What is Interventional GI?

What is Interventional GI?

The Interventional Endoscopy group, of the Division of Gastroenterology and Hepatology, is staffed by Drs. Vanessa Shami, Andrew Wang, Bryan Sauer, Jim Mann, and Daniel Strand. Together, these physicians offer experienced consultative care for patients with luminal, pancreatico-biliary, and oncologic disorders of the gastrointestinal (GI) tract.

The goal of the UVA Interventional Endoscopy group is to offer high quality patient care by performing innovative and specialized endoscopic procedures. We are referred patients from several states in the mid-Atlantic region, and some of our patients are referred to us from across the country for some of the advanced endoscopic procedures that we perform.

Together with our colleagues in the Division of Gastroenterology and Hepatology we offer:

Diagnostic Endoscopy

Our UVA gastroenterologists and hepatologists perform endoscopy to visualize the GI tract, so as to diagnose abnormal conditions that might then be treated medically, endoscopically or surgically. In a diagnostic GI endoscopy procedure, physicians use sophisticated endoscopes, which are thin, flexible tubes equipped with a tiny camera and light, to see the inside of the GI tract. The endoscope is inserted through the mouth or rectum. When abnormalities such as polyps, ulcers, or strictures are found, biopsies (to collect a small tissue sample) can be performed, which can then guide medical treatment. Also when precancerous polyps are found, a diagnostic endoscopy might become a therapeutic endoscopic procedure to remove the polyp so as to reduce the future risk of cancer in the digestive tract.

Interventional Endoscopy

In addition to diagnostic procedures, the Interventional Endoscopy group offers advanced endoscopic procedures including endoscopic ultrasound (EUS) with fine-needle aspiration (FNA), endoscopic retrograde cholangiopancreatography (ERCP), and advanced polypectomy including endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). We also offer an array of ablative endoscopic procedures including radiofrequency ablation (RFA) and photodynamic therapy (PDT) for Barrett’s esophagus and cancers of the bile ducts or pancreas and argon plasma coagulation (APC) for treatment of small bleeding vessels. We offer laser lithotripsy for difficult to remove stones in the bile duct or pancreas duct. We also help patients who have incurable cancer achieve the best quality of life through palliative endoluminal stenting of the esophagus, duodenum, bile ducts, pancreatic duct, colon, and rectum.