Gastroenterology

Detection, diagnosis and treatment for your entire gut health

IU Health Gastroenterology provides comprehensive care from start to finish, from screening services for early disease detection, to advanced diagnostic procedures and the latest medical and surgical treatments.

We take a team approach to your health. From colonoscopies and autoimmune treatments to Endoscopic Retrograde Cholangiopancreatography (ERCP), our physicians provide a full range of diagnostic and treatment options. We work with you to find the best solutions for your condition, so that you can get back to living and enjoying life to the fullest.

Our Approach to GastroenterologySlice

Very few programs can say that patients come from everywhere in the U.S. and beyond to seek out our services, mastered clinical teams, ground-breaking research and trials—IU Health can. Gastroenterology at IU Health is a robust program with highly-specialized physicians who are known for their success in diagnostics, screenings, procedures and treatments.

Our Approach to Gastroenterology

Very few programs can say that patients come from everywhere in the U.S. and beyond to seek out our services, mastered clinical teams, ground-breaking research and trials—IU Health can. Gastroenterology at IU Health is a robust program with highly-specialized physicians who are known for their success in diagnostics, screenings, procedures and treatments.

Why IU Health for GastroenterologySlice

As the only 2016-17 U.S. News & World Report’s nationally ranked program in the state, IU Health Gastroenterology offers the latest in clinical care, advanced procedural treatments and technology and leading-edge research and education.

Our program offers:

  • One of the top colonoscopy experts in the world.
  • Experience that comes from completing a high volume of successful procedures.
  • Robotic Pancreatic Surgery — leading to shorter hospital stays, fewer complications and faster recovery time for patients.
  • Technologies such as mini scopes to investigate diseases of the pancreas and biliary tree, lithotripsy of pancreatic stones, natural orifice transgastric endoluminal surgery (NOTES), and anti-reflux procedures.
  • One of the most robust General Gastroenterology and Advanced Therapeutic Endoscopy fellowships in the country, and a dedicated Inflammatory Bowel Disease IBD fellowship.
  • Comprehensive services for all digestive and liver disorders, including screening, therapeutic endoscopic procedures and GI motility disorders.

Gastroenterology Specialties 

Colorectal Cancer Screening and Advanced Colonoscopy Program

We are heavily involved in the development of the latest strategies for bowel prep, procedural sedation, colonoscopy equipment and techniques, and quality metrics. We serve as the referral center for colonoscopies failed elsewhere, and we are experienced in the endoscopic removal of very large polyps, especially those in the right colon that are typically difficult for endoscopic removal. 

Inflammatory Bowel Disease Program

Our team specializes in the diagnosis and management of Crohn’s disease and ulcerative colitis. We incorporate clinical research and industry-sponsored clinical trials into our treatment plans, providing you with the best possible options for care.

GI Motility Program

The Neurogastroenterology and Motility Program at IU Health consists of the GI Motility Clinic, GI Motility Diagnostic Laboratory and the Motility Research Unit. The GI Motility Clinic is a comprehensive referral center for the evaluation and treatment of patients with disorders, such as achalasia, gastroesophageal reflux, gastroparesis, functional dyspepsia, irritable bowel syndrome, constipation and fecal incontinence.  

We offer extensive diagnostic and treatment services only available at a nationally recognized hospital level, including:

  • Gastric electrical stimulation for gastroparesis (temporary and permanent)
  • Medical and surgical treatment of complex esophageal disorders
  • Biofeedback for pelvic floor disorders 
  • Therapies available under clinical research trials 

High-resolution esophageal impedance and manometry

High-resolution esophageal impedance and manometry measures the strength and function of the muscles in the esophagus to evaluate the cause of gastroesophageal reflux disease or GERD. The test is also used to determine the cause of problems with swallowing food, such as food or liquids getting stuck in the chest after swallowing and to evaluate patients with chest pain that may be coming from the esophagus rather than the heart. Finally, the test may be needed to correctly place an acid-sensing probe (pH probe) in the esophagus.

Ambulatory esophageal pH and impedance monitoring

This monitoring is used to evaluate for gastroesophageal reflux disease and to determine the effectiveness of medications that prevent acid reflux and as part of a pre-operative evaluation before anti-reflux surgery.

Bravo esophageal pH wireless monitoring 

This monitoring helps determine the effectiveness of medications that prevent acid reflux by measuring the amount of acid refluxing or backing up from the stomach into the esophagus.

Hydrogen breath test (lactose, lactulose, glucose, and fructose challenge)

This test provides information about the digestion of certain sugars or carbohydrates, such as milk sugar (lactose) or fruit sugar (fructose) to determine lactose intolerance, or to detect abnormal growth of bacteria within the small bowel.

High resolution anorectal manometry with compliance

This test measures the strength, sensation and coordination of the rectal and anal sphincter muscles in patients with diarrhea, fecal incontinence and constipation.

Small bowel manometry (antroduodenal manometry)

This tests provides information regarding the muscle activity of the stomach and small bowel to determine what area of the GI tract is not working properly - the stomach, the small intestine or both.

Electrogastrography with provocation

This test provides information on electrical activity of the stomach, which is commonly abnormal in patients with nausea and vomiting.

Gastric neurostimulator analysis

This evaluates the function of the gastric electrical stimulator in patients with severe gastroparesis.

Smart Pill (Wireless whole gut transit/motility capsule)

The Smart Pill uses wireless sensor technology to measure pressure, pH and temperature throughout the entire digestive tract. The pill collects data and sends it to a wireless data receiver, which can be downloaded to a computer providing your physician with information to evaluate your stomach, small bowel and colon.

Video capsule endoscopy

The video capsule endoscopy examines the lining of the middle part of the gastrointestinal tract, which includes the three portions of the small intestine (duodenum, jejunum, ileum), which cannot be reached by traditional upper endoscopy or by colonoscopy. Useful for detecting polyps, inflammatory bowel disease (Crohn’s disease, ulcers and tumors of the small intestine.

Hepatology Program Including Hepatitis C and Fatty Liver Disease

As one of the largest hepatology programs in the country, we provide expert consultation and the latest treatments for patients with acute and chronic liver conditions, including fulminant liver failure, cirrhosis and end stage liver disease. Our program has been a pioneer in the field of new treatments for hepatitis C, benefiting thousands of patients. Ongoing federal research in fatty liver disease, drug hepatotoxicity, sclerosing cholangitis and alcoholic liver disease is bringing new hope for improved treatments and better results for our patients. 

Liver and Multivisceral Transplant Program

Patients come from all over the country to receive abdominal organ transplantation at IU Health. As one of the largest transplant programs in the United States, we perform the most small bowel and multivisceral transplant procedures and our reputation for excellence is backed with impressive patient and graft survival. In addition, our patients enjoy exceptional care and very short waiting times (on average less than six months). 

ERCP Program

The ERCP (endoscopic retrograde cholangiopancreatography) Program at IU Health is continually at the forefront of innovation, offering stone extraction, stent placement, lithotripsy, spyglass procedures and photodynamic therapies to patients from across the country and the world. With over 3,000 procedures performed annually, we are a recognized leader, and serve as the referral center for ERCP procedures failed elsewhere. Our commitment to providing quality, personalized care to our patients includes dedicated ongoing federal research of the most advanced endoscopic techniques.

EUS Program

IU Health is one of the highest volume centers in the country for diagnostic and therapeutic EUS (endoscopic ultrasound) procedures, performing over 2500 annually. Our team of physicians is conducting groundbreaking research in utilizing EUS for the treatment of esophageal, pancreatic and rectal cancers. 

Double and Single Balloon Enteroscopy Program

IU Health is home to one of the largest deep enteroscopy programs in the Midwest, offering the most advanced technology for diagnosis and therapeutic intervention. Renowned for our excellent short- and long-term patient results, our specialized care includes a hybrid procedure for patients with altered gastrointestinal anatomy.

Barrett’s Treatment Program

The multidisciplinary team at IU Health offers the most advanced options for diagnosing and treating Barrett's esophagus and high-grade dysplasia. Our physicians have extensive experience in radiofrequency ablation and cryotherapy and provide comprehensive screening, along with progressive endoscopic procedures that result in better patient outcomes. 

Medically Supervised Weight Loss Program

The team of medical professionals at IU Health work together to help you in achieve a balanced and healthy lifestyle. Our trained bariatrician has extensive experience in the medically supervised weight loss program using high protein dietary intervention. She complements our surgeons who head one of the leading bariatric surgery programs in the state.

Why IU Health for Gastroenterology

As the only 2016-17 U.S. News & World Report’s nationally ranked program in the state, IU Health Gastroenterology offers the latest in clinical care, advanced procedural treatments and technology and leading-edge research and education.

Our program offers:

  • One of the top colonoscopy experts in the world.
  • Experience that comes from completing a high volume of successful procedures.
  • Robotic Pancreatic Surgery — leading to shorter hospital stays, fewer complications and faster recovery time for patients.
  • Technologies such as mini scopes to investigate diseases of the pancreas and biliary tree, lithotripsy of pancreatic stones, natural orifice transgastric endoluminal surgery (NOTES), and anti-reflux procedures.
  • One of the most robust General Gastroenterology and Advanced Therapeutic Endoscopy fellowships in the country, and a dedicated Inflammatory Bowel Disease IBD fellowship.
  • Comprehensive services for all digestive and liver disorders, including screening, therapeutic endoscopic procedures and GI motility disorders.

Gastroenterology Specialties 

Colorectal Cancer Screening and Advanced Colonoscopy Program

We are heavily involved in the development of the latest strategies for bowel prep, procedural sedation, colonoscopy equipment and techniques, and quality metrics. We serve as the referral center for colonoscopies failed elsewhere, and we are experienced in the endoscopic removal of very large polyps, especially those in the right colon that are typically difficult for endoscopic removal. 

Inflammatory Bowel Disease Program

Our team specializes in the diagnosis and management of Crohn’s disease and ulcerative colitis. We incorporate clinical research and industry-sponsored clinical trials into our treatment plans, providing you with the best possible options for care.

GI Motility Program

The Neurogastroenterology and Motility Program at IU Health consists of the GI Motility Clinic, GI Motility Diagnostic Laboratory and the Motility Research Unit. The GI Motility Clinic is a comprehensive referral center for the evaluation and treatment of patients with disorders, such as achalasia, gastroesophageal reflux, gastroparesis, functional dyspepsia, irritable bowel syndrome, constipation and fecal incontinence.  

We offer extensive diagnostic and treatment services only available at a nationally recognized hospital level, including:

  • Gastric electrical stimulation for gastroparesis (temporary and permanent)
  • Medical and surgical treatment of complex esophageal disorders
  • Biofeedback for pelvic floor disorders 
  • Therapies available under clinical research trials 

High-resolution esophageal impedance and manometry

High-resolution esophageal impedance and manometry measures the strength and function of the muscles in the esophagus to evaluate the cause of gastroesophageal reflux disease or GERD. The test is also used to determine the cause of problems with swallowing food, such as food or liquids getting stuck in the chest after swallowing and to evaluate patients with chest pain that may be coming from the esophagus rather than the heart. Finally, the test may be needed to correctly place an acid-sensing probe (pH probe) in the esophagus.

Ambulatory esophageal pH and impedance monitoring

This monitoring is used to evaluate for gastroesophageal reflux disease and to determine the effectiveness of medications that prevent acid reflux and as part of a pre-operative evaluation before anti-reflux surgery.

Bravo esophageal pH wireless monitoring 

This monitoring helps determine the effectiveness of medications that prevent acid reflux by measuring the amount of acid refluxing or backing up from the stomach into the esophagus.

Hydrogen breath test (lactose, lactulose, glucose, and fructose challenge)

This test provides information about the digestion of certain sugars or carbohydrates, such as milk sugar (lactose) or fruit sugar (fructose) to determine lactose intolerance, or to detect abnormal growth of bacteria within the small bowel.

High resolution anorectal manometry with compliance

This test measures the strength, sensation and coordination of the rectal and anal sphincter muscles in patients with diarrhea, fecal incontinence and constipation.

Small bowel manometry (antroduodenal manometry)

This tests provides information regarding the muscle activity of the stomach and small bowel to determine what area of the GI tract is not working properly - the stomach, the small intestine or both.

Electrogastrography with provocation

This test provides information on electrical activity of the stomach, which is commonly abnormal in patients with nausea and vomiting.

Gastric neurostimulator analysis

This evaluates the function of the gastric electrical stimulator in patients with severe gastroparesis.

Smart Pill (Wireless whole gut transit/motility capsule)

The Smart Pill uses wireless sensor technology to measure pressure, pH and temperature throughout the entire digestive tract. The pill collects data and sends it to a wireless data receiver, which can be downloaded to a computer providing your physician with information to evaluate your stomach, small bowel and colon.

Video capsule endoscopy

The video capsule endoscopy examines the lining of the middle part of the gastrointestinal tract, which includes the three portions of the small intestine (duodenum, jejunum, ileum), which cannot be reached by traditional upper endoscopy or by colonoscopy. Useful for detecting polyps, inflammatory bowel disease (Crohn’s disease, ulcers and tumors of the small intestine.

Hepatology Program Including Hepatitis C and Fatty Liver Disease

As one of the largest hepatology programs in the country, we provide expert consultation and the latest treatments for patients with acute and chronic liver conditions, including fulminant liver failure, cirrhosis and end stage liver disease. Our program has been a pioneer in the field of new treatments for hepatitis C, benefiting thousands of patients. Ongoing federal research in fatty liver disease, drug hepatotoxicity, sclerosing cholangitis and alcoholic liver disease is bringing new hope for improved treatments and better results for our patients. 

Liver and Multivisceral Transplant Program

Patients come from all over the country to receive abdominal organ transplantation at IU Health. As one of the largest transplant programs in the United States, we perform the most small bowel and multivisceral transplant procedures and our reputation for excellence is backed with impressive patient and graft survival. In addition, our patients enjoy exceptional care and very short waiting times (on average less than six months). 

ERCP Program

The ERCP (endoscopic retrograde cholangiopancreatography) Program at IU Health is continually at the forefront of innovation, offering stone extraction, stent placement, lithotripsy, spyglass procedures and photodynamic therapies to patients from across the country and the world. With over 3,000 procedures performed annually, we are a recognized leader, and serve as the referral center for ERCP procedures failed elsewhere. Our commitment to providing quality, personalized care to our patients includes dedicated ongoing federal research of the most advanced endoscopic techniques.

EUS Program

IU Health is one of the highest volume centers in the country for diagnostic and therapeutic EUS (endoscopic ultrasound) procedures, performing over 2500 annually. Our team of physicians is conducting groundbreaking research in utilizing EUS for the treatment of esophageal, pancreatic and rectal cancers. 

Double and Single Balloon Enteroscopy Program

IU Health is home to one of the largest deep enteroscopy programs in the Midwest, offering the most advanced technology for diagnosis and therapeutic intervention. Renowned for our excellent short- and long-term patient results, our specialized care includes a hybrid procedure for patients with altered gastrointestinal anatomy.

Barrett’s Treatment Program

The multidisciplinary team at IU Health offers the most advanced options for diagnosing and treating Barrett's esophagus and high-grade dysplasia. Our physicians have extensive experience in radiofrequency ablation and cryotherapy and provide comprehensive screening, along with progressive endoscopic procedures that result in better patient outcomes. 

Medically Supervised Weight Loss Program

The team of medical professionals at IU Health work together to help you in achieve a balanced and healthy lifestyle. Our trained bariatrician has extensive experience in the medically supervised weight loss program using high protein dietary intervention. She complements our surgeons who head one of the leading bariatric surgery programs in the state.

Related Services and Conditions for GastroenterologySlice

Related Services and Conditions for Gastroenterology

Patient Stories for GastroenterologySlice

Patient Stories for Gastroenterology

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