Advanced Procedures

UofL Physicians – Digestive & Liver Health and UofL Physicians – Gastroenterology Associates offer many state-of-the-art services for patients

Updated April 23, 2024

We staff an advanced endoscopy service at UofL Health - Jewish Hospital in downtown Louisville. This is a pancreatico/biliary service along with tertiary referral for advanced endoscopy procedures as seen listed below.

Esophagogastroduodenoscopy (EGD)

  • RFA (Barrett's Esophagus)
  • Lugol staining (Squamos Cell dysplasia and carcinoma)
  • Complex Stricture Dilation
  • Esophageal Banding
  • Endoflip (esophageal, pyloric)
  • Zenker Diverticulotomy

Colonoscopy

  • Stricture/fistula management
  • Advanced resection of benign polyps including intramucosal adenocarcinoma
  • Previously failed colonoscopy
  • Palliative colonic stent placement
  • Full Thickness Endoscopic Resection (FTRD)

Endoscopic Ultrasound (EUS)

  • Diagnostic pancreas examination with FNA/FNB
  • Portal pressure measurement and gradient
  • Liver biopsy
  • Lumen-Apposing metal stents (LAMS) (gallbladder, biliary, pancreatic necrosectomy)
  • Gastric Variceal Coil Embolization
  • EUS Gastro-enterostomy (GJ AXIOS)

Endoscopic Retrograde Cholangiopancreatography (ERCP)

  • Spyglass with lithotripsy
  • Strictures and stones
  • Ampullectomy
  • Post-surgical anatomy
  • Pancreatic endotherapy

EMR

  • Esophageal, gastric, duodenal, colonic

Third Space Endoscopy

  • Endoscopic Submucosal Dissection (Esophageal, gastric, colon/rectum)
  • Pre-Oral Endoscopic Myotomy (POEM) (Achalasia)
  • Gastric Pre-Oral Endoscopic Myotomy (G-POEM) (Gastroparesis)

Bariatrics

  • Endoscopic Sleeve Gastroplasty (ESG) - Office consultation needed
  • Transoral Outlet Reduction (TORe) - Office consultation needed

Advanced Closure

  • Endoscopic Suturing
  • Over-The-Scope Closure clips
  • Covered esophageal metal stent placement
  • Endoscopic Vacuum assisted therapy (EVAC)
  • Endoscopic glue placement for fistula closure
  • X-Tack Closure System

Small bowel enteroscopy

  • Spirus Enteroscopy
  • Single balloon

Enteral Nutrition

  • Gastric PEG Tube
  • Naso-jejunal Feeding tube placement
  • Gastric-Jejunal Feeding Tube
  • Gastric-Jejunal Lumen apposing metal stents (LAMS)
  • Direct Percutaneous Endoscopic Jejunostomy (D-PEJ)
  • DUOPA GJ Tube (Parkinson;s Disease)