ERCP, Endoscopic Retrograde Cholangiopancreatography

BestGIDoctorCT3Is ERCP Right For You?

Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that brings together the applications of endoscopy and fluoroscopy manage problems in the biliary or pancreatic ductal systems. A doctor can use an endoscope to easily see the interior of the stomach and duodenum and to inject a radiographic contrast into the ducts in the biliary tree and pancreas. This is to allow them to be observed on X-rays.

What ERCP is Used For

ERCP can be used mainly to detect and cure disorders of the bile ducts and primary pancreatic duct. These include problems like gallstones, inflammatory strictures, leaks, and many forms of cancer.

ERCP could be done for analysis purposes but the MRCP and endoscopic ultrasound are better for observation needs. The ERCP is seldom executed without therapeutic intent.

How it WorksBestGIDoctorCT2

In this process, the patient is sedated or anaesthetized. A flexible camera is then inserted through the mouth, down the throat and into the stomach along the pylorus into the duodenum.

At this point, the ampulla of Vater (the opening of the common bile duct and pancreatic duct) can be spotted. The sphincter of Oddi is a muscular valve that manages the opening of the ampulla and will have to be contacted. The area could be instantly reviewed with the endoscopic camera.

As the area is monitored, a plastic catheter or cannula will be placed into the ampulla, and a radiocontrast material will be injected into the bile ducts and/or pancreatic duct. Fluoroscopy is used as a tool to search for blockages or stones.

If needed, the opening of the ampulla could be swollen with an intoxicated cable to get into the bile duct. This is help clear out gallstones.

In addition, the bile duct can be reviewed with a carrier or device to take away gallstones while a plastic stent can be added to help discharge bile. Furthermore, the pancreatic duct may be cannulated and stents can be injected so the area can be reviewed and cleared out.

In particular situations, an alternate camera could be inserted in the initial endoscope. This process is referred to as duodenoscope-assisted cholangiopancreatoscopy (DACP) or mother-daughter ERCP. The daughter scope will execute immediate electrohydraulic lithotripsy to split up stones. It can also assist in analysis by instantly imaging the duct (as opposed to obtaining X-ray images).

The gallbladder needs to be operatively eliminated following the effective elimination of gallstones from the bile ducts.


The main risk of an ERCP is the growth and development of pancreatitis. This appears in about 5% of all processes. This can be self restricted and minor and there’s no guarantee that you’d have to stay at a hospital.

Individuals at an excess risk for pancreatitis include younger patients with existing post-ERCP pancreatitis, females and those with sphincter of Oddi malfunctions.

Gut perforation is a must for any specific endoscopic process, which explains a further issue when a sphincterotomy is conducted. As the next section of the duodenum is scientifically in a retroperitoneal area (that is, behind the peritoneal structures of the abdomen), perforations could occur. A hemorrhage could also occur in the worst cases.

Oversedation can lead to seriously low blood pressure levels, breathing depression, nausea, and vomiting. Also, people who are sensitive to iodine could be hurt by the different dye used in the process.

Rare difficulties that occur in less than 1% of all patients include cardiovascular system and lung complications, blood loss and contamination. These may be deadly in some of the rarest cases.

The ERCP process may work for GI problems that you might have.

Contact our GI doctors in Connecticut for more information on what you can utilize.


Remicade for Crohn’s disease–Remicade Infusion Therapy

BestGIDoctorCT1Remicade Infusion Therapy is Essential for Crohn’s Patients But Watch for Effects

Remicade (infliximab) is a treatment used to treat Crohn’s disease, ulcerative colitis and osteoarthritis. It can particularly reduce the swelling that comes with these conditions.BestGIDoctorCT2

For Crohn’s disease, Remicade can help in reducing warning signs and attaining remission in individuals who may have not have properly responded to further medical remedies. It is injected into a vein through an infusion. The infusions are normally given every eight weeks. It is best to use this at two weeks and six weeks respectively after the first infusion.

What Side Effects Are There?

Remicade is a very potent drug with the potential for side effects which may occur during or after the infusion. Severe infections, including tuberculosis, pneumonia and sepsis have been reported in patients taking Remicade. Tell your doctor if you have had or have been exposed to tuberculosis. Testing for tuberculosis is generally done before treatment starts.

Patients that have experienced heart failure should not be treated with Remicade. Tell your physician if you develop shortness of breath or swelling in your ankles or feet. Rare reports of liver injuries, blood disorders, lymphoma and other cancers as well as neurologic diseases have occurred in patients who use Remicade.

Individuals with cardiovascular failure are usually not be cured with Remicade. Talk to your physician if you ever develop breathing difficulties or inflammation of your ankles or feet. Although these are not common side effects, liver injuries, blood problems, the development of lymphoma along with other cancers and some neurological diseases have taken place among patients receiving Remicade.

Serious Reactions (24 hours or less after use)

Throughout the infusion, a number of individuals could experience reactions. Indicators include a fever, chest pain, heart palpitations, perspiration, vomiting, flushing, irritation, changes in blood pressure and difficulty breathing.

These types of reactions generally disappear by minimizing the rate of infusion or through taking acetaminophen or epinephrine. Your doctor may advise you to use varying medicines before an infusion to reduce your chance of having a reaction.

Late Reactions (24 hours to 14 days after use)

BestGIDoctorCT3A reaction may appear after the infusion is finished. Indicators typically include muscle or joint pains, itching, a rash, fever and exhaustion. These can be relieved by using acetaminophen, antihistamines and steroids.

The use of Remicade may be beneficial to those with Crohn’s and other GI issues.

Contact our GI doctors here in Connecticut for information on what you can get for your needs.


Lower GI endoscopy


BestGIDoctorCT3What Does a Lower GI Endoscopy Do?

A lower gastrointestinal endoscopy can be used to review the inside of your lower gastrointestinal tract. It can certainly work for your health needs.

What the Process DoesBestGIDoctorCT2

This procedure is used to check on the lower GI tract. The lower GI tract consists of some parts of the small intestines, the colon and anus. The digestive tract is the long tube that links the small intestine with the anus. The digestive tract takes in fluids from consumed foods and transforms the digested food into your stool. It also keeps the stool until it goes out through your anus.

A lower GIT endoscopic ultrasound can identify and handle diseases that influence the area. These may include tumors, hemorrhages, abscesses, or anal fistula. This process may also take a look at structures next to the lower GIT like the reproductive areas, liver, pancreas, kidneys, and lymph nodes.

Important Risks

There are a few risks to spot with this process. First, you might develop a hemorrhage, an irregular heart rate, hypertension, or difficulty breathing. Your small intestines, large intestines or anus could get torn as a result of pressure while the scope is going through. Following your caregiver’s recommendation in the course of and after the process may lessen the potential to develop certain problems.

BestGIDoctorCT4An Essential Process

Without this process, your illness may not be identified and the proper treatment might not be provided. The warning signs you possess might keep on getting worse. You could have difficulty eating, breaking down food or moving your bowel, thus resulting in other severe health issues. Ask your caregiver in case you are concerned or you have questions about your procedure, medication, or treatment.

After Your Treatment

After your treatment, you can take a rest for quite a while since the treatment may be exhausting. You may be able to go home after a treatment but only a caregiver can develop if you are safe to do this. Consult your caregiver for tips about how to look after your body on your own after your treatment.

Take in well balanced meals, drink water, use the right medications like pain medicines and stool softeners and track your vital signs to ensure that your body is healthy. Contact us for help with getting your lower GIT managed the right way. We are proud to offer Connecticut’s best GIT maintenance services.


Upper GI Endoscopy


BestGIDoctorCT1What is an Upper GI Endoscopy?

An upper gastrointestinal (UGI) endoscopy is a method that enables a GI specialist to see the interior lining of your esophagus. It is also used to help the physician see your abdominal area and the first part of your small intestine (duodenum).

How is an upper GI scope done?BestGIDoctorCT2

An upper GI scope is all done through the use of a slim, elastic viewing device referred to as an endoscope. The end of the endoscope is inserted through your mouth and then carefully relocated down your throat into the esophagus, stomach, and duodenum.

Because the total upper gastrointestinal (GI) tract can be examined in this test, the method is usually called esophagogastroduodenoscopy (EGD). Your physician can search for ulcers, swelling, malignant tumors, irritation, or hemorrhages with an endoscope.

Tissue samples can be gathered, polyps can be eliminated and bleeding can usually be treated through the endoscope. It can also show conditions that may not appear on X-ray exam and it can sometimes remove the need to utilize an exploratory surgical process.

What to Do Before an Upper GI endoscopy?

You must talk with your doctor before going through an upper gastrointestinal endoscopy. Inform your doctor about any medications you take, if you have bleeding issues, if you’re pregnant or if you are allergic to medications.

Avoid eating or drinking anything for 6 to 8 hours before the examination. An empty stomach will help your physician to easily observe your stomach. This also decreases your potential to vomit during the exam. If you vomit then the contents in your digestive system could get into your lungs.

In some cases this procedure may have to be done in an emergency situation. In this case, a tube may be placed through your nose or mouth to clear your stomach.

Contact the top GI doctors in CT for information on how this procedure may be used. We are Connecticut’s best choice for managing upper GI endoscopy procedures.


What is Celiac Disease?

Celiac disease is a well-known and genetically linked disease. This is a disease where gluten can cause an immune reaction. This can harm the body’s digestive tract lining.

What is Gluten?BestGIDoctorCT3

Gluten is a type of protein that is present in foods like breads, crackers and pasta. Gluten originates from grains like wheat, barley, rye, and triticale.

BestGIDoctorCT1How Does Celiac Disease Occur?

With celiac disease, your natural immunity strikes the gluten and damages your small intestine when you eat these particular food items. This makes it difficult for your system to take in vitamins and minerals that help you stay balanced.

Why Therapy is Needed for Celiac Disease

It’s essential to get therapy as celiac disease can cause iron deficiency, anemia and osteoporosis. It could possibly also increase your chance of developing lymphoma.

This illness can also harm the development of a child’s body and can cause damage to the bones. If it is not taken care of early then your child can get very ill. Get in touch with a health care provider if your child is dropping a lot of weight, has diarrhea, or feels weak and exhausted for an extensive period of time with no improvement.

What Are the Warning Signs of Celiac Disease?BestGIDoctorCT4

The signs of celiac disease vary among people. The level of intestinal destruction that can occur after consuming gluten can vary by each person. Many people with this condition often suffer from no symptoms but are still prone to difficulties caused by this condition. The symptoms of celiac disease include gas and swelling, changes in bowel movements, weight reduction, continuous tiresomeness, and fatigue.

What Causes Celiac Disease?

Medical professionals cannot determine what causes the ailment. Having particular genes may boost your probability of getting it. You are more prone to having those genes if a close relative carries them.

How Is Celiac Disease Cured?

You will need to remove gluten from your diet in order to keep this disease from being worse than it already is. Contact us for help with getting your diet to work for you and deal with Celiac Disease. Our GI doctors can help you out with managing all sorts of problems in your body including celiac disease.





BestGIDoctorCT3Colorectal Cancer

Colorectal cancer is also referred to as colon cancer, rectal cancer or bowel cancer. It is a form of cancer that occurs as a result of unsustainable cellular development in the large intestine or the appendix. A majority of cases of colorectal cancer can start off like a polyp. This is a development that starts in the interior lining of the colon or anus and will develop on the way to the middle.

Most polyps are not cancerous. Only some kinds of polyps known as adenomas may develop into cancer. Getting treatment for a polyp in its early stages may possibly prevent it from turning into cancer.

Over 95% of colon and rectal cancers are adenocarcinomas. These begin in gland tissues that are similar to the cells that line the interior of the large intestine and anus. However, there are some other more rare, types of tumors of the colon and rectum that must also be observed.

How Colon Cancer OccursBestGIDoctorCT2

Colorectal cancer often occurs as a result of old age (which mainly happens in the 60s and 70s), hereditary situations, nutritional factors, weight problems, cigarette and alcohol use and general physical laziness. This may also occur as a result of varying digestive illnesses like Crohn’s disease and ulcerative colitis.

Symptoms of Colon Cancer

You will not see any symptoms of colorectal cancer during its earliest stages. The symptoms that you will experience as a result of this condition will depend on the stage of the cancer, its location and its spread. Its primary warning signs can include bowel problems that go on for at least three weeks and serious stomach aches. You may also experience such problems as consistent and sharp pains inside and around the anus, stomach swelling, a loss of fat and appetite and even blood in your stool. You may start to feel extreme fatigue in your bowels after a while.

BestGIDoctorCT4Treatment of Colon Cancer

Colon cancer is treatable with a procedure that entails surgical treatment, chemotherapy and radiotherapy. Many people could also take advantage of organic therapy. If colon cancer is detected early enough and treatment is begun immediately then you may stay alive for at least five more years when compared to a case when the cancer is detected late.

You can utilize many strategies to prevent or reduce your chance of developing colorectal cancer. You should eat a proper diet that is low in saturated fats and high in fiber, for instance. Consistent exercise also lessens the possibility of developing cancer growths.

Older people should especially work out for a minimum of 2 hours and 30 minutes each week with a good amount of moderate-intense cardiovascular exercise. It is especially critical for anyone to maintain a balanced body weight and to go for screening and monitoring tests on a regular basis.

Screening enables one to identify the cancer at its initial stages. Consult us today to schedule an appointment with our qualified doctors. We have the best GI doctors in Connecticut and we can certainly help you with your general colon health needs to prevent colon cancer from being a threat in your life.


Screening for Colorectal Cancer Awareness Month

BestGICT2Colorectal cancer is also referred to as colon cancer, rectal cancer or bowel cancer. It is a cancer from unsustainable cellular development in the large intestine or in the appendix. The majority of colorectal cancers start off being a polyp, a development that starts in the interior lining of the colon or anus and develops on the way to the middle. Most polyps are not cancer. Only some kinds of polyps, known as adenomas, may become cancer. Removing a polyp early, while it is minor, may possibly prevent it from turning into cancer.


Over 95% of colon and rectal cancers are adenocarcinomas. These are generally cancer that begin in gland tissues, similar to the cells that line the interior of the large intestine and anus. There are also some other, more rare, types of tumors of the colon and rectum.

Causes of colorectal cancer.BestGICT3

Cancer could also be a result of age (mainly in the 60s and 70s), hereditary situations, genealogy, nutritional factors, weight problems, cigarette smoking, alcohol abuse, along with digestive illnesses like Crohn’s disease and ulcerative colitis.

Symptoms of colon cancer.

Colorectal cancer does not show any symptoms in the early stages. Severity depends on the tumor stage, location and its spread. Its primary warning signs can be a bowel problem that continues for longer than three weeks, stomach ache, continual pain inside and around the anus, stomach swelling, loss of appetite, weight loss and hemorrhage in stools. Once the indicators become worse, the individual will certainly feel fatigue, anemia, and discomfort in the bowel.

BestGICT4Colon cancer treatment.

Colon cancer is treatable with the use of a mixture of surgery, chemotherapy and radiotherapy. Many people could also take advantage of organic therapy. If colon cancer is detected earlier, there exists a higher possibility of staying alive after medical diagnosis compared to being detected later.

To prevent or to lessen the chance of colorectal cancer, one should maintain a proper diet which is low in saturated fats and high in fiber which. Consistent exercise also lessens the possibility of growing colorectal cancers. Older people are suggested to work out for a minimum of 2 hours and 30 minutes of moderate-intense cardiovascular exercise weekly, maintain balanced body weight; and practice screening and monitoring. Screening enables one to identify the cancer at initial stages which enables the possibility of better results with therapy.

We recommend that patients see their GI doctor for screening of colorectal cancer. Contact the top GI doctors in Connecticut to find out if you’re a candidate for screening.


Capsule Endoscopy in CT

BestGIDoctorCT1What is a Capsule Endoscopy?

A capsule endoscopy is a method of imaging your intestines where a small wireless camera will take pictures of your digestive system. The camera will be placed inside a vitamin-sized pill that you will swallow. As the capsule moves along your digestive system, the camera can snap thousands of pictures. These pictures will be transported to a recorder that you can put on a belt around your waist or over your shoulder.

A capsule endoscopy can help health professionals to view the area inside your small intestine — a spot that isn’t conveniently reached with a standard endoscopy. A capsule endoscopy may be used by both adults and children. The process is normally initiated in a doctor’s clinic like ours.

What are the Advantages of Capsule Endoscopy?BestGIDoctorCT2

The capsule can simply be swallowed by the patient and he/she can relax in comfort without being admitted to a hospital. Anesthesia is not required since it is pain-free. Also, no emissions or other harmful materials will be utilized in the process.


A capsule endoscopy is a useful GI review procedure that can work to your benefit. Contact us the best GI doctors in CT for details on our capsule endoscopy service and how it can work for you.


Crohn’s Disease Treatment CT

Get To Know More About Crohn’s Disease and How it Occurs

BestGIDoctorCT3What is Crohn’s Disease?

Crohn’s disease, also referred to as ileitis or regional enteritis, is a chronic disease through which the intestine, bowel, or some other part of the digestive tract becomes infected. This part of the body will become ulcerated or marked with sores. Combined with ulcerative colitis, Crohn’s disease is an inflammatory bowel disease (IBD).

It mostly affects the ileum, the lower portion of the small intestine. The illness may appear at any part of the gastrointestinal system. Therefore, the disorder might affect the large or small intestine, the stomach, the esophagus, or even the mouth.

Crohn’s can happen at any age but people who are between 15 and 30 years of age are more likely to develop this condition. The common signs of this condition include a stomach ache, bloody diarrhea and sudden weight loss.

Crohn’s therapy will entail a change in one’s lifestyle, such as doing exercises and eating a balanced diet and the use of non-prescription anti-diarrheic medicines and anti-inflammatory treatments.

What Causes Crohn’s Disease?BestGIDoctorCT2

Many studies have been used to determine what leads to Crohn’s disease but its true cause is still yet to be verified. It is important to know the probable reasons behind Crohn’s disease. If you understand these signs or symptoms then you can get help for this condition.

Experts assume that Crohn’s disease is a result of such issues as autoimmune system complications, genetics and ecological factors.

BestGIDoctorCT4Warning Signs of Crohn’s disease

The major symptoms of Crohn’s disease include stomach pain, diarrhea, loss of appetite, fever, weight reduction, and anemia. People who have Crohn’s disease may also have mouth sores, dietary problems, intestinal obstruction and other conditions around the anus. In many cases some channels can develop between your organs and anal fissures. Skin tags can also develop due to swollen skin.

Because there could be some issues within your autoimmune system, you might also have problems outside the digestive system like joint pain, vision issues, a skin rash or liver disease. Some other conditions with symptoms similar to Crohn’s disease include diverticulitis and ulcerative colitis.

How Can Crohn’s Disease Be Diagnosed?

Several examinations are widely used to identify Crohn’s disease from some other disorder. Initially, a medical expert will evaluate your medical record. These records are also helpful because Crohn’s disease is more typical in anyone who has a first-degree relative having IBD. After a physical examination is conducted, the health specialist may order medical tests such as an endoscopy, Blood test, and Barium X-ray.

Contact the best GI doctors in Connecticut for help with understanding and treating your Crohn’s disease and start treatment today in order to alleviate your problem.


Irritable Bowel Syndrome

IBS treatment by best GI Dr. NYC2Incidence of Irritable Bowel Syndrome (IBS).

Irritable bowel syndrome is estimated to affect between 10 and 20% of the population, with 1-2% of the population diagnosed yearly. Most patients develop symptoms before the age of 40, but development of symptoms after the age of 40 does not exclude irritable bowel syndrome.


Diagnosis of IBS.


Irritable bowel syndrome is a gastrointestinal disorder which results in abdominal pain and changes in bowel habits, without specific pathology. This means it is a diagnosis of exclusion, which must be made after other causes are ruled out.

It is thought to be a syndrome caused by alterations of motility of the gastrointestinal tract, increased sensitivity to pain, and psychological pathology. This association is not clear, but it appears that people who seek treatment for irritable bowel syndrome have a higher incidence of psychiatric disturbances than the general population, including panic disorders, anxiety disorders, depression, and hypochondria. Doctors seeing patients with irritable bowel syndrome often question the patients about symptoms related to these disorders.

Symptoms of IBS.IBS treatment by best GI Dr. NYC3

Symptoms of irritable bowel syndrome are alterations in bowel habits, distention of the abdomen, and abdominal pain. The alteration of bowel habits includes constipation or diarrhea, and usually patients have primarily one or the other, but may have a combination of both. Hard stools, painful bowel movements, which may be infrequent, and lack of response to laxatives characterize constipation. Patients with diarrhea have small volumes of loose stools, and often feel urgency before bowel movements. They may also experience frequent bowel movements.

Abdominal pain with IBS.

The abdominal pain in patients with irritable bowel syndrome is often diffuse, and commonly includes the lower abdomen. Some patients have a constant dull ache with episodes of sharp pain occurring frequently. Sometimes the pain occurs as a result of a meal, and may be somewhat relieved by a bowel movement. Other symptoms may include mucous in the bowel movement, or passage of clear or white mucous, heartburn, nausea or vomiting, and sexual dysfunction, including pain with sexual intercourse.

The symptoms of irritable bowel syndrome worsen in many patients in the period around menstruation. The symptoms are often related to stress.

If patients have onset in middle age, or symptoms that are only acute, progression of symptoms, and symptoms at night, weight loss or anorexia, fever, rectal bleeding, fatty stools, or intolerance to lactose or gluten, the physician will look for other causes of these symptoms, which are not consistent with irritable bowel syndrome.

Recently, studies have found microscopic inflammation in some patients with irritable bowel syndrome. This finding may lead to new treatment strategies.

IBS treatment by best GI Dr. NYC5The criteria for diagnosis of irritable bowel symptoms require that a patient have recurrent abdominal pain at least 3 days per month during the previous 3 months. Those episodes must be associated with at least two of the following symptoms: pain is relieved by bowel movement, onset of pain is associated with a change in stool frequency or appearance or form of stools, abdominal pain, difficulty or urgency with bowel movements, passage of mucous, and abdominal pain and the feeling of bloating or distention.




Treatment of irritable bowel syndrome varies greatly depending on the patient. Call the top GI doctors in Connecticut today to start treatment of IBS today. Best GI Doctor CT1

Norwich GI Associates
79 Wawecus St
Suite 101
Norwich, CT 06360
Phone:(860) 886-2655
Fax:(860) 887-9003

Colorectal Cancer Awareness Month