AdventHealth Center for Interventional Endoscopy

A combination of endoscopy and fluoroscopy, ERCP is used as a diagnostic and treatment measure by our gastroenterologist team for:

• SpyGlass cholangioscopy
• Difficult bile-duct stones
• Altered anatomy (Billroth II, gastric bypass)
• Pancreatitis (recurrent, acute and chronic)
• Pancreatic stenting
• Failed ERCP
• Ampullectomy
• Sphincter of Oddi manometry
• Complex endoscopy procedures in infants and children

A low-risk diagnostic procedure, endoscopic ultrasound (EUS) is a combination of endoscopy and ultrasound that uses sound waves to create detailed images of the inside of the body.

We use EUS for:

• Fine-needle aspiration and biopsy (FNA/FNB)
• Pseudocyst drainage
• Pancreatic necrosis management
• Celiac plexus block/neurolysis
• Biliary and pancreatic drainage
• Fiducial placement
• Abdominal and pelvic abscess drainage
• Pancreatic cyst ablation
• Radiofrequency ablation
• EUS-liver biopsy
• EUS-guided creation of gastrojejunal anastomosis for gastric/duodenal obstruction

In a tissue resection procedure, some or all of a tissue is surgically removed. Our team takes an endoscopic approach to tissue resection for:

• Resection of large polyps (precancerous and cancerous)
• Endoscopic mucosal resection (EMR)
• Endoscopic submucosal dissection (ESD)
• Barrett’s ablation and endoscopic resection
• Endoscopic full-thickness resection (EFTR)

Luminal stenting involves placing stents through endoscopy. We are able to perform esophageal, gastroduodenal and colon luminal stenting.

Double balloon enteroscopy is an endoscopic diagnostic technique that helps us visualize the inside of the esophagus, stomach and small intestine. We use DBE for stricture management and to identify and control internal bleeding.

Our expert surgeons can perform clipping and suturing endoscopically for fistulas and perforations.

Our experienced team uses endoscopic approaches to manage acute and chronic bleeding.

Sometimes, complications arise from bariatric (weight-loss) surgery. We use endoscopic procedures to manage:

• Stomal reduction
• Pouch reduction
• Fistula management

To help manage IBD, we use endoscopic approaches, including:

• Chromoendoscopy
• Management of strictures and fistulas
• Pouchoscopy
• Management of leaks

In endoscopic procedures, the third space refers to the potential area inside the wall of the gastrointestinal tract — a submucosal layer of the organ wall. Some of the most common third space endoscopy procedures our team performs are:

• Peroral endoscopic myotomy (POEM)
• Gastric peroral endoscopic myotomy (G-POEM)
• Submucosal tunneling endoscopic resection (STER)