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New Technologies

Capsule endoscopy (Pillcam)

Capsule endoscopy enables examination of the entire small intestine.  A vitamin-pill sized video capsule is ingested, which has its own camera and light source. During the 8 hour exam, the video capsule travels through the body and sends images to a data recorder worn on a waist belt. Most patients find the test comfortable. Afterwards the doctor views the images on a video monitor.
More information : Wikipedia

Double Balloon Enteroscopy

Double-balloon enteroscopy, also known as push-and-pull enteroscopy, is an endoscopy technique for assessing and treating the small bowel. It is the first endoscopic technique that allows for the entire gastrointestinal tract to be treated as well as being visualised.
More information : Wikipedia



Endoscopic Ultrasound (EUS)

Endoscopic ultrasound is a procedure in which an ultrasound probe, at the tip of an endoscope, is introduced into the oesophagus, stomach and upper small intestine to image organs in the chest and upper abdomen. In addition to visualising organs, it also allows for taking small samples (biopsies) of abnormalities found in the pancreas, stomach wall or outside the oesophagus. This is done by inserting a needle into the target. 
More information: Wikipedia

High Resolution Impedance/Manometry

This technology is used for assessing the function of the oesophagus (gullet). Manometry is the study of pressures and coordination in the oesophagus. Impedance monitoring shows when boluses of air or liquid are passing up or down the oesophagus.  These two technologies are combined into one catheter (long thin tube) that is placed in the oesophagus.  Testing can diagnose a number of conditions including gastro-oesophageal reflux, oesophageal spasm (which can cause chest pain), and poor coordination or abnormal pressures that can cause difficulty with swallowing (dysphagia).



Computer tracings

of Hi-Res manometry

and impedance