Procedures offered by Dr. Motola

Several office based tests that are not shown below include urease breath testing for H. pylori, lactose intolerance testing,
sucrase deficiency testing, and small intestinal bacterial overgrowth (SIBO) testing.

See FAQ links for answers to common questions.
Download instructions for how to prepare for your procedure.


EGD / Upper Endoscopy / Esophagogastroduodenoscopy

An Upper endoscopy, also called EGD for short, allows direct observation of the mucosa or lining of the digestive tract. The examination is performed using a 10 mm wide flexible tube that contains a light source, lens, and both suction and manipulation channels.  The scope is advanced under anesthesia through the mouth , down the esophagus , and into the stomach and duodenum, which is the first portion of the small intestine. Click here for frequently asked questions. For upper endoscopy preparation instructions, click here for more information.

 

Colonoscopy

Colonoscopy is a procedure which enables the direct examination of the lining of your colon (large intestine). A colonoscope is similar to the scope used in upper endoscopy but it is much longer and slightly less flexible. It too has its own lens and light source as well as suction and manipulation channels (insertion of tools).  The scope is advanced into the rectum through the anal canal and then passed through the colon until it reaches the junction of the cecum and ileum, which is marked by the ileocecal valve and appendix. Lesions such as benign polyps, cancer, and inflammation can be found during a colonoscopy. Biopsies are obtained and polyps are removed during a colonoscopy. Click here for frequently asked questionsFor colonoscopy preparation instructions, click here for more information.

 

Sigmoidoscopy

Flexible sigmoidoscopy is identical to a colonoscopy but differs in that the scope is only advanced to the splenic flexure. The endoscopist only views the left most or distal (far from mouth) portion of the colon, which includes the descending colon, sigmoid colon, and rectum. The scope is not advanced further. This type of procedure does not typically require anesthesia and a patient must only prepare using 2 enemas.  Click here for frequently asked questionsFor sigmoidoscopy preparation instructions, click here for more information.

 

Video Capsule Endoscopy

A video capsule endoscopy is a capsule sized device containing a wireless video camera, a light source, a battery, and a radio transmitter. The capsule is swallowed and it takes pictures over a period of 8 hours as it passes through the digestive tract.  This is tools is best used to to evaluate the space not reached by an EGD or Colonoscopy, which is the majority of the small intestine. As the capsule travels through the esophagus, stomach, and small intestine, it takes twenty pictures every 10 seconds. Click here for frequently asked questions. For video capsule endoscopy preparation instructions, click here for more information.