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Gastroenterology, Hepatology and Nutrition

The primary mission of the endoscopy unit is to deliver high quality, compassionate endoscopic care in both inpatient and outpatient settings. The endoscopy unit also serves to implement, evaluate and develop new endoscopic technologies and techniques. Finally, the unit serves as the primary location for endoscopic training of both gastroenterology fellows and surgical residents.

A wide variety of endoscopic procedures are performed. These include routine procedures such as upper gastrointestinal endoscopy, colonoscopy and sigmoidoscopy. Advanced endoscopic procedures such as pancreaticobiliary endoscopy ERCP , endoscopic ultrasound EUS , balloon enteroscopy and videocapsule endoscopy are also commonly performed.

Currently, the unit is also performing a wide variety of ablative techniques for patients with Barrett's esophagus with either early esophageal cancer or at high risk for developing cancer. The unit offers both the broadest array of techniques and experience in the state of Virginia.

Current techniques include endoscopic mucosal resection, radiofrequency ablation and cryotherapy techniques using both liquid nitrogen and carbon dioxide. Finally, several novel technologies for advanced mucosal imaging are offered including confocal microscopy to evaluate for early dysplastic changes in Barrett's esophagus and inflammatory bowel disease and direct cholangioscopy to evaluate the biliary tract.

In addition to endoscopic techniques, a number of procedures are available to assess digestive physiology as it relates to various digestive disorders.

These include high resolution esophageal manometry and esophageal topography and anorectal manometry. Esophageal function can be further evaluated with esophageal pH monitoring using either a standard catheter-based electrode or an endoscopically placed radiotelemetry sensor Bravo.

Finally, non-acid reflux can be measured using multichannel intraluminal impedance testing. The section of advanced therapeutic endoscopy offers all advanced endoscopic procedures, including advanced endoscopic imaging confocal endomicroscopy, narrow band imaging, chromoendoscopy , endoscopic mucosal ablation carbon dioxide cryotherapy, radiofrequency ablation , endoscopic mucosal resection EMR , endoluminal stenting, endoscopic ultrasonography EUS , EUS-guided FNA, EUS-guided interventions pseudocyst drainage, celiac plexus block, rendezvous procedures, etc.

The Advanced Liver Program is staffed by nationally and internationally renowned hepatologists who work hard to develop novel treatments for more than diseases known to affect the liver. The Center for Digestive Health is committed to offering high-tech and innovative treatment options to better serve our patients.

Caring for an ostomy, whether it is temporary or permanent, can be a challenge both physically and emotionally. When the idea of wearing a pouch with stool being collected on the outside of your body is first presented, most people want to avoid it at all costs.

At our ostomy and skin care clinic, our nursing staff help you prepare for the types of questions you should ask before having surgery, provide you with instructions for taking care of your ostomy and are available to you at any time for questions that may arise. Our clinic is open on Tuesdays. Call for more information. Learn more about ostomies. VCU Health System's Nursing Administration is seeking a full time Nurse Performance Administrator to provide guidance and assist in the decision making or statistical and methodological analyses in support of the VCUHS's Nursing and Patient Care Services performance improvement initiatives; performs statistical and other data analyses; creates meaningful data reports, dashboard The Nurse Patient Navigator and serves as an advocate, interpreter, educator and counselor for a group of patients.

Manages the care of assigned patients in collaboration with a multidisciplinary team to ensure high quality and comprehensive healthcare and ancillary services. Underthe supervision of a manager, Licensed Independent Practitioner or RegisteredNurse performs a variety of indirect patient care activities.

These includedistribution and picking up of Central Sterile items and trays from variousdepartments and clinics; transportation of items To ensure a timely and accurate financial outcome based on obtaining accurate and complete demog Installs, maintains, troubleshoots and upgrades computer hardware, software, mobile devices, printers and other peripheral equipment.

Assists with the proper selection and purchase of hardware and software.