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Gastroenterology

Detection, diagnosis and treatment for your entire gut health

We provide complete care for your gastrointestinal conditions. Our expert team of providers will be with you throughout your treatment. 

We have advanced screening services for early disease detection. And we use advanced diagnostic procedures and the latest medical and surgical treatments for your care.

Very few programs can say that patients come from everywhere in the country and beyond to seek out our services, providers, groundbreaking research and trials. At IU Health, we can.

We take a team approach to your health. Our physicians provide a full range of diagnostic and treatment options. We work with you to find the best solutions for your condition. That way you can get back to living and enjoying life to the fullest.

Our program with highly-specialized physicians is known for its success in diagnostics, screenings, procedures and treatments.

Our program offers complete services for all digestive and liver disorders. This includes screening, therapeutic endoscopic procedures and GI motility disorders. Among many highlights, we're trusted because we offer:

  • One of the top colonoscopy experts in the world.
  • Experience that comes from completing a high volume of successful procedures.
  • Robotic pancreatic surgery. This leads to shorter hospital stays, fewer complications and faster recovery time for you.
  • Advance technologies such as:
    • Mini scopes to investigate diseases of the pancreas and biliary tree, 
    • Lithotripsy of pancreatic stones
    • Natural orifice transgastric endoluminal surgery (NOTES)

Our Approach to Gastroenterology

Very few programs can say that patients come from everywhere in the country and beyond to seek out our services, providers, groundbreaking research and trials. At IU Health, we can.

We take a team approach to your health. Our physicians provide a full range of diagnostic and treatment options. We work with you to find the best solutions for your condition. That way you can get back to living and enjoying life to the fullest.

Our program with highly-specialized physicians is known for its success in diagnostics, screenings, procedures and treatments.

Our program offers complete services for all digestive and liver disorders. This includes screening, therapeutic endoscopic procedures and GI motility disorders. Among many highlights, we're trusted because we offer:

  • One of the top colonoscopy experts in the world.
  • Experience that comes from completing a high volume of successful procedures.
  • Robotic pancreatic surgery. This leads to shorter hospital stays, fewer complications and faster recovery time for you.
  • Advance technologies such as:
    • Mini scopes to investigate diseases of the pancreas and biliary tree, 
    • Lithotripsy of pancreatic stones
    • Natural orifice transgastric endoluminal surgery (NOTES)

We are the only nationally ranked program in the state, according to the 2018-19 U.S. News & World Report rankings. We are able to offer the latest in care, treatments, technology, research and education. We have many programs and specialties, including:

Colorectal Cancer Screening & Advanced Colonoscopy Program

We've helped develop 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. 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 use clinical research and industry-sponsored clinical trials in our treatment plans. This provides you with the best possible options for care.

GI Motility Program

The Neurogastroenterology & 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
  • Fecal incontinence  

We offer full 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 

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. We help patients with acute and chronic liver conditions, including:

  • Fulminant liver failure
  • Cirrhosis
  • End-stage liver disease

Our program has been a pioneer in the field of new treatments for hepatitis C, which has helped 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 & Multivisceral Transplant Program

Patients come from all over the country to receive abdominal organ transplant at IU Health. 

As one of the largest transplant programs in the United States, we perform the most small bowel and multivisceral transplant procedures. Our reputation for excellence is backed with impressive patient and graft survival. Our patients also 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 at the forefront of innovation. We offer stone extraction, stent placement, lithotripsy, spyglass procedures and photodynamic therapies from patients from around the world. 

With more than 3,000 procedures performed annually, we are a recognized leader. We serve as the referral center for ERCP procedures failed elsewhere. We provide quality, personalized care for our patients. This includes dedicated ongoing federal research of the most advanced endoscopic techniques.

EUS (Endoscopic Ultrasound) Program

IU Health is one of the highest volume centers in the country for diagnostic and therapeutic EUS (endoscopic ultrasound) procedures. We perform more than 2,500 annually. 

Our team of physicians is conducting groundbreaking research in using EUS for the treatment of esophageal, pancreatic and rectal cancers. 

Double & Single Balloon Enteroscopy Program

IU Health is home to one of the largest deep enteroscopy programs in the Midwest. We offer the most advanced technology for diagnosis and therapeutic intervention. 

We are known 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 expert team of specialists at IU Health offer the most advanced options for diagnosing and treating Barrett's esophagus and high-grade dysplasia. 

We are experienced in radiofrequency ablation and cryotherapy. Our providers offer complete screening, along with progressive endoscopic procedures that result in better 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.

Diagnostic Tests & Monitoring Procedures

High-Resolution Esophageal Impedance & Manometry

This test measures the strength and function of the muscles in the esophagus. We use this to evaluate the cause of gastroesophageal reflux disease (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). We also use it to evaluate patients with chest pain that may be coming from the esophagus rather than the heart. The test may also be needed to place an acid-sensing probe (pH probe) in the esophagus.

Ambulatory Esophageal pH & Impedance Monitoring

This monitoring is used to evaluate for gastroesophageal reflux disease. We also use it to see how well the medications that prevent acid reflux are doing. It's also used as part of your evaluation before anti-reflux surgery.

Bravo Esophageal pH Wireless Monitoring 

This monitoring helps determine how well the medicine that prevents acid reflux are doing. It does this by measuring the amount of acid backing up (refluxing) from the stomach into the esophagus.

Hydrogen Breath Test

This test provides information about the digestion of certain sugars or carbohydrates, such as milk sugar (lactose) or fruit sugar (fructose). It's used to determine lactose intolerance or to find unusual 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. It's used for patients with diarrhea, fecal incontinence and constipation.

Small Bowel Manometry

This tests provides information about the muscle activity of the stomach and small bowel. We use it to see 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

The Smart Pill uses wireless sensor technology to measure pressure, pH and temperature in the digestive tract. 

The pill collects data and sends it to a wireless data receiver. It can be downloaded to a computer, which provides 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. This includes the three portions of the small intestine (duodenum, jejunum, ileum), which cannot be reached by traditional upper endoscopy or by colonoscopy. 

It's useful for detecting polyps, inflammatory bowel disease, Crohn’s disease, ulcers and tumors of the small intestine.

Why IU Health for Gastroenterology

We are the only nationally ranked program in the state, according to the 2018-19 U.S. News & World Report rankings. We are able to offer the latest in care, treatments, technology, research and education. We have many programs and specialties, including:

Colorectal Cancer Screening & Advanced Colonoscopy Program

We've helped develop 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. 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 use clinical research and industry-sponsored clinical trials in our treatment plans. This provides you with the best possible options for care.

GI Motility Program

The Neurogastroenterology & 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
  • Fecal incontinence  

We offer full 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 

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. We help patients with acute and chronic liver conditions, including:

  • Fulminant liver failure
  • Cirrhosis
  • End-stage liver disease

Our program has been a pioneer in the field of new treatments for hepatitis C, which has helped 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 & Multivisceral Transplant Program

Patients come from all over the country to receive abdominal organ transplant at IU Health. 

As one of the largest transplant programs in the United States, we perform the most small bowel and multivisceral transplant procedures. Our reputation for excellence is backed with impressive patient and graft survival. Our patients also 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 at the forefront of innovation. We offer stone extraction, stent placement, lithotripsy, spyglass procedures and photodynamic therapies from patients from around the world. 

With more than 3,000 procedures performed annually, we are a recognized leader. We serve as the referral center for ERCP procedures failed elsewhere. We provide quality, personalized care for our patients. This includes dedicated ongoing federal research of the most advanced endoscopic techniques.

EUS (Endoscopic Ultrasound) Program

IU Health is one of the highest volume centers in the country for diagnostic and therapeutic EUS (endoscopic ultrasound) procedures. We perform more than 2,500 annually. 

Our team of physicians is conducting groundbreaking research in using EUS for the treatment of esophageal, pancreatic and rectal cancers. 

Double & Single Balloon Enteroscopy Program

IU Health is home to one of the largest deep enteroscopy programs in the Midwest. We offer the most advanced technology for diagnosis and therapeutic intervention. 

We are known 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 expert team of specialists at IU Health offer the most advanced options for diagnosing and treating Barrett's esophagus and high-grade dysplasia. 

We are experienced in radiofrequency ablation and cryotherapy. Our providers offer complete screening, along with progressive endoscopic procedures that result in better 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.

Diagnostic Tests & Monitoring Procedures

High-Resolution Esophageal Impedance & Manometry

This test measures the strength and function of the muscles in the esophagus. We use this to evaluate the cause of gastroesophageal reflux disease (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). We also use it to evaluate patients with chest pain that may be coming from the esophagus rather than the heart. The test may also be needed to place an acid-sensing probe (pH probe) in the esophagus.

Ambulatory Esophageal pH & Impedance Monitoring

This monitoring is used to evaluate for gastroesophageal reflux disease. We also use it to see how well the medications that prevent acid reflux are doing. It's also used as part of your evaluation before anti-reflux surgery.

Bravo Esophageal pH Wireless Monitoring 

This monitoring helps determine how well the medicine that prevents acid reflux are doing. It does this by measuring the amount of acid backing up (refluxing) from the stomach into the esophagus.

Hydrogen Breath Test

This test provides information about the digestion of certain sugars or carbohydrates, such as milk sugar (lactose) or fruit sugar (fructose). It's used to determine lactose intolerance or to find unusual 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. It's used for patients with diarrhea, fecal incontinence and constipation.

Small Bowel Manometry

This tests provides information about the muscle activity of the stomach and small bowel. We use it to see 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

The Smart Pill uses wireless sensor technology to measure pressure, pH and temperature in the digestive tract. 

The pill collects data and sends it to a wireless data receiver. It can be downloaded to a computer, which provides 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. This includes the three portions of the small intestine (duodenum, jejunum, ileum), which cannot be reached by traditional upper endoscopy or by colonoscopy. 

It's useful for detecting polyps, inflammatory bowel disease, Crohn’s disease, ulcers and tumors of the small intestine.

Chronic Pancreatitis

A painful disease that occurs with persistent inflammation (irritation) of the pancreas.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

ERCP uses endoscopy and radiology to treat obstructions of the bile duct, pancreatic duct and liver due to stones, benign and malignant tumors, scar formation and others.

Hepato-Pancreato-Biliary (HPB) Surgery

Hepato-Pancreato-Biliary surgery is used to treat diseases of the pancreas, liver, gallbladder and bile duct.

Liver Transplant

If you have a condition that causes your liver to no longer work properly, you may need a transplant which replaces your diseased liver with a healthy, donated liver from another person.

Nonalcoholic Fatty Liver Disease

Increased fatty deposits in your liver tissue can impact proper functioning with this disease.

Pancreatic Cancer

Early detection and prompt, effective treatment for this complex disease offers the best chance of a good outcome.

Related Services and Conditions for Gastroenterology

Chronic Pancreatitis

A painful disease that occurs with persistent inflammation (irritation) of the pancreas.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

ERCP uses endoscopy and radiology to treat obstructions of the bile duct, pancreatic duct and liver due to stones, benign and malignant tumors, scar formation and others.

Hepato-Pancreato-Biliary (HPB) Surgery

Hepato-Pancreato-Biliary surgery is used to treat diseases of the pancreas, liver, gallbladder and bile duct.

Liver Transplant

If you have a condition that causes your liver to no longer work properly, you may need a transplant which replaces your diseased liver with a healthy, donated liver from another person.

Nonalcoholic Fatty Liver Disease

Increased fatty deposits in your liver tissue can impact proper functioning with this disease.

Pancreatic Cancer

Early detection and prompt, effective treatment for this complex disease offers the best chance of a good outcome.

Patient Stories for Gastroenterology