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Diagnosing & Treating Digestive Tract Disorders
WINSTON-SALEM, N.C. – Gastroenterologists from the Hepatobiliary and Pancreatic (HBP) Disorders Service at Wake Forest University Baptist Medical Center will perform Endoscopic Ultrasonography (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) during a single procedure in a live webcast at noon on Tuesday, January 15, 2009.
John (Jerry) Evans, M.D. will perform the procedures. The webcast will be moderated by co-hosts John Baillie, M.B., Ch.B, F.R.C.P., F.A.C.G., an internationally recognized expert in the diagnosis and management of HBP disorders, and Girish Mishra, M.D., director of the EUS Service.
EUS is used to examine the lining and walls of the upper and lower digestive tracts. ERCP provides access for diagnosing and, increasingly, treating problems involving the bile ducts, gallbladder and pancreas. Many hepatobiliary and pancreatic disorders, including cancers of the digestive system, require one or both of these procedures and Wake Forest Baptist is among a small number of medical centers offering both procedures under a single sedation.
EUS allows the physician to determine the extent of the cancer as well as to assess the cancer's depth and whether it has spread to adjacent lymph glands or nearby vital structures such as major blood vessels.
The HPB Disorders Service at Wake Forest Baptist is one of the most active in the state, seeing more than 1,000 outpatients a year and performing approximately 800 ERCPs annually.
Wake Forest University Baptist Medical Center is an academic health system comprised of North Carolina Baptist Hospital, Brenner Children's Hospital, Wake Forest University Physicians, and Wake Forest University Health Sciences, which operates the university's School of Medicine and Piedmont Triad Research Park. The system comprises 1,154 acute care, rehabilitation and long-term care beds and has been ranked as one of "America's Best Hospitals" by U.S. News & World Report since 1993. Wake Forest Baptist is ranked 32nd in the nation by America's Top Doctors for the number of its doctors considered best by their peers. The institution ranks in the top third in funding by the National Institutes of Health and fourth in the Southeast in revenues from its licensed intellectual property.
About the Hepatobiliary and Pancreatic Disorders Service
The Hepatobiliary and Pancreatic (HBP) Disorders Service, one of the most active in the state, sees over 1000 outpatients a year and currently performs approximately 800 mainly therapeutic Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures annually. ERCP provides access for diagnosis and - increasingly - therapy of problems involving the bile ducts, gallbladder and pancreas.
Among the unique services offered at Wake Forest University Baptist Medical Center are combined EUS and ERCP under a single sedation. Many HBP conditions require one or both of these procedures, which historically have been performed on different days, requiring repeated sedation. Typically, the EUS examination is performed first and in approximately one-third of cases provides an answer (e.g. gallbladder sludge) that renders ERCP unnecessary.
ERCP is performed in the Advanced Endoscopy Unit with the support of Anesthesiology and a team of outstanding Certified Registered Nurse Anesthestists (CRNAs). A full range of diagnostic and therapeutic ERCP procedures are offered, including sphincter of Oddi manometry (SOM), mechanical and contact lithotripsy for large biliary and pancreatic stones, stenting for benign and malignant conditions (e.g. leaks, strictures) and a variety of pancreatic endotherapies.
The HBP Disorders Service works collaboratively with the Anesthesiology Pre-Operative Assessment Clinic, ensuring that elderly sick patients with multiple comorbidities are adequately prepared for anesthesia. The Day Hospital is available for patients needing extended post-procedure monitoring, and patients requiring hospitalization are admitted to a newly-revamped Internal Medicine Hospitalist Service.
The service is led by John Baillie, MB, ChB., FRCP, FACG, FASGE, an internationally recognized expert in the investigation and management of HBP disorders. Working closely with the HBP service is the Endoscopic Ultrasound Service (EUS), comprised of Girish Mishra, MD, director, and Jason Conway, MD.
The team includes John Gilliam, MD, director of endoscopy and a longstanding faculty member of the Gastroenterology Division, and Jerry Evans, MD, from Duke University Medical Center. Evans completed an advanced endoscopy fellowship at the University of Pennsylvania, and performs both ERCP and EUS.
Patients may be referred to the HBP Service by a variety of methods: for urgent attention, including requests for hospital transfer, call the Physicians’ Access Line (PAL®). For less urgent referrals, call the Biliary Coordinator at 336-713-7315 or fax a request to 336-713-7322.
Participants
Featuring:
Girish Mishra, MD, MS
John Baillie
John Evans, MD
Jason Conway, MD, MPH