Interventional Endoscopy

Overview

The program in Interventional Endoscopy at the University of Colorado is committed to excellence in clinical service, education and research. Our clinical service, including seven interventional gastroenterologists and two mid-level providers, cares for patients from a  national referral base consisting of cancer specialists, gastroenterologists, surgeons, and primary care providers throughout the western United States.

We provide expert consultation in the management of benign and malignant pancreatic disorders, gallbladder and bile duct diseases, cancers of the digestive organs, acid reflux (GERD), Barrett’s esophagus, achalasia, non-surgical weight loss, and complex polyps using a multi-disciplinary approach.

Approximately 1,500 ERCP and 1,000 EUS procedures are performed at our teaching facilities annually. In addition, we host multiple educational training courses throughout the year offering practicing specialists opportunities to attend continuing medical education programs taught by an international panel of experts in endoscopy.

The program is actively involved in clinical research in pancreatic and biliary diseases, cancer detection and treatment, Barrett’s esophagus, endoscopic treatment of achalasia and GERD, and other novel endoscopic techniques. We also have a state-of-the-art experimental laboratory for conducting pre-clinical testing in developmental endoscopy and minimally invasive endoscopic surgery. 

Advanced procedures are performed by expert endoscopists in patient centered facilities equipped with the most advanced medical technology. 

4th-Year Fellowship in Interventional Endoscopy

As part of our commitment to medical education, our program offers a sought-after, 4th-year fellowship in Interventional Endoscopy. One position is offered per year to a qualified candidate who has completed an accredited three-year Gastroenterology fellowship. Trainees receive intensive training in interventional endoscopy techniques, participate in consultations and management of patients with gastrointestinal and pancreaticobiliary disorders, and conduct clinical and pre-clinical research projects.

Specialized Procedures

1. Endoscopic Retrograde Cholangiopancreatography (ERCP) for management of pancreatic and biliary disorders including the following:

  • Bile duct stones and strictures
  • Endoscopic treatment of chronic pancreatitis and pancreatic cancer
  • Bile duct and pancreatic duct stent placement
  • Lithotripsy of bile duct and pancreatic stones
  • Endoscopic papillectomy
  • Cholangioscopy and pancreatoscopy (Spyglass ERCP)
  • ERCP in post-surgical anatomy
  • Combined laparoscopic-endoscopic procedures

2. Endoscopic Ultrasonography (EUS), including the following applications

  • Staging of gastrointestinal cancers
  • Fine Needle Aspiration and biopsy (FNA/ FNB)
  • Evaluation of subepithelial lesions
  • Fiducial placement for radiation therapy
  • Nerve blocks (celiac plexus block/neurolysis)
  • EUS guided drainage of pancreatic fluid collections and necrosis
  • EUS guided pancreatic duct and bile duct drainage

3. Third Space Endoscopy (Submucosal Endoscopy)

  • Per-Oral Endoscopic Myotomy (POEM) for achalasia
  • Endoscopic therapy for Zenker’s diverticulum (Z-POEM)
  • Gastric Per-Oral Endoscopic Myotomy (G-POEM) for gastroparesis
  • Endoscopic Submucosal Dissection (ESD)

4. Endoscopic therapies for Barrett’s esophagus, colon and stomach polyps, and early GI cancers:

  • Endoscopic Mucosal Resection (EMR)
  • Endoscopic Submucosal Dissection (ESD)
  • Radiofrequency Ablation (Barrx)
  • Cryotherapy

5. Endoscopic treatment of heartburn and Gastro-Esophageal Reflux Disease (GERD)

6. Endoscopic suturing

7. Esophageal, duodenal and colonic stent placement

8. Deep small bowel endoscopy

  • Single and double balloon enteroscopy

9. Bariatric endoscopy (non-surgical therapies for weight loss)

Faculty Members

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