. This may help a doctor find the cause of any digestive tract problems.

4. Resolve Your Chronic Heartburn Concerns

A doctor may order an upper endoscopy procedure to help identify why a person has chronic heartburn. The doctor can look at the esophagus during this procedure to determine whether the person has any stomach acid swelling. The doctor can then recommend the best way to treat this problem.

5. Find Out Whether You Have an Ulcer

An upper endoscopy may be an effective way for a doctor to determine whether a person has an ulcer or any other type of damage along the lining of the stomach or esophagus. The doctor will be able to inspect the lining of the stomach to determine whether there is any damage that needs to be treated.

6. Get Rid of Blocks in Your Gallbladder

An upper endoscopy procedure may be performed to help identify whether someone has gallstones or the cause of any liver damage. As an example, stones can block the flow of bile, which will result in permanent damage to the liver if it is not treated.

7. Treat Esophageal Diseases

During an upper endoscopy procedure, doctors can treat various esophageal conditions. For example, the doctor may use the endoscope to send a laser to the area that is causing the problem. Other options may include placing a balloon within that area to help push the problem out.

Final Thoughts

Having an upper endoscopy procedure is a common procedure performed by a doctor. It may help to improve your overall health by providing proper diagnosis and treatment options. Through an upper endoscopy procedure, you may identify the cause of the symptoms and help to provide a proper treatment plan.

For a safe and effective procedure, book an appointment at Michel Kahaleh Gastroenterologist. As one of the top gastroenterologists in NJ , you can expect the best technology, trained medical staff, qualified doctors, and minimally invasive treatments that will improve your quality of life. Schedule an appointment today to get started.

Understanding the Different Types of Esophageal Disorders

Fri, 11 Feb 2022 08:56:09 GMT

Do you frequently experience heartburn or swallowing problems? This may be caused by esophageal disorders that affect the esophagus or the tube that carries food from the mouth to the stomach.

Esophageal disorders such as gastroesophageal reflux disease (GERD), achalasia, and Barrett’s esophagus can cause discomfort when swallowing and risk esophageal cancer. Some of these disorders may require an endoscopic ultrasound for diagnosis and treatment.

This article will run you through everything you need to know about esophageal disorders.

Understanding Esophageal Disorders

The esophagus is the tube that carries food from the mouth to the stomach. It is an essential organ that aims to keep food in the stomach and prevents it from going back into the mouth.

Esophageal disorders are conditions that affect the structure and functions of the esophagus. They can be caused by various factors, including lifestyle habits, genetics, and even some medications.

Types of Esophageal Disorders

There are different esophageal disorders, each having its own causes, symptoms, and treatments.

GERD: This is the most common esophageal disorder and happens when the lower esophageal sphincter doesn’t close properly. This sphincter prevents the stomach contents from flowing into the esophagus. GERD causes stomach acid and food to flow back into the esophagus, commonly known as heartburn or acid reflux.
Barret’s Esophagus: When acid reflux is untreated or chronic, the esophagus lining starts to resemble the stomach lining and intestinal cells. This puts you at a higher risk of developing esophageal cancer.
Achalasia: The cause of this disorder is unknown, and it is believed to be an autoimmune disease. This condition prevents food from entering the stomach as the esophageal sphincter does not open and traps the food.
Esophageal Cancer: Esophageal cancer can either be squamous cell carcinoma or adenocarcinoma. You can be at higher risk if you smoke, are exposed to radiation, have frequent acid reflux, or have an HPV infection.
Eosinophilic Esophagitis: When white blood cells or eosinophils become too abundant in the esophagus, this can cause inflammation or swelling of the esophageal lining.
Esophageal Spasms: These are abnormal muscle contractions in the esophagus that prevents food from reaching the stomach.
Esophageal Diverticulum: This condition develops when a spot in the esophagus is weak, and an outpouching occurs.
Esophageal Strictures: This happens when the esophagus becomes too narrow that food and liquid pass slowly to the stomach.
Hiatal Hernias: This condition occurs when the upper part of the stomach protrudes above the opening in the diaphragm and sits in the chest.

Factors That Put You at Risk of Esophageal Disorders

Some factors put you at a higher risk of developing an esophageal disorder. These include:

Alcohol and tobacco use or exposure to secondhand smoke
Obesity
Pregnancy
Side effects from medications such as antibiotics, pain relievers, antidepressants, etc.
Radiation exposure due to radiation therapy to the neck or chest

Early Signs of Esophageal Disorders

There are some early signs of esophageal disorders you must look out for and seek medical attention. These include:

Having difficulty swallowing or feeling like there is something stuck in your throat
Heartburn or a burning feeling in your chest
Indigestion or a burning sensation in your stomach
Regurgitation of stomach acid or food coming back to your esophagus
Vomiting
Pain in the chest, abdomen, or back
Chronic cough or sore throat

Your doctor may require a GERD endoscopy or an upper endoscopy to examine the upper part of the digestive tract. This uses an extended, thin scope that checks for signs of inflammation, cancer, or other diseases.

There are also esophageal pH test measures, gastrointestinal x-rays, and other tests to diagnose these problems.

Conclusion

Esophageal disorders are common digestive issues that can be easily diagnosed and treated as long as you know what to look out for.

If you think you may be suffering from one of these disorders, please see your doctor receive a proper diagnosis and treatment.

Are you looking for the best gastroenterologist in NJ to help with your esophageal disorder? Michel Kahaleh Gastroenterologist has extensive knowledge, experience, and passion for helping you diagnose your problem. Send us a message to learn more!

Everything You Have to Know About Peptic Ulcers

Fri, 28 Jan 2022 08:21:38 GMT

Peptic ulcers are open sores that form on the lining of the stomach and upper small intestine. If the lining of the stomach or upper small intestine is irritated then it will produce excess stomach acid. The excess acid breaks down the protective lining resulting in a sore that manifests through a painful "burning" sensation in the stomach.

They are known to occur when someone is stressed, anxious, and depressed. However, the true causes of peptic ulcers are the presence of the bacterium Helicobacter pylori (H. pylori) and the excessive or long-term consumption of nonsteroidal anti-inflammatory drugs (NSAIDs).

Read on to discover everything you have to know about peptic ulcers.

The Symptoms

Some signs of peptic ulcers include burning stomach pain, indigestion, excessive belching, bloatedness, intolerance to fatty foods, heartburn, and nausea. Additionally, serious cases may later on manifest in vomiting blood (red or black), bloody stools, asthma attacks, brain fog and fainting, unexplained weight loss, appetite changes, and difficulty breathing.

While eating foods that buffer stomach acid or taking an acid-reducing medication often relieves pain, it may still reoccur.

The Diagnosis

To determine the presence of an ulcer, your doctor may take a medical history and perform a physical examination. You may then require diagnostic tests such as the ones listed below:

Lab Tests

Lab tests are done to see if you have H. pylori in your system. H. pylori can be found in the blood, feces, or breath.

Breath Test

During the breath test, you consume radioactive carbon. Following that, you blow into a sealed bag. If you have Helicobacter pylori (a bacteria that decomposes the stomach), your breath will contain radioactive carbon in the form of CO2.

Inform your doctor if you are taking an antacid prior to the H. pylori test. Depending on the results of the test, you may need to stop taking antacids for a while.

Endoscopy

Endoscopy is a procedure in which a hollow tube with a lens is inserted into the esophagus, stomach, and small intestine. Endoscopes are used to detect ulcers and are highly recommended if you are older, have bleeding, have recently lost weight, or have difficulty eating or swallowing. Even if your symptoms improve, if the endoscopy reveals an ulcer in your stomach, you should have a follow-up endoscopy.

Upper Digestive Tract Series

Through this method, the esophagus, stomach, and small intestine are all imaged during a barium swallow. You drink a clear liquid laced with barium, which coats your digestive tract and exposes ulcers.

Understanding EGD (Upper Endoscopy)

Otherwise known as esophagogastroduodenoscopy , EGD uses a thin scope equipped with a light and camera to examine the esophagus, stomach, and first part of the small intestine, known as the duodenum.

Although upper endoscopy is usually done as an outpatient procedure, it may be necessary to do it in the hospital or emergency room to diagnose and treat conditions like upper digestive system bleeding.

This type of endoscopy can also detect ulcers and tumors, and inspects cancerous growths in the upper digestive system more precisely than X-rays. The endoscope can also be used to treat abnormalities.

The Preparation for Upper Endoscopy

You should notify your doctor if you are pregnant, have a lung or heart condition, are taking blood thinners, or have a bleeding disorder.

Blood pressure, heart, and thyroid medications can be taken with a sip of water prior to the procedure. Diabetics must adjust their insulin dosage on the day of the test. This process will be guided by your diabetes care provider. Remember to bring your diabetes medication with you so that you can take it after the procedure.

Make arrangements for a ride home after the endoscopy. Because of the sedation, you should refrain from driving or operating machinery for up to 8 hours after the procedure.

Conclusion

Now that you are well aware of peptic ulcers, it would be best to consult your doctor and prevent yourself from experiencing this unfortunate health condition. Perhaps you could also change your diet, get regular exercise, sleep well, and reduce your stress levels. As you gain more knowledge about what your body needs, the better your chances at steering clear from peptic ulcers.

Michel Kahaleh Gastroenterologist is a well-known gastroplasty doctor backed by his experience across the industry. With our clinic’s service, you can improve your life significantly in a short time! Schedule an appointment and contact us today!

Essential Things to Know about Interventional Endoscopy

Fri, 21 Jan 2022 07:21:34 GMT

Endoscopy refers to a method that aims to examine symptoms such as abdominal pain, nausea, reflux, swallowing difficulty, vomiting, and other similar conditions. The process works by inserting a tiny camera through the patient’s mouth to see the inside of their esophagus, stomach, and small intestine.

In this article, you will learn essential information about interventional endoscopy and other related procedures.

What Is Endoscopy?

Endoscopy is also called gastroscopy. It treats certain conditions to prevent further invasive surgeries, including gastric polyps, which may require the bleeding and removal of lesions and stretching strictures. The procedure is also used to get biopsies of suspected infections or tumors.

Before starting endoscopy, the patient will be given a small amount of anesthetic to make them sleep through the entire procedure. Then, the small camera will be inserted, taking images of the involved organs inside and displaying them on a screen. This is highly effective in detecting early cancers, inflammations, and ulcers.

What Is Colonoscopy?

Meanwhile, colonoscopy is a procedure where doctors examine symptoms of abdominal pain and rectal bleeding commonly associated with inflammatory bowel conditions like Crohn’s disease. It involves using a small fiber-optic video tool, a colonoscope, to get a clear view of the patient’s large intestine and rectum, to help the doctor obtain more accurate results.

Patients undergoing colonoscopy are also given a mild anesthetic to let them sleep through the procedure.

Third Space Endoscopy and Endoscopic Reaction

Third Space Endoscopy and Endoscopic Reaction are procedures that aim to repair the gastrointestinal (GI) tract composed of the esophagus, stomach, and small and large intestines. Using endoscopic techniques, they address issues without being too invasive on the patient’s body.

After the Procedure

You must keep in mind that endoscopy and colonoscopy are simple and rarely result in harmful complications. Expect your doctor to discuss potential risks with you before the procedure, so feel free to ask questions as they hold the answers to your concerns.

Because of the anesthetic involved in both procedures, we recommend arranging proper transport to and from the hospital. Driving within twelve hours after your endoscopy or colonoscopy is dangerous, and you should always have someone keep an eye on you and care for you during this period.

You will still be capable of performing basic functions right after your procedure. However, it is still best to have a reliable caretaker by your side in the rare event that you experience any complications.

After being discharged from the hospital, take the time to stay at home and get a good rest. Your doctor will also give you specific aftercare instructions depending on the type of endoscopy you went through.

Conclusion

As with any medical procedure, it will be best to go to a reliable and experienced professional qualified to perform the specific treatment you need to address your health concerns correctly. Undergoing any treatment can be challenging and stressful, so you want to have a compassionate professional by your side. They must support you through the process and provide answers to questions you may have.

If you are looking for the top gastroenterologist in New Jersey , turn to Michel Kahaleh Gastroenterologist. A world-renowned endoscopist and gastroenterologist, Dr. Michel Kahaleh has pioneered interventional endoscopy. Because of his extensive experience, he can perform various endoscopic procedures. Contact us today to learn more about our services.

What Are The Minimally Invasive Weight Loss Procedures in NJ?

Fri, 14 Jan 2022 14:42:34 GMT

Adults who are obese or have weight-related health issues require multiple, long-term weight loss choices. Endoscopic Bariatric Treatment (EBT) may be a good choice for those who prefer weight loss procedures without surgery or who have had weight loss surgery but have issues or have gained weight.

Endoscopic bariatric operations, like bariatric surgeries (such as Roux-en-Y gastric bypass, sleeve gastrectomy, and adjustable gastric banding), lower the stomach's capacity or change digestive tract sections to reduce the number of calories the body can intake or absorb.

Unlike traditional bariatric surgeries, endoscopic bariatric operations are carried out using a small, flexible scope placed via the mouth. Because the treatments are less invasive, the risk of complications is reduced.

What Is Primary Endoscopic Bariatric Therapy?

New endoscopic treatments have been developed in the recent decade for those who aren't candidates for weight reduction surgery or prefer a less intrusive, nonsurgical option. This frequently involves individuals who are overweight or obese and have failed to lose weight with diet and exercise.

Only a few clinics in the region have doctors who are qualified to do these three cutting-edge procedures:

These operations are all done as outpatient procedures. Because these are novel endoscopic treatments, your health insurance may not cover them.

The Intragastric Balloon is a balloon filled with saline inserted into the stomach and limits the quantity of food the stomach can contain. The balloon and a small camera are introduced endoscopically into the stomach using a thin tube put in the mouth.

Weight loss doctors in NJ place the balloon and fill it with a saline solution using the camera as a guide. It takes around a half-hour to complete the outpatient treatment.

The FDA has authorized the balloon device for individuals with a BMI of 30 to 40.

The process of intragastric balloon treatment is reversible. Balloons are meant to be left in place for a short time before being removed endoscopically.

Endoscopic sleeve gastroplasty (ESG)—similar to a surgical sleeve gastrectomy, an ESG involves suturing the stomach to reduce its size. ESG is conducted using a small tube introduced into the mouth and stomach without the need for an incision.

ESG is designed for people who have a BMI of more than 30. It's an outpatient treatment that takes under two hours to complete.

What Is Aspire Weight Loss?

The AspireAssist® device is an FDA-approved tube device put into the stomach and allows a part of the stomach contents to be drained (aspirated) after meals. An endoscope is used to enter the instrument into the stomach through a tiny incision in the abdomen.

A button-shaped port valve attached to the tube device rests against the skin outside the body. The patient can open the button and connect a tiny portable gadget that helps evacuate the stomach contents 20 to 30 minutes after each meal. About 30% of the food is removed throughout the procedure, which takes about five to ten minutes.

The AspireAssist® technique is an outpatient surgery for people with a BMI of 35 to 55.

What Is Secondary Endoscopic Bariatric Therapy?

Endoscopic bariatric therapy is frequently used as a follow-up or corrective operation when earlier bariatric surgical procedures have complications. Patients who have had adverse outcomes following a gastric bypass, sleeve gastrectomy, or adjustable gastric banding operation and those who have regained weight following gastric bypass surgery can benefit from the most up-to-date corrective endoscopic procedures.

Conclusion

Endoscopic bariatric therapy can be used as first-line weight loss treatment (primary therapy) or follow-up surgery after earlier surgical treatments (secondary therapy). These endoscopic operations are usually done as outpatient procedures, with patients returning to their regular activities within a few days.

Dr. Michel Kahaleh, a world-renowned endoscopist and gastroenterologist, pioneered interventional endoscopy and has significant expertise in performing endoscopic treatments. Are you looking for weight loss procedures without surgery ? Send us a message for us to assist you!

Common Disorders of the Pancreas You Should Be Aware Of

Fri, 07 Jan 2022 16:10:22 GMT

The pancreas is an organ responsible for two significant processes in your body: regulating your blood sugar and the digestion of food. However, the latter is more of an assistive functionality. As with other organs, the pancreas may also undergo certain disorders if you're not careful about what you eat.

That being said, there are quite a few pancreatic disorders that you must be aware of to get a general idea of how to handle it if ever your health runs into a speedbump along the way.

Acute Pancreatitis

Acute pancreatitis, also known as acute pancreatic inflammation, is an inflammation of the pancreas that can occur for a number of reasons. Acute pancreatitis occurs when digestive enzymes in the pancreas attack the insulin-producing islet cells.

Its symptoms can vary from mild to severe. The most common symptom is abdominal pain or pain in the upper abdomen. This can be accompanied by nausea, vomiting, or diarrhea and the pain usually worsens after eating. In some cases, pain may occur in the back rather than the upper abdomen.

If the inflammation keeps getting worse, it can result in pancreatic necrosis or death of the tissue. This is a severe condition as it can result in hemorrhage and perforation of the pancreas.

Chronic Pancreatitis

Chronic pancreatitis, also known as chronic pancreatic inflammation, is a condition in which the pancreas undergoes inflammation for a prolonged period, typically over a period of months or years.

Chronic pancreatitis may occur in two forms: chronic idiopathic pancreatitis and chronic alcoholic pancreatitis. In both conditions, the pancreas is inflamed, and there is no clear cause of pancreatitis.

Though the symptoms of chronic pancreatitis are similar to those of acute pancreatitis, they are usually milder and occur less often. Pain is only one of the symptoms instead of being the main symptom. Chronic pancreatitis may also occur alongside diabetes or pancreatic cancer.

Pancreatic Cysts

Cysts are basically sacs in the body that contain fluid, and they may be benign or cancerous. Pancreatic cysts can be benign or cancerous, and they can also occur in different parts of the pancreas. Some cysts can contain lymphatic fluid, and others can have digestive enzymes.

Symptoms of pancreatic cysts vary and depend on the size and location of the cysts in the body. Some cysts may even cause no symptoms at all.

The most common symptom of pancreatic cysts is pain. It can occur in the upper abdomen or back and is usually mild, though it is typically relieved after eating.

Pancreatic cysts may also cause nausea, vomiting, fever, and jaundice.

Pancreatic Cancer

Pancreatic cancer is one of the most common cancers, and it is also one of the deadliest. The cancer is usually detected late, and the 5-year survival rate for patients with pancreatic cancer is only 4% to 10%.

The most common symptoms of pancreatic cancer are jaundice and loss of appetite. When you first notice jaundice, you may also notice dark urine and pale stools. Other symptoms include abdominal pain, weight loss, and a feeling of fullness in the stomach.

Conclusion

Overall, if you're experiencing any of the symptoms discussed above, it may be best to visit your doctor for a more in-depth analysis. If your pancreatic dysfunction is the result of a disease that can be treated, your doctor can help you tend to it in a more systematic and safe approach.

Remember, detecting them early on may give you a better chance of recovering from them rather than discovering them late.

If you are looking for a specialist who offers state-of-the-art pancreaticobiliary endoscopy , then I, Dr. Michel Kahaleh, are at your service. Having pioneered interventional endoscopy, I am a world-renowned endoscopist and gastroenterologist. I offer a wide range of endoscopic procedures towards my patients and their current conditions. Call my clinic today and book an endoscopic session that will help us determine your pancreatic concern.

Learning About Excess Weight's Effects on Your Health

Fri, 31 Dec 2021 03:32:45 GMT

Plenty of Americans try to lose excess weight for aesthetic reasons, attempting to slim down into a smaller size. While such a vision isn’t necessarily wrong for them to strive for, knowing how excess weight can impact your health can provide you with added motivation on your journey to weight loss.

Losing weight isn’t exactly easy, with over 70% of Americans still struggling to lose weight annually. However, there are alternatives and methods that can assist in your journey to shedding those extra pounds for your overall physical and mental well-being.

Continue reading to learn more about the effects of excess weight on your health:

What Does Excess Weight Do to Your Health?

Extra weight can affect both your physical and mental health. For the physical, it means falling into the overweight or obese range of the BMI scale. Your body weight puts you at a higher risk for several health conditions and complications that will be hard to shoulder.

As for your mental and emotional state, having excess weight can be quite a source of insecurity and anxiety. The thought of having a high risk with physical issues mixed in with disdain about the current feel and weight of your body can be rather detrimental to one’s mind.

What Health Conditions Will You Potentially Face?

There’s a series of medical complications that each person with excess weight can be prone to, and it’s rather dependent on other existing factors. Generally, people who are overweight and obese will be more likely to have a stroke, hypertension, and other heart diseases.

Some also get a diagnosis of diabetes and gout, which can limit movement and affect your blood sugar levels. Women with excess weight are also more likely to have abnormal periods and polycystic ovarian syndrome or PCOS, which eventually leads to infertility.

How Can You Lose Your Excess Weight?

The basic ways of losing weight would be a better diet and exercise routine, but fat can be stubborn in so many areas. So many Americans have had such frustration during their period of trying to lose weight the old-fashioned way, but you can get a little help through surgery.

Bariatric surgeries can help in decreasing stomach size. You can also explore non-surgical options if you aren’t comfortable with the idea of that. For example, explore getting an endoscopy or gastric balloon procedure to reduce stomach space and eat less than you do now.

What Are the Effects of Losing Excess Weight?

Losing weight usually means that whatever health conditions you are at risk for is significantly reduced. There’s less joint pain and sleep apnea as well, since the lack of excess weight means your body is becoming much more mobile and relaxed without exerting too much support.

Alongside those physical perks, losing excess weight can also improve the state of your mental health and give you a pathway towards better security in your health. Maintaining your current body with diet and exercise is a sure shot at a better immune system and lifestyle.

Conclusion

In summary, one’s weight can influence their overall health and well-being. Excess weight can simply weigh one down, and it’s best to free yourself from that through whatever means necessary in order to protect your health right here and now.

Searching for weight loss doctors in NJ ? Dr. Michel Kahaleh is a renowned endoscopist and gastroenterologist that has pioneered interventional endoscopy with his extensive experience of procedures. Get in touch with us now!

Barrett's Esophagus: What You Should Know

Fri, 24 Dec 2021 04:55:23 GMT

The esophagus connects your mouth with your stomach. Barrett's esophagus happens when the cells that line the esophagus' lower part, called squamous cells, are replaced by intestinal cells, which are a different type of cell.

This happens when repetitive damage occurs inside the esophagus, which is common in people suffering from GERD or gastroesophageal reflux disease.

In this post, the best gastroenterologist in NJ sheds light on Barrett's esophagus, so if this is something you are interested in, read on as you'll learn more than the basics in this post:

What Are the Risk Factors?

The ones who are at a high risk of getting Barrett's esophagus have the following risk factors:

Age: If you're 50 years old or above, there's a high chance that you may be suffering from this condition. This is because as we age, our body's immunity heals and regenerates slower.

Being male: This by far is the most common risk factor. Men are more likely to develop Barrett's esophagus when compared to women.

Eating habits: This is another major factor, as there is a higher chance of getting Barrett's esophagus if you tend to eat irregularly and don't chew your food well. This can hinder the digestive system and affect the esophagus as well.

Frequent heartburn: If you're suffering from frequent heartburn, you must ask yourself if you have Barrett's esophagus. It's common among people with heartburn, and there's a high chance that you might be suffering from Barrett's esophagus if you're constantly having heartburn.

What Are the Symptoms?

The symptoms are varied, and anyone would rarely have the same symptoms. Here are some of the symptoms of Barrett's esophagus:

Heartburn
Dry cough
Persistent chest pain
Unexplained weight loss
Unexplained fatigue

These are just some of the symptoms that don't necessarily mean that you're suffering from Barrett's esophagus; it just means that you need to undergo further examinations.

How Barrett's Esophagus Is Diagnosed

Some tests can be done to diagnose this condition:

Barium swallow: This is one of the most common tests conducted to diagnose Barrett's esophagus. A barium drink is taken, and the doctor observes it as it passes through the esophagus. If there are abnormalities, it's a sign of Barrett's esophagus.

Endoscopy: This is another standard test that's done to diagnose Barrett's esophagus. Basically, a tiny camera is inserted into the esophagus, and a sample of the lining is taken for further examination.

Barrett's Esophagus Treatment

There's no one treatment for Barrett's esophagus. In most cases, the doctor might just monitor the condition or the symptoms. But in some cases, the doctor might recommend some medications to control the pain that comes with it and repair the damaged parts of the esophagus.

If the condition didn't change, the doctor might recommend surgery. And if this doesn't help either, the doctor might recommend radiation treatment or chemotherapy.

Conclusion

If you have any of these symptoms and have a history of GERD, you should consult your doctor immediately. The doctor might recommend an endoscopy or barium swallow test to confirm the condition. If you have Barrett's esophagus, you should also seek the help of the best gastroenterologist in NJ. Remember, this is a progressive disease, and the earlier you catch it, the higher the chance you can reverse it.

Michel Kahaleh is the best gastroenterologist in NJ who can help with Barrett's esophagus or other gastrointestinal concerns. Contact us today to set an appointment!

Reasons Why You Might Need to Get an Endoscopy Done

Fri, 17 Dec 2021 09:44:11 GMT

The human digestive system is vulnerable to an extensive range of issues. Some cause constipation, diarrhea, and inflammatory bowel diseases. In contrast, others lead to cancer and a whole other host of ailments more commonly known for acronyms like IBS, IBD, GERD, and so on.

What complicates treatment is how challenging discovery and diagnosis can be. Some syndromes even appear the same in two people with different disorders. This is where an endoscopy comes in. It's a test that checks for these potential health issues.

There are different types of endoscopy, but they all essentially involve a doctor inserting a thin camera through the mouth, throat, esophagus, stomach, and even intestines. The camera allows the physician to see what's going on in the digestive tract and make a determination about what's causing the problem.

Today, we will discuss some common reasons why you might need to get an endoscopy done.

Severe Stomach Pain

This is one of the more common reasons why people get endoscopies done. If you have severe stomach pain and it comes on suddenly, and without warning, you should immediately seek medical attention.

The pain could indicate a stomach ulcer, a bleeding ulcer, an inflamed or swollen stomach lining, a pulled muscle, or something else. It's a good idea to get things checked out quickly.

Chronic Constipation

Another common reason a doctor might order an endoscopy for you is chronic constipation. Not having a bowel movement regularly could be a sign of a problem. There are many reasons why a person might not be able to go to the bathroom.

It could be as simple as constipation. However, it could also indicate a bigger problem, like irritable bowel syndrome, ulcerative colitis, or Crohn’s disease. These are all digestive disorders, and they could be severely painful and debilitating.

Growths in the Colon

People who have recurring bouts of pain in the stomach, esophagus, or intestines may need an endoscopy to look for growths or tumors. A doctor will usually refer you to a gastroenterologist for an endoscopy if cancer is suspected. Growths in the esophagus or stomach are generally not as severe as those in the colon.

However, growth in the colon can be fatal because the cells in that part of the digestive tract are more vulnerable to cancer. When doctors find growths, they will perform a biopsy to determine whether they are benign or malignant. If they are malignant, the doctor will recommend further treatment, including taking medication or getting surgery.

Digestive Tract Bleeding

Bleeding in the digestive tract is a serious matter. While it can be caused by a number of things, including ulcers, tumors, or other growths, it could also be a sign of cancer.

If you experience bleeding in the digestive tract and it continues for more than a day, you should see a doctor immediately. To protect yourself from these kinds of issues, it's a good idea to get an endoscopy done regularly.

The Bottom Line

There are many reasons why you might need to get an endoscopy done. If you have any reason to believe you have a medical issue, contact your doctor immediately. They can determine whether or not you need an endoscopy. If you do, make sure to schedule an appointment soon.

If you are experiencing any gastrointestinal problems and want to get checked, we can help you. Dr. Michel Kahaleh is a world-renowned endoscopist and gastroenterologist. He has pioneered interventional endoscopy, with extensive experience, he can perform various endoscopic procedures. You can get an endoscopic ultrasound , endoscopic gastroplasty, and more with us. Contact our service today!

What You Need to Know about GERD and How to Prevent It

Fri, 10 Dec 2021 16:05:52 GMT

You can consider vomiting once or twice normal, but having this recurring issue could mean a more severe case with your digestion or esophagus. If you discover it has something to do with the latter, you might have a GERD chronic condition.

Read through our article to learn more about GERD, its symptoms, causes, treatments, and even ways to prevent the disease.

What Is GERD?

GERD is short for gastroesophageal reflux disease. It is the condition where acid contents from your stomach flow back up through your esophagus into your mouth. GERD is also commonly known as acid indigestion, acid reflux, acid regurgitation, heartburn, or reflux.

Having GERD could affect your daily life, but don’t worry because medical treatments and home remedies can treat this condition.

What Are the Signs and Symptoms of GERD?

Some of the most common signs and symptoms of GERD include chest pains, difficulty swallowing, regurgitating your stomach’s contents, sore throat or irritation in your esophagus, nausea, and vomiting. It is important to note that other stomach issues can also have these symptoms, and not all individuals with GERD show these symptoms.

If you’ve only experienced some of these things for a day or two after a night of drinking and eating, maybe your condition isn’t necessarily chronic. However, if you’re experiencing these symptoms more than twice a week over some time, perhaps it’s time for you to schedule an endoscopic ultrasound with a health professional.

What Causes GERD?

When your body is experiencing GERD, what happens is that your lower esophageal sphincter (LES) opens up even when you aren’t swallowing food. It causes the contents to go back up into your mouth.

Some of the significant causes of GERD include eating a large meal or belching, consuming certain food high in fats, increased abdominal pressure from being overweight or pregnant, or side effects from medications.

How Do You Treat GERD?

There are many ways to treat GERD. It usually begins with significant lifestyle changes, particularly your diet and exercise. You might say goodbye to some of your favorite food or eat smaller portions of your meals.

As for medication and surgery, after having a GERD endoscopy, your doctor can give you over-the-counter medicines, such as antacids, H-2-Receptor Blockers, proton pump inhibitors, or other surgery options. Consult with your gastroenterologist to know which surgery option is best for you.

How Do You Prevent GERD?

They say that prevention is better than cure. There are many ways to stop GERD symptoms from escalating. The primary cause of GERD is lifestyle habits that abuse your stomach and esophagus, so naturally, one of the many ways to keep it from happening is a lifestyle change.

Start by changing your diet. Avoid the kinds of food that usually trigger GERD, even if they are your favorite. It can include alcohol, fatty food, spicy food, caffeine, carbonated beverages, and more. You can also start eating meals in smaller portions to maintain your metabolism. Change your eating habits by eating slowly, sitting upright when eating, and not lying down immediately after a meal.

Final Thoughts

In the end, GERD is a severe condition and, if you don’t catch it in the early stages, it can do severe damage to your esophagus. Be cautious about your symptoms, or better yet, make active changes to your lifestyle to prevent it from happening.

If you’re looking for advanced endoscopy and gastroenterology, call us today to find one of the best gastroenterologists in New Jersey . Get the best service with world-renowned endoscopist and gastroenterologist Dr. Michel Kahaleh, who has pioneered interventional endoscopy and can perform various endoscopic procedures.

4 Most Common Endoscopic Operations Intended for Weight Loss

Fri, 03 Dec 2021 01:40:49 GMT

It’s easier to promise about losing weight than actually achieving it. Sometimes, all it takes is surgery to turn people’s aspirations in life. However, since there have been improvements in medicine in the past few years, people now have various options in which endoscopic operations can aid in their journey to weight loss.

But keep in mind that going under the knife is only one part of the solution. Meeting with weight loss doctors, watching your diet, and keeping an active lifestyle are still the best ways to lose and maintain a person’s excess weight. But what endoscopic surgeries can people choose to make weight loss appear faster?

1. Gastric Sleeve

The gastric sleeve is a bariatric procedure responsible for reducing patients' stomachs, making it smaller to allow less food intake. Surgeons will place a long and narrow tube down to the patient’s stomach. It will stay in place until the morning of the surgery until such time that the doctors will withdraw it while reducing the stomach to its new size.

The procedure will remove about 80% of the stomach’s total volume. The size of the remaining stomach will only be around the size of a banana. As a result, patients who have gotten the surgery will feel full faster than before and undergo a fast-paced weight loss journey.

2. Lap Band Surgery

Lap band surgery is an alternative to gastric bypass and stomach stapling. In the procedure, doctors will insert a band in the patient's stomach where the opening adjusts to the size of the patient's abdomen. As a result, the patient will feel less hungry as the stomach will feel full after getting constricted from the band.

The effect of the band is to restrict the amount of food a patient can consume. Meanwhile, doctors consider lap band surgery the fastest and safest weight loss procedure globally. It is also the preferred choice of many endoscopic surgery practitioners because it does not require cutting any organ or creating any stoma.

3. Gastric Bypass

Gastric bypass is one of the most popular surgeries that has helped many people achieve their weight loss goals. The procedure is similar to the gastric sleeve, but the advantage of the gastric bypass is that it drastically reduces the patient’s appetite. The process works by reducing a patient's stomach capacity, thus resulting in a faster weight loss.

4. Duodenal Switch

The Duodenal Switch is a surgery that removes the digestive portion of the stomach as well as the first part of the small intestine. In a Duodenal Switch surgery, surgeons will cut the small intestine, effectively creating two organ segments. They will also shorten the first half of the small intestine while connecting the second part to the gallbladder and the other part of the small intestine. As a result, patients will need to consume small meals for the rest of their lives.

Conclusion

Endoscopic surgeries have indeed come a long way in changing people’s lives. Today, it is no longer a secret that people who undergo the procedures are more likely to achieve their fitness goals. As people choose their operations, they must take the time to research their options and consult their doctors about the pros and cons of each procedure.

Michel Kahaleh Gastroenterologist focuses on patients’ vision to lose weight. Although there are various ways to shed off the extra pounds, sometimes going under the knife is the best solution possible. Patients can see instant results with little to no complications through surgeries like Endoscopic Gastroplasty and Gastric Balloon Surgery. If you’re looking for weight loss doctors in NJ , visit our clinic today by booking an appointment through our website.

What You Need to Know About Upper GI Endoscopy Procedures

Fri, 26 Nov 2021 01:38:18 GMT

Even the healthiest of people may contract some condition throughout their lifetime. In order to be prepared, one must know at least the basics of standard medical procedures on top of leading an active and healthy lifestyle.

Today, we'll be discussing the upper GI endoscopy.

What Is Upper GI Endoscopy?

Upper GI endoscopy is an imaging technique doctors use for determining or confirming diagnoses of diseases in the upper gastrointestinal tract.

Licensed professionals perform the procedure through an endoscope, a thin tube with a light and camera attached to it. Patients often undergo light sedation before this procedure. Some doctors may refer to this procedure as an EGD or esophagogastroduodenoscopy.

Another variation of upper GI endoscopy is endoscopic ultrasound, which features a small ultrasound transducer that allows the device to obtain high-quality ultrasound images of the organs inside the body.

Who Performs Upper GI Endoscopy?

A gastroenterologist, surgeon, or other qualified health care professionals typically perform upper GI endoscopy, endoscopic ultrasound, and other similar procedures.

You may get these procedures from your doctor's clinic, an outpatient surgery center, or the hospital. It depends on the professional overlooking your case.

Why Do You Need an Upper GI Endoscopy?

Doctors perform upper GI endoscopy to diagnose potential ailments or treat a pre-existing condition. The procedure focuses on the upper gastrointestinal tract.

Upper GI Endoscopy for Diagnosis

When used for diagnosis, upper GI endoscopy can help identify the cause for unexplained symptoms, such as nausea, vomiting, swallowing problems, and unexplained weight loss. Some of the conditions that upper GI endoscopy can detect are gastroesophageal reflux disease, cancer, gastritis, and celiac disease.

Some physicians may also recommend their patient undergo an upper GI endoscopy before pushing through with weight loss procedures without surgery, one of which is the endoscopic sleeve gastroplasty.

Upper GI Endoscopy for Treatment

Upper GI endoscopy isn't limited to diagnosis alone. Health care professionals also use the procedure for treatment, depending on the condition of the patient.

For one, upper GI endoscopy has been proven helpful in dealing with bleeding ulcers and removing items stuck in the upper gastrointestinal tract. Other doctors also use upper GI endoscopy to widen the esophageal structure so that food and liquids can pass through easily.

What Happens During an Upper GI Endoscopy?

The mechanics of the procedure varies depending on the doctor conducting it. However, it's typical for patients to receive some form of anesthesia (either local or general) or sedative to keep them comfortable and relaxed during the upper GI endoscopy.

Afterward, the patient will have to lie on their side as the doctor carefully inserts the endoscope down the esophagus and into the patient's stomach and duodenum. While the doctor performs a close examination of the video the camera sends out, their team will keep an eye on your vitals to ensure that you remain safe throughout.

What Is Recovery Like After Upper GI Endoscopy?

Upper GI endoscopies are outpatient procedures, so you won't need to stay overnight at the center, hospital, or clinic. Although, you may have to wait for one to two hours for the sedative to wear off.

Afterward, doctors generally recommend that patients rest for the next few days, especially when nausea hits. Some discomfort in the throat is to be expected as well.

Final Thoughts

An upper GI endoscopy is an outpatient procedure designed to diagnose and treat upper gastrointestinal tract conditions.

Patients who have to undergo this procedure for either reason should take the time to question their doctor about its intricacies. It would also do well to mention any existing ailments or medications since they can affect the procedure.

Dr. Michel Kahaleh is a world-renowned endoscopist in New Jersey who has an extensive background in the field. He's capable of performing a wide range of endoscopic procedures, including but not limited to endoscopic ultrasounds , gastric balloon surgery, and gastroplasty. Book a consultation with us today!

More than Just Weight Loss: Benefits of Bariatric Procedures

Fri, 19 Nov 2021 01:36:31 GMT

For many people in the United States, weight loss is a goal that’s challenging to attain. We have so many barriers that prevent us from regulating our own weight. Slimming down, fitting in your old pants, and preventing many health conditions that come with being overweight may seem so far away. However, no matter how we spin it, it’s not impossible.

Aside from controlling their diets and maintaining regular exercise, many Americans get treatments from weight loss doctors that support them toward their goals. Bariatric procedures are some of the most sought-after medical processes that they get.

What Are Bariatric Procedures, and How Do They Work?

Bariatric treatments like gastric bypass, endoscopic gastric sleeve, and gastric banding are procedures that help individuals regulate their weight by making changes to their digestive systems.

Bariatric procedures come in many different types. Some of them require major surgeries, while others are minimally invasive and can be performed on an outpatient basis. Treatments like bariatric endoscopy can allow patients to continue on with their regular activities within a few days.

By altering a person’s digestive system, bariatric procedures can ensure that they have less capacity to take in food. The individual will not be eating that much and will feel full much more quickly. As a result, they will absorb fewer calories and will not be converting excess energy into fat.

Due to the physical transformations of bariatric procedures, a person can achieve benefits that regular exercise and controlled diets cannot give. An individual can easily go back to their old eating habits and stop working out suddenly, but they cannot alter their digestive systems. Because of this, bariatric treatments work for both short-term and long-term weight loss.

Aside from weight loss, there are many more benefits that bariatric endoscopy and other treatments can give. Let’s explore some of their physical, mental, and behavioral advantages:

1 - They Reinforce Healthier Habits

It’s easy to overeat or lose track of your exercise habits when you begin to lose motivation. This is a significant reason people still regain weight even when they’ve already started shedding off some pounds.

With an altered digestive system, you begin to reinforce your healthy habits, such as taking smaller bites, getting smaller portions, and eating more mindfully. You’re more likely to sustain these behaviors and set yourself up for success in the long run.

2 - They Enhance Your Sense of Taste

One of the more insidious side effects of overeating is a duller sense of taste. Those who consume too much food may feel desensitized to the foods they eat due to overexposure. However, by eating less, you can reverse this effect.

With bariatric procedures, not only will you feel full more quickly, but you’ll also begin to enjoy your food more. You’ll enhance your sense of taste and may even start to like healthier food!

3 - They Help Maintain Your Overall Health

One of the most significant advantages of bariatric procedures is that you’ll more easily reap the physical and mental benefits of weight loss. You’re less likely to develop health conditions like sleep apnea, heart disease, and joint problems. Moreover, your energy and emotional well-being will also get significant improvements.

Visit a Weight Loss Doctor in New Jersey

Bariatric procedures are treatments that can assist you significantly with weight loss. They’re helpful if conventional diet and exercise do not seem to be too effective, and they have numerous health advantages. With their numerous physical and mental benefits, they can help you maintain your holistic well-being and let you enjoy your life much more fully.

If you’re looking to get bariatric endoscopy and other weight loss procedures from a trusted weight loss doctor in New Jersey , Dr. Michel Kahaleh can help. Dr. Kahaleh is a licensed gastroenterologist and endoscopist who can provide you with the utmost quality of care and assist you toward optimum health. Contact our clinic today!

7 Essential Things To Do for Your Telehealth Appointment

Fri, 12 Nov 2021 01:34:01 GMT

Going for medical check-ups used to be a pretty straightforward process. It simply went like this: go to the doctor, discuss how you’re feeling, they’ll prescribe treatment, and you’ll go home to do as you’re told. However, that changed when the COVID-19 pandemic hit because it became harder for people to see their doctors. The good thing is that hope isn’t entirely lost because of telemedicine or telehealth.

As the name suggests, telemedicine involves doctor’s consultations over technologies such as phone calls or video calls. The trend continues until today because we’re not out of the woods yet regarding the pandemic.

Just as you need to prepare certain things before an in-person consultation with your doctor, you need to do the same before your telemedicine appointment. What exactly are these things? We’ll discuss them in this article, so read on below.

#1 - Talk to Your Insurance Company Regarding Coverage

In healthcare, you must always avoid any unexpected bills to save money for any treatment that will be needed. Luckily, many insurance companies today offer telemedicine appointments. What’s better is that some states have made it mandatory for insurance companies to cover telemedicine appointments. However, you may still need to make a copayment. Whatever the case, everything that goes on in your appointment is protected by HIPAA laws.

#2 - List Down All of Your Symptoms

You must give your doctor as much information as possible about your condition. You should also tell your doctor how long you have been feeling these symptoms. Let’s say that you have a fever; you need to tell how long you have had it, if there are any temperature changes, or if you took any medication to reduce the fever. If visible symptoms are present, such as rashes, you should take a photo or show it to the doctor if you’re video calling for your appointment.

#3 - Let Your Doctor Know of Any Pre-existing Conditions

During your appointment, your doctor will likely need your medical history, so you’ll need to state any pre-existing conditions that you may have and how long they have been present. This is a step that you must not skip, and the only way you can miss this is if you’ve been going to the same doctor for years. You also need to let your doctor know if you take any medications for these conditions.

#4 - Place Medical Devices Next to You

Medical devices such as thermometers or blood pressure monitors need to be close to you during your telehealth appointment because your doctor might request a current reading as you discuss your condition. Telehealth appointments are on the clock, so you don’t want to waste time looking for these things.

#5 - Find a Quiet Spot for Your Appointment

Since telehealth appointments are done over a phone or video call, you’ll need to find a quiet spot so that you and your doctor will not be interrupted by background noise as you talk. You also need to turn off any noise-making devices such as your TV. To make things easier, you can use noise-canceling headphones to prevent any background noise from being heard.

#6 - Get Your Device Ready Before the Call

Since a telehealth appointment requires technology, you have to prepare your device before the call starts. That means fully charging your device, whether it be a smartphone, tablet, or laptop. If your medical provider requires you to download any software and make an account, you must also do that.

#7 - Get Yourself Ready for a Face-To-Face Consultation

Telehealth appointments are a great option to consult with your doctor, but you may be required to meet face-to-face afterward. If this happens, make sure to tell every detail discussed between you and your doctor during the telehealth appointment to advise your doctor regarding the information you received.

Conclusion

Telehealth appointments are the best way to maintain safety while still getting proper medical care. Make sure to take note of everything that we’ve mentioned so that your telehealth appointment will go smoothly.

Michel Kahaleh Gastroenterologist offers telehealth consultations in New Jersey . We believe that everyone should have access to immediate medical care, so we provide this service for patients. Contact us today to book a consultation!

What Is Sleeve Gastrectomy, and Why Is It Done?

Fri, 05 Nov 2021 01:31:14 GMT

Obesity is a common problem that many Americans face. Although many people accept it as a normal part of their bodies, excessive weight brings a plethora of life-threatening conditions. Obese individuals have a higher chance of developing high blood pressure, type 2 diabetes, stroke, sleep apnea, and heart disease.

Countering obesity is never easy, especially if you have conditions that affect your metabolism and prevent you from regulating your weight properly. For this reason, many individuals seek medical procedures to help them achieve their ideal weight and reduce problems associated with being overweight.

One of the rising methods to help people control weight is sleeve gastrectomy or vertical sleeve gastrectomy, wherein weight loss doctors use small instruments to make small incisions in the upper abdomen. They remove around 70–80% of the stomach, reducing it to a banana-shaped tube. In this article, we’ll explore this procedure and what effects it can have on digestion and weight loss.

What Is the Purpose of a Sleeve Gastrectomy?

Sleeve gastrectomy has been around since 2001, and it helps patients lose weight by restricting the amount of food they can eat and digest. This surgery reduces the calories they absorb and convert into fat. Moreover, this procedure also brings hormonal changes that help with weight loss.

Sleeve gastrectomy is a viable procedure for those who have a body mass index (BMI) of 40 or higher (extremely obese). It’s also helpful for obese individuals experiencing weight-related problems like severe sleep apnea, high blood pressure, and type 2 diabetes.

How Is It Done?

Sleeve gastrectomy can vary in procedures depending on an individual’s situation and the doctor’s practices. In one type of gastrectomy, the doctor makes large incisions on the abdomen. However, in most cases, it is a form of laparoscopic surgery, wherein the doctors only make small incisions and insert small instruments to operate on the abdomen with the help of cameras.

Doctors will administer general anesthesia before the surgery so that patients stay asleep and do not feel any pain during surgery. Afterward, they create a narrow sleeve in the stomach by stapling it in a vertical orientation and removing the larger, more curved part. The procedure takes one to two hours, and patients may have to stay one to two nights recovering in the hospital.

What Will Be the Results of the Procedure?

Sleeve gastrectomy brings long-term weight loss. Many patients experience up to a 60% reduction in their excess weight within two years after surgery. However, it should be followed by numerous permanent lifestyle changes to maximize its effectiveness.

Are There Any Risks?

You may experience drastic changes three to six months after the procedure because your body will have to adjust to rapid weight loss. You may experience mood changes, dry skin, body aches, and even hair thinning. Some patients also report feeling tired or cold at times.

The Takeaway

Obesity can be incredibly challenging to control, and it can bring many serious health conditions. However, with the help of weight loss procedures, it can be more manageable. Sleeve gastrectomy, endoscopic gastroplasty, and aspiration therapy can all help patients achieve their long-term weight goals and improve their quality of life.

If you’re looking for weight loss doctors in NJ , Dr. Michel Kahaleh is a reputable gastroenterologist and endoscopist who can help you achieve your goals. Let our clinic provide you with the utmost quality of care and assist you toward optimum health. Contact us today!

What You Need to Know About Diets for Pancreatitis

Fri, 29 Oct 2021 01:28:47 GMT

People who have chronic pancreatitis or have previously had acute pancreatitis are subject to specific diets that will help them avoid the recurring symptoms of pancreatitis. Pancreatitis is an inflammatory disease in which the pancreas secretes an abnormally large amount of enzymes and begins to break down and digest itself. When this occurs, a specialist may perform an endoscopic ultrasound of your pancreas.

For recovery, many patients are required to undergo certain diets, such as the liquid diet, for a period of time. However, these administered diets are not fit for all individuals. So, to better understand the needs of our bodies when it comes to this disease, let’s look into diets and how it affects pancreatitis.

A Pancreatitis Diet

As you suffer from pancreatitis, it is critical to comprehend why you should consume certain meals while avoiding others. For one, you must abstain from alcoholic beverages, fried, oily, or high-fat foods (such as creamy sauces, fast food, full-fat meat and dairy, and anything fried). These foods can set off an attack by causing your pancreas to release an abnormally high level of enzymes.

Meanwhile, you can, in moderation, still eat certain foods such as refined carbohydrates, including white bread, sugar, and high fructose corn syrup. And to help stimulate your pancreas to generate more insulin, incorporate whole grains, fruits, vegetables, and legumes into your body. In general, it is also recommended that you avoid processed foods that are heavy in fat, sugar, or both.

You might be surprised to learn that there is no need to avoid fats fully. For persons suffering from chronic pancreatitis, aim for a "moderate-fat diet," which comprises about 25% fat. On a 2000-calorie diet, this translates to 55g of fat on a daily basis. Aside from a low-fat diet, frequent short meals are simpler to digest than large meals, which may trigger an attack.

Additionally, there are beneficial foods for chronic pancreatitis. Moderately consume healthy fats such as avocado, olive oil, fatty seafood, nuts, and seeds. At the same time, you must also learn about typical serving sizes of high-fat foods. To find out how much fat is in a food, you can check the USDA National Nutrient Database .

Hospitalization for Pancreatitis

Even if your pancreatitis is minor, you may need to spend the night in the hospital to monitor your progress. Complications of pancreatitis may include new infections, pancreatic tissue loss, fluid-filled cysts, and organ failure.

When it is safe to do so, patients with mild to moderate pancreatitis may be given IV fluids, pain medication, and a low-fat soft food diet. If you have nausea and vomiting, a feeding tube may be implanted to keep your health in check. Similarly, cases of moderate to severe pancreatitis may necessitate a stay in an intensive care unit (ICU). Here, IV fluids will be given to you, and your blood pressure, oxygen saturation, and pulse rate will be measured. For some, pathogens and the general health of the blood can be determined via blood and urine testing.

Conclusion

Sometimes, it all boils down to how we take care of our bodies. This could mean taking a closer look at our stress levels, our sleeping patterns, our water intake, and of course, our regular diets. To avoid or manage pancreatitis, keep this diet information in mind. Prevent further damage to your body and begin taking care of it beginning with the food you consume!

Are you looking for competent gastroplasty doctors ? Michel Kahaleh Gastroenterologist is a well-known endoscopist and gastroenterologist who has performed numerous endoscopic treatments. With us, you may recover your life and become a better version of yourself with our assistance without resorting to invasive therapies or treatment regimens. Schedule an appointment and contact us today!

What Is ERCP (Endoscopic Retrograde Cholangiopancreatography)?

Fri, 22 Oct 2021 01:25:31 GMT

So, your doctor has recommended ERCP, and you do not know what to do. First, you need not panic. ERCP is a standard procedure used to either diagnose or treat a certain problem. If you need to go through this procedure, the best thing you can do is learn what you can about it.

Read on to find out everything you need to know about ERCP.

What Is ERCP?

ERCP means endoscopic retrograde cholangiopancreatography. It is a procedure used to diagnose or treat problems like pancreatitis, gallstones, pancreatic cancer, and other similar conditions. Think of it as an endoscopic ultrasound for the pancreas and other internal organs. The whole process happens by using an endoscope and x-ray. It can seem worrisome, but it is perfectly tolerable.

The procedure uses the endoscope (a flexible tube) and puts it down one's throat up to their esophagus. That tube contains a camera at the end, which allows the doctor to see the status of the patient's esophagus and even their stomach and small intestine.

How Is ERCP Performed?

You do not have to worry if your doctor says you need ERCP. This procedure usually lasts for only one to two hours, and then you can go home straight away. It is an outpatient procedure that you need not worry too much about. Take note that you will be injected with anesthesia to keep you calm throughout. You will be wide awake, but thanks to the anesthesia, you will not feel anything.

If you are scheduled for ERCP, make sure that someone accompanies you to the procedure so you do not have to go home alone, feeling the after-effects of the anesthesia.

Here is what you should expect to experience:

The doctor will numb your throat using an anesthetic spray.
Once your throat is numb, they insert the endoscope into your mouth and guide it until the camera reaches its target location.
Inside, your body is highly moist, so your doctor would need to pump air to reduce the cloudiness and see your organs better.
They will then slide a catheter, another tube where the special dye will be injected until it reaches the bile and pancreatic ducts.
At this point, your doctor can check for signs of problems or blockages.
The whole process is recorded in a video for later reference.

Note: The endoscope is also where your doctor will insert other small instruments that they would use for other purposes, should it be necessary. These can remove the stones found inside your body, remove samples of tissue or tumors for biopsy, or place stents needed to open or block narrowed ducts.

What Should You Expect After ERCP?

Expect to feel nauseous and bloated right after the procedure. These are common after-effects of the anesthesia and the endoscopy, respectively. But you will only feel the symptoms for a short time, and after one day, you will be able to return to your normal activities.

Also, expect your throat to feel a little irritated after the procedure. It will feel sore for one to two days after the session. You can try eating softer foods to soothe your throat until the soreness stops.

Your diagnostic findings will come out in around two weeks.

Conclusion

If you are told that you need to come in for ERCP, do not be anxious. ERCP is a low-risk procedure that would help your doctor understand the real cause behind the health problem you are experiencing. Your doctor can finally tell you the findings and their recommended treatment options as soon as you get the results.

Are you looking for advanced and non-invasive endoscopy procedures in New Brunswick? Dr. Kahaleh is your best gastroenterologist in New Jersey and a world-renowned endoscopist. He is locally and internationally pioneering minimally invasive procedures involving therapeutic EUS, ESD, and POEM. He can also perform ERCP and endoscopic ultrasound for the pancreas without a problem. Contact us to learn more about our services!

How Bariatric Surgery Can Significantly Improve Your Life

Thu, 14 Oct 2021 01:22:21 GMT

Losing weight can be an uphill battle. Even when you manage to lose some weight over time, keeping it off is difficult still. This is why bariatric endoscopy surgery is such a lifesaver. In some cases, literally.

Bariatric endoscopy surgery is a minimally invasive procedure wherein doctors will use an endoscope to alter your gastrointestinal system, resulting in no scars on your belly and fast recovery. This alteration involves shrinking the stomach’s capacity, making the patient eat less. One method involves inserting a balloon into the stomach to take up space. Another is known as the accordion method, in which the doctor uses the endoscope to suture the stomach and make it smaller.

How does bariatric endoscopy surgery save lives, though? Well, patients who struggle with weight issues and obesity are prone to very serious chronic health conditions. Some of these conditions can reduce their quality of life, or worse, lead to death.

Here are some of the conditions that could be resolved with this quick procedure.

Sleep Apnea

If you find yourself feeling exhausted even after a long night’s sleep, you may have sleep apnea. Sleep apnea is a disorder where your breathing is disturbed while you’re asleep. The soft tissue in your throat regularly obstructs your breathing tube, meaning you stop breathing during certain periods.

This isn’t just robbing you of a decent night’s sleep. It increases your blood pressure and your risk of getting a stroke or a heart attack increases.

Speaking of which…

Coronary Heart Disease

659,000 Americans die from heart disease annually. It’s the leading cause of death in the United States, except for February of 2021, when it was overtaken by COVID-19. Obese patients are more prone to having high blood pressure and fatal heart attacks. By undergoing bariatric endoscopy surgery, obese patients can drastically reduce their risk of dying from heart failure.

Diabetes

Diabetes is when your body can’t regulate the sugar levels in your blood. The excess sugar in your bloodstream damages your pancreas. The pancreas is the organ that produces insulin, the hormone that lets your body break down sugars.

While it is possible to thrive with diabetes, it is a difficult and expensive disease to live with. Prevention is better than cure. Bariatric endoscopy surgery can help prevent a patient from developing diabetes in the first place. High sugar levels in your blood also hurt your blood vessels, which can lead to kidney failure, heart attacks, blindness, strokes, impaired healing, and more.

Cancer

Cancer can happen to anyone, but obese patients are at higher risk than the average person—specifically, breast cancer, thyroid cancer, prostate cancer, uterine cancer, and endometrial cancer. A study published by the British Journal of Surgery in July of 2018 says that bariatric surgery could reduce your risk of getting these types of cancer.

Cancer isn’t always fatal, but it is a possibility. Before COVID-19, cancer was the second leading cause of death in the United States. Now it’s the third, having killed 606,520 people in 2020.

Conclusion

Many health risks come with living with obesity. Thankfully there are new and less invasive medical procedures like bariatric endoscopy surgery that can help patients. Procedures like these are game-changers as well as lifesavers.

Are you trying to find a reliable gastroenterologist in NJ ? Reach out to Dr. Michael Kahaleh today! He’s an expert on bariatric practices and can’t wait to help you resolve your issues.

Prevention of Barrett's-Related Esophageal Cancer_ What’s New

Thu, 07 Oct 2021 01:16:50 GMT

Every year, thousands of people undergo upper endoscopies to examine their esophagus for evidence of Barrett's-related disease. People with Barrett’s Esophagus (BE), a condition characterized by intestinal cell changes and inflammation, and related conditions may be at risk for developing more serious complications.

It is known that BE patients are at risk of developing esophageal cancer. This is why it is important that early diagnosis of Barrett’s-related esophageal cancer be conducted in order to ensure successful treatment.

A lot of patients with Esophageal Adenocarcinoma (EAC) have never gotten a prior diagnosis of BE. This is why there are attempts to improve the outcomes of this deadly disease.

So far, here is the progress that has been made:

Endoscopic Surveillance

Currently, patients with BE are under endoscopic surveillance to improve the outcomes of EAC. It helps detect High-Grade Dysplasia (HGD) or early-stage EAC. Today, there are two min elements for endoscopic surveillance for BE.

The first element is to conduct examinations at specific intervals. The second element is adequate biopsy sampling to detect dysplasia because dysplastic tissue can be present within endoscopically normal-appearing BE.

Endoscopic Therapy

Endoscopic surveillance can’t prevent EAC, but it can help detect it early before things get worse. Endoscopic ablation that includes photodynamic therapy, radiofrequency ablation, and cryotherapy with liquid nitrogen can destroy dysplastic BE.

Immunotherapy

Immunotherapy may also play a significant role in the early treatment for EAC based on two large clinical trials . The trials used drugs known as immune checkpoint inhibitors that increased how long patients with advanced EC lived without cancer getting worse.

Earlier this year, the FDA approved Keytruda in combination with chemotherapy for some patients with EC who are not candidates for surgery or chemotherapy and radiation.

Chemoprevention

Most patients with BE are prescribed Proton Pump Inhibitors (PPIs). There is little evidence that PPIs can prevent the development of cancer. On the other hand, there are studies that showed that aspirin and Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) could decrease the chances of EAC. However, there needs to be more evidence to support it. Should there be more concrete evidence to it, aspirin may be a chemopreventive agent.

Moreover, there are also studies that show that the consumption of folic acid, green tea, berries, and antioxidants at high levels can reduce the chances of EAC.

Barrett's esophagus, considered a precursor of esophageal adenocarcinoma, has demonstrated increasing incidence over recent decades. Although the underlying reasons are still poorly understood, cumulative exposure to gastroesophageal reflux is regarded as the most critical risk factor for disease development.

Unfortunately, even with the increased awareness of BE, there are still a growing number of EAC cases today. It is believed that early detection is one of the things that could prevent BE, while endoscopic therapies can treat high-grade dysplasia and intra-mucosal carcinoma.

The Future

There is still hope that future research will finally provide enough answers that can help slow down this epidemic in EAC. Of course, having regular checkups is important to help prevent BE and EAC. So, make sure you keep your health in check!

Michael Kahaleh Gastroenterologist is a world-renowned endoscopist and gastroenterologist in New Jersey . He has pioneered interventional endoscopy and has extensive experience in the practice. Schedule an appointment today!

Learning the Basics About Endoscopic Sleeve Gastroplasty

Wed, 06 Oct 2021 14:56:43 GMT

The body often holds stubborn fat in places despite so much exercise and a lower calorie intake, even despite fast metabolism. These challenges for weight loss can often bring frustration to those who are eyeing to get their physique to a much more ideal version of themselves.

Alongside the frustration of trying to lose weight are bouts of insecurity and added health risks. If you’re eyeing to achieve and maintain a better body, you may want to consider an endoscopic sleeve gastroplasty. Here’s what you need to know about the procedure:

The Definition of ESG

Endoscopic Sleeve Gastroplasty, or ESG for short, is a non-invasive procedure that focuses on reducing the capacity of a patient’s stomach. The reduction is made with the principle that a person should be able to consume less during meals and a lower calorie intake compared to the average person.

Although a gastroplasty refers to surgical procedures that target the stomach area, ESG is slightly different. Compared to other processes like the bariatric bypass or laparoscopic gastric bypass, ESG is much quicker and painless for the individuals undergoing the procedure.

The Process of ESG

Patients would have to qualify for an ESG before they undergo the procedure itself. A body mass index or BMI of at least 30 is needed to approve their candidacy for ESG, with the highest point being 40. Follow-up consultations can be arranged to work out who is truly viable based on medical history and who would like any reconsideration.

The ESG procedure requires the use of an endoscope and camera, which is connected to the stomach via the mouth. With that scope, the stomach will be assessed. A suturing device will then be replaced on the endoscope, stitching the stomach together in order to reduce its size and achieve the desired capacity. Anesthesia will be administered before the procedure.

The process would often take about 90 to 120 minutes, depending on the assessment and stomach size. As ESG is considered non-invasive, a patient who undergoes the process can get home the same day as the surgery after observing their condition.

The Benefits of ESG

ESG is ideal for those who are unable to control their food and beverage intake. Having calories out of hand can make individuals have a harder time dealing with their obesity, which is why adjusting the stomach size is more ideal. And, luckily, ESG is confirmed to bring amazing and effective results to patients.

A lower food and beverage intake means fewer calories, which does wonders for one’s weight loss journey. Managing their body weight will be a much easier feat too, as their eating habits are shifted permanently. With enough diet and exercise, patients will be able to achieve their weight goal and desired figure.

Plus, the results of ESG will also bring forth benefits to one’s physical and mental health. There are fewer risks for high blood pressure and diabetes as one’s stomach will be withheld from consuming too much. Confidence also comes back in full force once changes in your body start to become more visible.

Conclusion

If you’re interested in permanently fixing your eating habits to achieve weight loss more effectively, the endoscopic sleeve gastroplasty procedure is the one for you. Struggles will be put to a minimum as you come one step closer to your desired results.

Looking for endoscopic sleeve gastroplasty doctors ? Dr. Michel Kahaleh is a world-renowned endoscopist and gastroenterologist, bringing extensive experience to perform endoscopic procedures for patients in New Jersey. Contact us today!

Answering Common Questions About Endoscopy Procedures

Fri, 01 Oct 2021 01:19:31 GMT

Medical procedures have become quite advanced as of recent, with many becoming minimally or non-invasive and more effective to make them more accessible to those with low pain tolerance. For example, there are plenty of endoscopic procedures that may be suggested or required for your condition.

Setting an appointment and going through the whole ordeal can all be a tad bit overwhelming, especially if you have a lot of questions about what exactly an endoscopy procedure entails. If you want to have a bit of peace of mind, it’s best to get some general knowledge in advance. Here are answers to some of the common questions about an endoscopy:

What Is Endoscopy?

An endoscopy is a medical procedure wherein an endoscope or tube will be inserted into the body. Several instruments can be passed through the tube, such as an imaging device for examinations, diagnosis, and more. The common parts of the body where an endoscope is used in the stomach and intestines.

There are several kinds of endoscopy, such as therapeutic endoscopy, third space endoscopy, bariatric endoscopy, pancreaticobiliary endoscopy, and more. To learn more specifically about these subcategories, be sure to ask a medical professional in detail about it.

Why Have An Endoscopy Done?

Endoscopy may be a medical procedure that is done in conjunction with others. The main perk that endoscopy offers is the flexible surveillance that it can provide via the endoscope’s tube. Medical professionals would get a good view and ultrasound of the body.

If certain disorders have been identified, like an infection or clotting that may suggest cancer, a doctor would be able to take the best measures to reduce the risks. The same endoscope can be used to help in pumping fluids, getting air in, extracting, and so on.

What to Expect for An Endoscopy?

An endoscope is either passed through the mouth or the anus, depending on the procedure and which part of the body is involved. For example, if the large intestine has to be checked, the tube will be passed through the anus.

Keep in mind that the endoscope comes in varying lengths and sizes, with the medical professional determining the adequate choice for the body part that has to be checked. Endoscopes can go as big as ½ inch in diameter and 6 feet in length.

How to Prepare for An Endoscopy?

Before you have an endoscopy procedure, it’s best to fast for 8 hours. Try to avoid having food during that time span and stay away from any water, sodas, juices, and other liquids for the last two to four hours before the endoscopy appointment to avoid any vomiting.

If the endoscope has to go through the anus, laxatives are usually administered to clear that area of any stool beforehand. Once that’s out of the way, sedatives will be given before proceeding with the endoscope’s insertion and inspection or treatment that has to be done.

Conclusion

Learning more about endoscopy helps in making it less of an anomaly. Granted, it can be nerve-wracking to have such a medical procedure done but keep in mind that this was made to be less invasive than other procedures. Complications rarely occur with endoscopy too.

Want to learn more about endoscopic sleeve gastroplasty in NJ ? Dr. Michel Kahaleh is a world-renowned endoscopist and gastroenterologist that has pioneered interventional endoscopy. Contact us today!

Diagnostic Tools: An Overview on Endoscopic Ultrasounds

Fri, 24 Sep 2021 01:13:13 GMT

Doctors use different diagnostic tools to help them determine a patient’s health. Ideally, patients prefer non-invasive procedures through medical imaging equipment like MRI or CT scans. However, some medical conditions require a more direct approach for detection and treatment. This is the case when biopsies or direct imaging are necessary to confirm a diagnosis.

Through an Endoscopic Ultrasound (EUS), patients are probed with specialized endoscopes to determine different complications surrounding their pancreas, liver, and even bile ducts. This is because the endoscope contains a light, camera, and ultrasound transducer to perform diagnostic procedures inside a person. EUS is a middle ground between open surgery and lab testing, which can help people with various medical conditions regarding gastrointestinal and lung diseases.

The Necessity of an Endoscopic Ultrasound

Endoscopic ultrasounds (EUS) are performed on patients that show signs of abdominal pain or fecal incontinence. Additionally, diseases concerning the pancreas and bile ducts are diagnosed through an EUS. EUS is also effective in determining different stages of cancer affecting the pancreas, liver, lungs, stomach, and esophagus.

Besides diagnostic purposes, an EUS can also be useful for other medical procedures. With the channel within the probe, instruments can be passed through to perform procedures like draining fluid taking biopsies. Doctors use this channel to inject medication, drain cysts, or unblock bile ducts inside a patient without the need for surgery.

The Preparation for an Endoscopic Ultrasound

A patient can receive either a lower or upper EUS, depending on their medical condition. An Upper EUS requires the patient to have an empty stomach beforehand. This means they cannot eat or drink the night before their procedure. Additionally, patients are advised to stop taking blood-thinning medication. For this reason, some patients may receive additional instructions regarding their fasting period.

A lower EUS will also require fasting before the day of the procedure. Additionally, a patient must undergo a bowel cleansing preparation or take an enema. This is a similar preparation for a colonoscopy.

After arriving at the endoscopy center, a patient will enter a pre-procedure area to change into a gown. Afterward, they must be given an intravenous line and wait until they are sent to the procedure room. From there, the patient will be placed under monitoring equipment and be promptly sedated.

The Risks of Receiving an Endoscopic Ultrasound

The potential risks of undergoing an EUS will depend on its point of entry. Some patients may develop a mild sore throat, while others report symptoms of bleeding or inflammation. Besides the physical presence of the endoscope, patients may also experience aspiration or adverse reactions to medication applied.

Minor symptoms tend to go away over time and can be assisted with light pain medication or antibiotics. However, it may be necessary to receive treatment through endoscopy or surgery for major concerns.

Conclusion

The human body can be host to a wide range of medical conditions developed through different causes. Whether an illness is due to a hereditary condition or poor lifestyle decisions, it’s vital to receive a specialist for the affected body part or organ system. The only way to receive a professional assessment through an EUS is by looking for professional endoscopists and gastroenterologists. They have the right training to give you an accurate diagnosis of your gastrointestinal or lung-related conditions.

With access to groundbreaking clinical trials performed daily, Dr. Michel Kahaleh and his team of Gastroenterologists ensure exceptional quality services to all their patients. If you need to receive an endoscopic ultrasound in New Brunswick, NJ , contact us today at (732) 724-0778.

4 Benefits of Telemedicine That You Have to Know About

Fri, 17 Sep 2021 01:10:43 GMT

It wouldn’t be an exaggeration to say that technology has redefined how we approach health and wellness. Innovations in technology have helped millions (if not billions) of people from all over the world.

One particularly useful innovation comes in the form of telemedicine. Telemedicine is a healthcare solution that allows doctors to virtually meet with their patients. Now, just like all new forms of technology, we understand if you’re a little skeptical about this. To help convince you of its benefits, we thought it would be useful to discuss four important benefits that you have to know about when it comes to telemedicine. If this is something that you’re interested in, read on as we talk about how telemedicine has improved healthcare as a whole.

Improved Access

One of the most significant benefits that telemedicine brings to healthcare is improved access. Some people can’t physically come and visit a doctor due to their illness or age. Telemedicine addresses this problem, as it’s now possible to have one on one consultations with your doctor via video. What’s great about this is that the software used for this is also incredibly simple and user-friendly. This means that even people who aren’t technologically literate will be able to make use of this important development.

Increased Flexibility

Aside from the physical limitations, some people follow a rigid work schedule that makes it difficult to go out and see a doctor. Telemedicine offers more flexibility, as people can schedule appointments with their doctors that best fit their schedule. Telemedicine is also great for short consultations as you won’t need to drive all the way to your doctor for a five-minute conversation.

Faster Refills

If you’ve ever gone to the doctor just to get a prescription refill, then you know how tedious this can be. While we aren’t saying that it isn’t important, you’d be hardpressed to find anyone that doesn’t think this is a waste of time. Through telemedicine, refills can now be done remotely and will allow you to get the medicine that you need infinitely faster. Not only will this make things more convenient for you but it also saves you hours that can be better used on more productive tasks.

Boosts Comfort

Lastly, we can’t stress enough how much telemedicine has improved healthcare from a comfort standpoint. Going out to see your doctor can be physically taxing, especially if your doctor is located far away from you. Through telemedicine, you can get a consultation and other medical services without having to leave your home. And while you may doubt its effectiveness, do keep in mind that many conditions do not require a physical examination to diagnose.

Conclusion

Hopefully, this article has helped give you a better understanding of telemedicine and why you should be using it. As you can see there are a slew of important benefits attached to this technology. While you may still be skeptical, don’t let this get in the way of you receiving the valuable medical services that you need. If you have any more questions about this, it would be best to direct them to your doctor.

If you’re looking for gastric care, we highly suggest that you give telemedicine a chance. Dr. Michel Haleh is a world-renowned endoscopist and gastroenterologist from New Jersey that utilizes telemedicine to help patients. For more information on telemedicine, visit our website today.

The Role of Peroral Endoscopic Myotomy in Treating Achalasia

Fri, 10 Sep 2021 01:07:58 GMT

Achalasia is a medical health condition that hinders the lower esophageal sphincter from relaxing, leading to the inability to eat and drink with comfort. Patients with achalasia often experience substernal chest pain, heartburn, regurgitation, difficulty swallowing, and weight loss. And unbeknownst to many, this illness affects around 3,000 people in the United States.

In the past, treatment for achalasia required patients to undergo invasive surgery, which involved multiple abdominal incisions. However, thanks to innovative technological advancements in the medical field, there’s a less invasive method of treating this condition known as the Peroral Endoscopic Myotomy (POEM) procedure.

What Is Peroral Endoscopic Myotomy (POEM)?

POEM is the new pinnacle for achalasia treatment. It serves as a middle ground that combines the practicality of minimally invasive endoscopy and the durability of a surgical myotomy.

First introduced back in the year 2008, this treatment involves using a flexible upper endoscope to create few incisions into the mucosa of the esophagus. The endoscope is then tunneled into the esophageal wall to perform an endoscopic myotomy, resembling traditional Heller myotomy. Afterward, the esophageal mucosal incisions are sealed using clips.

A POEM surgery often lasts for about two to three hours. It requires general anesthesia since it still involves mild and small incisions. And after the surgery, patients need to undergo an upper GI to assess swallowing performance the following day. Professionals implement a comprehensive liquid diet for two weeks after a POEM procedure. In addition to this, they often recommend patients to come back for a visit two and six weeks for follow-up checkups.

Who Can Undergo Peroral Endoscopic Myotomy (POEM)?

Generally speaking, there are no limitations or restrictions on who can undergo a POEM procedure. In fact, this type of achalasia treatment even enables poor surgical candidates who have severe pulmonary disease and portal hypertension to receive the necessary care for their condition without being put at risk.

What Are the Advantages to Peroral Endoscopic Myotomy (POEM)?

Aside from the fact that POEM is an effective method of diagnosing and treating achalasia, there are various benefits to this form of procedure. For one, it offers little to no discomfort in patients. Although the treatment requires general anesthesia, the patients who undergo POEM surgery often leave clinics and hospitals without the need for pain medications and prescriptions.

Secondly, this is a kind of treatment that you can quickly recover from. Usually, patients only stay one night in the hospital after a POEM procedure since they require an upper GI the next morning to assess their condition.

Last but not least, POEM procedures have lower risks. It eliminates any possibility of inflicting damage to surrounding abdominal organs compared to invasive procedures such as robotic-assisted and laparoscopic surgeries.

Conclusion

Peroral Endoscopic Myotomy (POEM) plays a significant role in diagnosing and treating achalasia. As a more comfortable alternative to invasive and dangerous surgeries, it presents patients who suffer from this disease with a safe way to manage and treat their medical health condition.

Dr. Michel Kahaleh is a world-renowned endoscopist and gastroenterologist with extensive experience in performing various endoscopic procedures. For achalasia treatment that does not involve invasive therapies and surgeries in New Jersey, give us a call today!

An Introduction Into Aspiration Therapy and Weight Loss

Fri, 03 Sep 2021 01:03:09 GMT

Shedding a couple of pounds can be an incredibly difficult challenge for so many people. Sometimes, even with whatever exercise or diet curated, the results just never come close. Excess fat and weight can be a source of insecurity and further stress.

However, there are some ways on how you can achieve the weight loss that you’re dreaming of. Aspiration therapy can be a rather effective method. If you’re curious about this procedure in any way, keep on reading this introduction to learn more about it.

The Definition

Aspiration therapy is a bariatric endoscopic technique that is non-invasive to the patient. How it works is that an aspirate like the AspireAssist will be attached to a person. This tool is paramount to the success of aspiration therapy, as it removes up to 30% of the food that ends up in a person’s stomach.

Being able to force food out of your stomach is completely safe. Aspiration therapy is also an excellent procedure as patients would be able to keep the sustenance while removing the calories that they consumed. By having a smaller calorie intake overall, a patient should undergo a significant amount of weight loss.

The Procedure

The procedure behind aspiration therapy can be quite complex. It begins with the insertion of a tube that will be connected to and used for the aspirate. This will be implanted using an endoscope and a lighted camera. Once the tube has been placed, it’s recommended to take a week before attaching the aspiration device.

Afterward, the aspirate will be ready to use a half-hour after meals. Turn on the device to pump out the 30% of food that you consumed. Some people may choose to have their aspirate for the long-term. Others only want to use it until they see the weight loss results. If that’s the case, removal is optional and can be scheduled.

The Results

Many people undergoing aspiration therapy will be surprised at the amount of weight loss that they shall achieve, with some people sharing their experience of shedding up to 20% of their fat in the past. The full results are subject to how long you intend to keep the aspirate on your body.

The tube is due for replacement after two years, though it is possible to have it removed sooner than that. Having the aspirate and tube detached can entail a slight recovery and adjustment period as you go back to your regular activities.

The Benefits

Going through aspiration therapy can greatly help patients in their health and lifestyle journey. Some people will have a much more manageable weight this time around as their eating habits slightly change in texture and portion size.

Patients will also find it advantageous to have a bit more confidence in the way that they look. Seeing the results of significant weight loss in a matter of months, perhaps a year at most, can be quite a jarring yet welcomed experience.

Conclusion

To sum it up, aspiration therapy can be an extremely great solution to achieving weight loss. By removing one-third of the food consumed from the stomach, fewer calories are processed and metabolized. If you’re searching for other methods that may work, getting an aspirate is worth a shot.

In need of weight loss doctors in NJ ? Michel Kahaleh Gastroenterologist offers aspiration therapy and other procedures in advanced endoscopy and gastroenterology. Get in touch with us today.

A Guide to Barrett’s Esophagus: Symptoms, Causes, Treatments

Fri, 27 Aug 2021 01:00:53 GMT

Gastroesophageal reflux disease (GERD) can bring about a wealth of problems in the body. One of its associated complications is Barrett’s esophagus, a condition wherein the tissues in the feeding tube begin to thicken and swell. In some cases, the linings even start to resemble intestinal cells.

Barrett’s esophagus typically develops in people who have GERD, but it may also occur in those without the disease. It’s essential to know about this condition because it may sometimes lead to esophageal cancer.

Does Barrett’s Esophagus Have Symptoms?

Barrett’s esophagus is a condition that does not produce symptoms on its own. The only way to tell if patients have it is if healthcare providers examine them for GERD and esophageal cancer.

If the physician suspects that patients have Barrett’s esophagus, they may request an endoscopy. This procedure involves placing a tube with a small camera down the esophagus to allow doctors to view the insides of the organ.

Normally, the feeding tube’s lining will look pink and shiny or glossy. However, it may look red and velvety in people who have Barrett’s esophagus. The physicians will also check for dysplasia, which is the development of abnormal cells. When a large amount of them begin to resemble intestinal cells, there is a high risk that they may become cancerous.

What Are the Causes of Barrett’s Esophagus?

There is no known exact cause of Barrett’s esophagus, but it typically occurs in patients with GERD. Around five to ten percent of people with GERD develop the condition, and it affects men almost twice as much as women.

The bottom of the esophagus has a valve of smooth muscles called the lower esophageal sphincter. This valve normally prevents stomach acid from leaking into the esophagus. With GERD, however, these muscles do not work properly and allow the acid to flow back up.

Many experts postulate that stomach acid causes damage to the esophageal linings and leads to the development of abnormal, precancerous cells. Approximately 0.5% of those who have Barrett’s esophagus are eventually diagnosed with cancer.

Some risk factors of the condition also involve alcohol consumption, smoking, frequent use of Aspirin, obesity, spicy food, diets high in saturated fats, consuming large meals, and going to bed immediately after eating.

Possible Treatments for Barrett’s Esophagus

There are many possible treatments for the condition, and the doctors will devise the appropriate plan depending on the amount of dysplasia (abnormal cell development) the patient has.

Often, treatments for patients with no or low-grade dysplasia involve managing GERD symptoms with medications and lifestyle changes. Some surgical operations may also be an option.

For those with a large number of abnormal cells, doctors may perform endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD), wherein they use multiple devices to strategically remove the problem cells.

Cryotherapy is also a popular treatment method. The process involves freezing problem cells, thawing them, then freezing them again to destroy them.

Some doctors may also advise the patient to undergo radiofrequency ablation (RFA), which uses heat instead to kill off the abnormal cells. This procedure may require repeat sessions to remove the cells entirely.

Get a GERD Endoscopy in New Jersey

Barrett’s esophagus is a condition in the digestive tract that shows no overt symptoms but can lead to severe consequences. It often occurs in patients who have GERD and can only be diagnosed via an endoscopy. Many forms of treatment also exist to manage this illness, but it’s always best to have it checked as early as possible.

If you’re looking to get a GERD endoscopy in New Jersey , Michel Kahaleh Gastroenterologist has you covered. With advanced tools and a wide variety of innovative treatments, Dr. Michel Kahaleh can provide you with world-class healthcare to treat Barrett’s esophagus, GERD, and more. Contact us today!

Endoscopic Sleeve Gastroplasty: Conditions Can It Treat

Fri, 20 Aug 2021 00:56:33 GMT

Endoscopic sleeve gastroplasty offers a long-term solution for people wanting to lose weight. Although the minimally invasive weight loss procedure promises a better figure, did you know that it can also aid in other health conditions connected to weight? By limiting how much a person can eat, the procedure can lead to a stable weight loss that can benefit other issues associated with being overweight or obese.

1. Heart Diseases and Stroke

Obesity is often linked with various heart diseases. It is a condition that changes the cholesterol levels in the body, causing a spike in bad triglycerides yet lowering good high-density lipoproteins (HDL). Being overweight is often linked to hypertension and an enlarged left ventricle which increases the risk for heart failure.

A person experiencing heart disease linked to their weight may experience chest pains, chest tightness, chest pressure, and chest discomfort. The symptoms may also include shortness of breath, pain, numbness, weakness, or coldness in the legs or arms due to narrowing of the blood vessels in the area. Other signs can manifest as pain in the neck, jaw, throat, upper abdomen, or back.

A person at risk for heart disease and stroke can lose weight and evade heart failure or heart attack through endoscopic sleeve gastroplasty. Along with the weight loss, the bad cholesterol in their body will also drop at a manageable and safe rate in the body.

2. Non-Alcoholic Fatty Liver Disease

Non-alcoholic fatty liver disease (NAFLD) is an umbrella term for various liver conditions affecting people who drink little to no alcohol. In the United States, it is the most common form of chronic liver disease—affecting one-quarter of the population. Experts are unsure of why some people accumulate liver fat while others do not.

However, it is often caused by being overweight or obese, insulin resistance, high blood sugar levels, and high levels of fat—which are all avoidable by losing weight. Through endoscopic sleeve gastroplasty, overweight patients can attain sustainable weight loss results and get relief from NAFLD.

3. Obstructive Sleep Apnea

Do you snore too loud during sleep? Are you waking up with a dry mouth? Do you gasp for air during sleep? If you answered yes to all of these questions, you might have obstructive sleep apnea (OSA). OSA is the most common form of sleep apnea where the throat muscles of a person obstruct their breathing, causing them to snore too loud, gasp for air, wake up with a dry mouth, and even have a morning headache.

The disorder is more common in males, especially those with weight problems. If left unattended, OSA can lead to high blood pressure or heart problems due to the drops in oxygen during sleep. Since it’s usually caused by excessive weight, shedding a few pounds through endoscopic sleep gastroplasty can lessen the chances of developing OSA.

4. Type 2 Diabetes

Type 2 Diabetes is another condition linked to being too heavy or obese. The body becomes resistant to insulin and ends up not using the hormone effectively. Over time, excessive insulin production in the pancreas may lead to a complete stop in producing the hormone overall. The instance leaves our body’s cells starved for energy.

Type 2 Diabetes can be treated by eating healthy. A person experiencing an increase in their insulin levels should eat foods rich in fiber and healthy carbohydrates. Fruits, vegetables, and whole grains can help stabilize the blood glucose levels in the body. It’s also vital for patients with Type 2 Diabetes to lose weight by exercising and to keep their hearts healthy.

However, if none of these solutions work for you, endoscopic sleeve gastroplasty can aid by providing a long-term solution for keeping your body weight in check.

Conclusion

Endoscopic sleeve gastroplasty can be the answer for people who have trouble achieving their goal weight. As enticing as the results are, not everyone is an ideal candidate for the procedure. Consult your doctor for advice on your candidature.

Michel Kahaleh Gastroenterologist offers interventional gastroenterology for the patients in New Brunswick, NJ, and surrounding areas. Led by Dr. Michel Kahaleh and his fantastic team of Gastroenterologists, our goal is to provide exceptional quality services and healthcare at all times. Request a consultation online or visit our clinic today.

What You Should Know About Gastric Balloon Procedures

Fri, 13 Aug 2021 00:52:20 GMT

If you are struggling with your weight and you can’t lose those unwanted pounds naturally, you might start considering other options. For instance, you might look up bariatric procedures but because this means you’ll be going under the knife, you might still be on the fence about it. If you want another option, you should consider a gastric balloon procedure.

If gastric balloon procedure is unfamiliar to you, you’re in the right place as Dr. Michel Kahaleh, respected endoscopist, gastroenterologist, and one of the best weight loss doctors in NJ shares what you need to know about this procedure:

What Is Gastric Balloon Procedure?

Gastric balloon procedure is a nonsurgical and short-term solution for people who need to lose weight. Compared to other bariatric procedures, gastric balloon’s concept is simpler and therefore easier to understand.

During this procedure, a soft balloon made of silicone is placed into the stomach using the endoscope, so it’s practically incision-less. An endoscope is a thin and flexible tube that has a camera and light at the end. This tool allows the doctor to navigate the stomach through the mouth and throat. Once the balloon is placed securely in the stomach, it is then filled with saline. As the balloon is too big to move towards other parts of the patient’s digestive system, it’s going to float in the stomach.

How Does This Work?

A patient with a gastric balloon will always feel half-full, which means they won’t be over-eating because they won’t want more nor can they eat more. To get maximum results, it is still recommended to follow a healthy diet and do regular exercise for optimum results.

Why Is the Gastric Balloon Just a Short-Term Solution?

It is mentioned at the beginning that gastric balloon procedure is a short-term solution. That is because the balloon will be removed after six to 12 months endoscopically, too. Additionally, it is a reversible procedure because it won’t change anything in the anatomy of the patient’s stomach.

What Outcome Can You Expect from a Gastric Balloon?

Gastric balloon procedures can help you in your journey to achieving a healthier body without the risk that comes with surgical procedures. That said, remember that this does not guarantee massive weight loss. Rather, it is a tool that can help you achieve your goals. It’s still your responsibility to reach your dream weight.

If you get the balloon program for 12 months, you’re going to have the balloon for half a year and once it is removed, you will work closely with a team of health and fitness experts who will help guide you through your lifestyle transformation. After all, you’re not going to have the balloon in your stomach, so whatever’s stopping you from overeating for the past six months is now gone. The challenge is for you to keep up with the healthier lifestyle you have started without the balloon in your body.

You can lose about 7% to 15% of your total body weight in the first six months after the balloon is placed. The total excess weight loss can be between 30% to 47% depending on how well you comply with the program.

Is This for Everyone?

While the risk is significantly less than surgeries and other treatments, there are still risks that you need to be aware of, including difficulty in consuming sufficient amounts of liquid, ulcer, and intolerance, among others. Your doctor will discuss these risks with you in detail while you talk about this procedure.

This procedure is recommended for patients with a BMI higher than 27, especially if the person has illnesses that are associated with obesity. It is also for patients 18-years of age or older.

Conclusion

If you are looking for weight loss procedures without surgery, a gastric balloon procedure is certainly worth looking into. It may be the best option for you if you don’t like the idea of getting surgery to lose weight and you need help controlling your eating habits.

Of course, you should only consult reliable weight loss doctors in NJ like Dr. Michel Kahaleh who has extensive experience with endoscopic procedures. Contact us to learn more about our services or get a telehealth booking today!

POEM Procedure: A Less Invasive Achalasia Treatment

Fri, 30 Jul 2021 00:49:26 GMT

Achalasia is a rare disease that makes it difficult for food and liquid to pass from the swallowing tube into the stomach. It’s a condition marked by a degeneration of the esophageal muscles and the nerves that control them. Since the esophagus muscles don’t work as they should and the sphincter muscle doesn’t open, pushing the food down the digestive system is almost impossible.

Besides the difficulty in swallowing, people who suffer from this often painful disorder experience chest pain, coughing, weight loss, and regurgitation of food and liquids. Unfortunately, many of them go to great lengths just to get food down. For instance, they raise their arms above their head, stand up, twist their bodies, and even jump up and down repeatedly.

These difficulties in digesting food can cause significantly lower quality of life. Thankfully, people who have this disease have the chance to eat and drink comfortably again once they undergo a procedure called POEM.

What Is POEM?

POEM, also known as per-oral endoscopic myotomy, is a less invasive approach for treating the damaged muscle. Instead of doing external abdominal incisions, a flexible tube called an endoscope is passed through the mouth and into the esophagus. Since the patient receiving it will be under general anesthesia, there’s little to no discomfort during the procedure.

What Are the Benefits of Choosing Poem?

Besides less pain, the POEM procedure allows a quicker recovery. It is less risky and less traumatic to the body. It only takes about 90 minutes, which means the patient can leave the hospital after only one night or even that same day. For this reason, it’s especially helpful for elderly patients and those with complex issues.

What Should You Do Before the Procedure?

Before the procedure, you must limit your diet to full liquids and switch to only clear liquids. You will also receive a prescription for an antibiotic to take beforehand. If you are taking other medicines, your doctor may advise you to change the dose or postpone taking them in the meantime.

What Happens After the POEM Procedure?

After the POEM procedure, you will be observed in the hospital overnight. You will also be asked to go on a liquid diet the next day, eat a soft diet for two weeks, and take an acid-reducing medication for months. Afterward, you can then return to a normal diet. Plus, you can go back to doing regular activities right away since you don’t have to recover from any surgical incisions.

Are There Potential Complications After the Treatment?

POEM is generally a safe procedure. But just like any other treatment, it comes with risks. It may increase the risk of long-term acid reflux. Additionally, while rare, there are other potential complications:

Bleeding
A puncture or perforation in the lining of the esophagus
Black stool
Blood in the stool
Fever
Chills
Vomiting
Chest pain
Stomach pain
Shortness of breath

Conclusion

Difficulty in swallowing caused by achalasia can lead to a disrupted and uncomfortable lifestyle. Years ago, abdominal surgery that requires incisions to reach the contracted muscle was only the option for patients with this condition. Fortunately, there is now a POEM procedure that offers a less invasive treatment for achalasia. If you are interested in it, look for a leading physician who can provide you with the best results.

Eat and drink comfortably again by getting POEM surgery from us. Our team is led by Dr. Michel Kahaleh, a world-renowned endoscopist and gastroenterologist specializing in minimally invasive procedures. Book a consultation today!

Here Are Some Applications for Endoscopy in Gastroenterology

Wed, 28 Jul 2021 00:41:38 GMT

Physicians have many applications for interventional endoscopy. Often, they use it to open up the ducts connecting the liver with the gallbladder and intestine and the passageways from the pancreas to the liver. Blockages in these areas can cause severe pain, jaundice, fever, and itchy skin in patients. Patients with acute or chronic pancreatitis, bile duct cancer, and pancreatic cancer often suffer from obstructions as well.

Other reasons for using interventional endoscopy include treating obesity, polyps in the digestive tract, and stones in the bile and pancreatic ducts. It also addresses Barrett's Esophagus, a type of precancer, and is part of gastroparesis and achalasia treatment. There are different types of interventional endoscopy—here are a number of them.

Endoscopic retrograde cholangiopancreatography

Not all hospitals have ERCP—it is for diagnosing and treating problems in the liver, gallbladder, pancreas, and bile ducts. It combines an endoscope with x-rays—the scope goes in the body through the patient's mouth and throat and then through the esophagus, stomach, and duodenum. The physician then looks for blocked ducts, which they can open using a stent.

There are also advanced imaging procedures like single-balloon and EUS-assisted ERCP. Single-balloon ERCP uses an "overtube" in addition to the endoscopy for examining the small intestine. The overtube has a balloon that, when inflated, clings to the small intestine and pleats it over the scope. Meanwhile, endoscopic ultrasound or EUS-assisted ERCP helps medical professionals treat patients whose anatomic abnormalities make standard ERCP impossible.

Endoscopy for Weight Loss

For people who don't see results from diet and exercise, endoscopy could help. There are various types of endoscopic weight loss procedures like sleeve gastroplasty, intragastric balloon, or the insertion of a device. All of these limit the absorption of food.

ESD or POEM

ESD or endoscopic submucosal dissection removes difficult polyps and superficial cancers from the digestive tract in one piece. It involves injecting a thick fluid below the abnormal tissue to create a cushion that enables the doctor to lift the polyp or tumor.

Meanwhile, POEM endoscopy or peroral endoscopic myotomy treats swallowing problems of the esophagus. It requires creating a tunnel in the submucosal layer of the esophageal wall, which enables the better passage of food and drink into the stomach.

Photodynamic therapy

Physicians use PDT to open blockages and treat tumors in patients ineligible for open surgery. This procedure is used to open up esophageal or biliary blockages or treat small, shallow tumors in people who cannot have open surgery. In PDT, the physician administers a "photosensitizer" that only cancer cells absorb. Then, the surgeon uses an endoscope to expose the lesion to light, which triggers an active form of oxygen and kills cancer cells.

PCLE

Probe-based confocal laser endomicroscopy is for early detection and treatment of cancers and precancers. It uses a small microscope for viewing and analyzing cells in the digestive tract. The physician can then remove cancerous tissue and examine it further.

Stent implantation

Stents are small tubes inserted into an obstructed area. They relieve blockages in ducts, treat obstructions due to colon cancer, relieve small bowel obstructions, and enable an area to receive chemotherapy.

Bile and Pancreatic Duct Stone Treatment

Stones from pancreatic or bile ducts can cause severe pain, and endoscopy can help remove or destroy these blockages. Doctors can use choledochoscopy to visualize the bile duct or pancreatoscopy to evaluate lesions, remove stones, or perform biopsies.

Conclusion

Endoscopies help gastroenterologists make better diagnoses and treatment plans for their patients. Besides the better-known ones like gastric balloon surgery and endoscopic weight loss treatments, doctors have various procedures at their disposal. Patients who suspect or live with GI ailments should consult with a gastroenterologist to help them gain control over their condition and lead a normal, healthy life.

Dr. Michel Kahaleh is a renowned pioneer in interventional endoscopy. He is an endoscopist and gastroenterologist in New Jersey , specializing in diagnosing and treating gastric and esophageal diseases, including achalasia, pancreatitis, gastrointestinal pain, and more. Get in touch with us today for inquiries.