Procedures

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  Endoscopy Procedural Services

  Dr. Sinha provides procedures at both
  HUNTERDON MEDICAL CENTER in FLEMINGTON
  and at our
  IN NETWORK
   AMBULATORY SURGICAL CENTER in SOMERSET

  • Colonoscopy
  • Upper Endoscopy
  • Colon Cancer Screening and Detection
  • Flexible Sigmoidoscopy
  • Barrx
  • Esophageal Dilation
  • Motility Studies
    • Esophageal Manometry
    • 24-hour pH/Impedance testing
    • Biofeedback
  • Achalasia Treatment, including Botox Injections
  • Endoscopic Variceal Band Ligation
  • Small Bowel Evaluation with Push Enteroscopy, Single Balloon (diagnostic and therapeutic)
  • Virtual Colonoscopy
  • Percutaneous Endoscopic Gastrostomy (PEG Tube)
  • Endoscopic Retrograde Cholangiopancreatography (ERCP)
  • Esophageal Testing
  • Endoscopic Ultrasonography
  • Endoscopic Mucosal Resection (EMR)
  • Argon Plasma Coagulation (APC) for the treatment of GI bleeding lesions
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  In-Office Procedures

   

  IN OFFICE HEMORRHOID SERVICES
  Quick Gentle Effective- Drive to work the same day!

  Dr. Sinha was the first gastroenterologist in Hunterdon County to implement infrared cauterization and O'Regan Banding System. At Hunterdon Digestive Health we offer all 3 hemorrhoidal treatments. We customize treatment based upon your individual needs.

  • Hemorrhoid Banding
  • Infrared Coagulation to treat Hemorrhoids (IRC)

  IN OFFICE ANORECTAL MANOMETRY SERVICES
  For more information on Anorectal Manometry

  IN OFFICE BREATH TEST SERVICES
  Simple, effective and non-invasive!

  • Small Bacteria Overgrowth
  • Fructose Intolerance

  

  *Covered by most insurance*

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  Hospital Procedures

  IN HOSPITAL HEMORRHOID SERVICES
  Procedure provided while under sedation for your added comfort.

  • Hemorrhoid Energy Therapy (HET) - under sedation and generally combined with sigmoidoscopy.

  *Covered by most insurance*

Patient Information on Anorectal Manometry

WHAT IS ANORECTAL MANOMETRY (or ARM)?

Anorectal manometry is a non-invasive procedure performed in our office to evaluate the function of your anal and rectal muscles, or “anorectal sphincter”. These muscles control how stool is released from your body.

The test is used to evaluate the root cause of symptoms such as:

• Chronic constipation
• Laxative dependence
• Fecal incontinence
• Anorectal pain
• Anal leakage
• Fecal smearing
• Difficulty having a bowel movement
• Childhood constipation

During the procedure, a small, flexible catheter, about the size of a thermometer, with two small balloons attach to the end of it, will be used to measure pressures in your anal sphincter muscles, sensation in your rectum, and neural reflexes required for normal bowel movements.

YOU ARE NOT ALONE! ANYONE AT ANY AGE CAN BE AFFECTED BY CONSTIPATION OR FECAL INCONTINENCE. BY NO MEANS ARE THESE SYMPTOMS A PART OF NORMAL AGING! GET YOUR SYMPTOMS EVALUATED WITH ARM!

PREPARATION FOR THE PROCEDURE

PREP FOR ANORECTAL MANOMETRY IS NOTHING LIKE COLONOSCOPY PREP!
There are no dietary restrictions before OR after the procedure. The only prep required is two hours before your procedure, you’ll be asked to give yourself 2 OTC Fleet® (or other brand) saline enemas at home.

Do not eat for 2 hours prior to your procedure.

The procedure does not require a driver! There is no sedation involved. And, it is covered by the majority of insurances.

THE PROCEDURE

The test itself takes approximately 20 minutes. Plan to be at our office for 45 minutes.

With the help of the catheter and balloon we will take important pressures and sensation measurements to help diagnosis your condition.

After the exam, you may drive yourself home, and immediately resume all your normal activities and diet.

What information is gained from ARM?

The anal and rectal areas contain specialized muscles that help regulate the proper passage of stool from your body.

The findings from your test will help us determine:

• If your sphincter is underactive or overactive.
• If your pelvic muscles are not coordinating properly; if pelvic floor dyssynergia is present.
• If a sensory deficit or neurologic condition is contributing to your symptoms.
• If your symptoms are the result of a disease of childhood, such as Hirschsprung’s.
• If there was injury or damage to your anal sphincter, such as during pelvic surgery, childbirth, or mechanical trauma.

Results can, then, be used to determine:

• If additional testing is required to further investigate your symptoms.
• If biofeedback training would be effective to improve your symptoms, by improving sensation and/or retraining your muscles.
• To help with medication management including dose and choice of laxative, if appropriate.
• Or, in the case of certain conditions such as scleroderma or Hirschsprung’s, to direct the proper workup and management of these conditions.

Risks of Anorectal Manometry

Anorectal manometry is a safe, low risk procedure, and is unlikely to cause any pain. Complications are rare, though perforation, tearing, or bleeding of the rectum could occur. Equipment failure is a remote possibility.

WIRELESS CAPSULE ENDOSCOPY

We are excited to announce that HDH offers the newest technology in Wireless Capsule Endoscopy!

Quick and easy office visit with no sedation, no downtime, and you're able to drive yourself home!

 Using a tiny vitamin-sized capsule that allows visualization of all three areas including the esophagus, stomach, and colon— This allows Dr. Sinha, with the use of this cutting edge technology, the ability to diagnose in a non-invasive way.

Wireless Capsule Endoscopy - Now while using the newest technology in this patient-friendly tool, Dr. Sinha can now visualize the small bowel, esophagus, and colon with a small, disposable capsule used to monitor and diagnose disorders of the gastrointestinal tract without sedation or invasive endoscopic procedures. The capsule is equipped with a miniature video camera and light source. After swallowing this vitamin-sized capsule it then travels through your entire digestive tract while capturing images quickly and sends them to a recording device you wear during the procedure.

We offer all three kinds of pill cameras at Hunterdon Digestive Hcapsule is disposable and pass naturally through your body. Pictures are then downloading for Dr. Sinha to review the findings and to customize your treatment plan based on your individual needs.

• PillCam for ESO - Provides a time-efficient and patient-friendly method for visualizing the esophagus. This minimally invasive procedure is performed in the office, takes only 30 minutes to complete and requires no sedation. PillCam ESO allows Dr. Sinha to visualize and detect abnormalities within the esophagus such as esophageal varices, ulcers, Barrett’s Esophagus and esophageal cancers.
• PillCam Colon - is the only minimally invasive tool offering direct visualization of the entire colon mucosa, providing a safe and accurate alternative that is complementary to colonoscopy for patients who have refused to undergo invasive colon exams. Currently, in 2017 this procedure is not covered by insurance. We will happy to provide you with an estimated cost.
• PillCam for Small Bowel - With the PillCam SB capsule, patients don't have to go through a lengthy, uncomfortable endoscopy procedure (enteroscopy). Patients simply swallow a vitamin-sized capsule, and Dr. Sinha is able to directly view your entire small bowel and see problems that are beyond the reach of other imaging tests such as Chrohns Disease, Anemia, Bowel Ulceration, and Bleeding

*Covered by most insurance, except PillCam Colon*

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DISCLAIMER: PLEASE READ CAREFULLY
The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult the best in class gastroenterologist regarding ANY and ALL symptoms or signs as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.