Endoscopy department of MC Erebouni is a multi-profile department where diagnostic and therapeutic endoscopy procedures in the pathology of gastrointestinal and respiratory tract, organs of thorax and abdomen are performed.
Each year for about 3000 endoscopic procedures are carried out in the department.
Currently, it is one of the largest endoscopic departments in Armenia equipped with the most modern equipment and staffed with highly qualified specialists. It provides a comfortable environment for patients.
All examinations may be complemented by biopsy, chromoscopy, Helicobacter pylori test. The immunocytochemical and immunohistochemical studies of tissue are more informative and accurate methods of benign and malignant tumors diagnostics.
In addition to diagnostic procedures the complete list of emergency and planned endoscopic interventions including range from polypectomy to endoscopic surgery on the bile and pancreatic ducts are performed at the department. Minimally invasive surgery can significantly reduce the period of hospitalization and minimize the period of rehabilitation in comparison with the traditional surgeries.
In the Endoscopy department of MC Erebouni the diagnostic and therapeutic endoscopy are carried out:
* Esophagogastroduodenoscopy
* Colonoscopy
* Bronchoscopy
* Endoscopic retrograde Cholangiopancreatography (ERCHPG)
There are also surgical interventions, such as:
* Esophageal variceal ligation
* Esophageal, piloro- duodenal and colon stenting
* Retrograde cholangio-pan creatography (ERCP)
* Endoscopic papillosphincterotomy
* Endoscopic gallbladder stenting (EGS)
* Endoscopic resection of the mucous membrane for precancerous polypoid growths
* Endoscopic gastrostomy formation
* Balloon dilation of achalasia
* Large-scale surgical endoscopic interventions
* Argon plasma coagulation
Endoscopy Department of MC Erebouni uses modern equipment that is still new in the republic. The department is equipped with a modern endoscope of the Japanese PENTAX medical company, which enables to carry out the examinations of stomach and intestinal tract painlessly and without any difficulties. And in case of tumors detection, it is possible to perform surgery at the time of examination.
The Endoscopy Department has:
- Modern video endoscopes of Japanese «Olympus» company IF, TJF, CF, BF, GIF Viscera 160, 180.
- Auxiliary electrosurgical set and papillotomy
- Diathermic nodes,
- Mechanical lithotriptor of Japanese «Olympus» company
- Mechanical lithotriptor of Irish «Wilson-Cook» company
- Mechanical lithotriptors of German «Endoflex» company
The technical condition of endoscopic devices is under the permanent control of high-qualified engineers for repair and service of endoscopes.
Processing and sterilization of endoscopic equipment meets contemporary patient's safety requirements.
The permanent control of microbial contamination allows keep optimal sanitary and epidemic conditions of environment. The equipment passes all processing steps, starting with the mechanical cleaning and finishing with high-level of disinfection. Endoscopic toolset is sterilized and maintained in sterile conditions.
Diagnostic endoscopy
In Endoscopy Department of Erebouni Medical Centre are introduced and routinely performed the following diagnostic endoscopy procedures:
- Esophagogastroduodenoscopy (EGDS)
- Colonoscopy
- Bronchoscopy
- Endoscopic retrograde cholangiopancreatography
Therapeutic endoscopic surgical and interventional procedures
They are performed under the local anesthesia, with moderate or deep sedation, or under the endotracheal anesthesia.
- Electrocoagulation of the bleeding locum in the stomach and duodenum, or respiratory tract
- Removal of the foreign bodies from the esophagus, stomach, duodenum, respiratory tract
- conduction of the nutrient probes into the lower parts of the esophagus, stomach and duodenum for the feeding and also for prevention of the insufficiency of the seams of the operated patients
- endoscopic placement of the balloon in the stomach for the weight loss
- biopsy of the mucous of stomach, duodenum, respiratory tract with consequent cytological and histological sudy
- endoscopic removal of colon polyps
- bronchoscopic lavage of the bronchi
- endoscopic dilation of the bile duct (biliar hypertension)
- endoscopic wirsungotomy as independent or one of the stages of decompression of pancreatic duct
- endoscopic dilation of the main pancreatic duct (pancreatic hypertension)
- endoscopic papillotomy (papillosphincterotomy) EPST
- biliary duct stenting
- endoscopic lithotripsy and lithoextraction – crushing and removing of the chololiths (concrements) in the cholecyst and the bile ducts
