Procedures

At FVH, we follow the most vigorous criteria of disinfection, to assure the patient’s safety. All equipment and implements are reprocessed automatically, according to the stringent standards of European protocols.

To build the very best relationship between doctor and patient, the doctor in charge will take care of the patient at every stage of the process: consultation, diagnosis, endoscopy, hospitalization and later follow-up.

Interventional Endoscopy

Interventional or therapeutic endoscopy, ERCP (Endoscopic Retrograde Cholangiopancreatography), EUS, and other techniques are the new modality of treatment, which can help to solve the problem with faster recovery and lower cost. These treatments can be used to eliminate an existing problem or to prevent a digestive tract problem occurring; especially for early gastrointestinal cancers. Endoscopic treatment can be applied in all parts of the gastro-intestinal tract and bilio-pancreatic system. Most commonly used techniques are dilation, haemostasis, stenting, and removal of foreign bodies, percutaneous endoscopic gastrostomy, pancreatic pseudo-cysts endoscopic drainage, pancreatitis treatment, etc.

Liver Biopsy

For liver diseases, correct diagnosis is crucial in determining the correct treatment. An advanced (specialized gun) is utilized to obtain the liver sample for biopsy. All results are analyzed and evaluated in accordance to international standards using the most recent available information. Treatment and follow-up for all such cases adhere to the same strict standards

Peptic ulcer – this can be either a sore or eroded area in the linings of the digestive tract. Peptic ulcers usually occur in the stomach (gastric ulcer) or in the duodenum (duodenal ulcer) which is the upper region of the small intestine.

GERD or Gastroesophagal Reflux Disease: when the valve between the oesophagus and stomach is damaged, acid from the stomach flows back (refluxes) into the oesophagus causing irritation and sometimes damage to the lining of the oesophagus. This condition is known as GERD. In some cases the reflux can rise high enough to affect the vocal cords, or even flow into the lungs (called aspiration), causing damage to those tissues and organs.

Pancreatic diseases

Gastro-intestinal infections – gastrointestinal disorders, including ulcers and to a lesser instance, cancer can be caused by a bacterial infection known as helicobacter pylori (H. pylori).

• Cancer of digestive system
• Paediatric gastroenterology
• Motility functions

The procedure of examination and diagnosis of liver fibrosis by Fibroscan is like the echography with the result delivered in a few minutes. In some cases, Fibroscan can be applied in stead of liver biopsy or can assist doctors to make a next plan for diagnosis and treatment. Fibroscan itself can provide enough information for making a decision of treatment, without the need of liver biopsy. Moreover, thanks to its painlessness and harmlessness to health, it can be performed many times to monitor the liver fibrosis development and treatment effectiveness.

Capsule endoscopy

Capsule endoscopy is a procedure to examine the small intestine which is beyond the reach of a conventional endoscope. This technique is used to diagnose and monitor diseases throughout the gastrointestinal tract (GI). Although conventional endoscopy remains the standard to examine the oesophagus, stomach and distal colon, capsule endoscopy has the advantages that come with non-invasive procedures.

Capsule endoscopy is primarily used to look for small bowel bleeding in the small intestine, but it is also being used for the evaluation and diagnosis of celiac disease, Crohn’s disease, small bowel tumours, and intestinal disorders caused by non-steroidal anti-inflammatory drugs (NSAIDs), and other diseases related to oesophagus, stomach and large intestine. It is also used in monitoring treatment outcomes. The limitation of the current technique is that they cannot function for controlling, obtaining, or biopsies.

Manoscan

This is an Oesophageal Peristalsis Manometer, a technique that helps to observe your oesophageal function to evaluate if it’s functioning correctly. The technique is to measure the oesophagus contraction and coordination of the oesophageal muscles in the process of transporting food into your stomach. It’s used to diagnose whether you have a gastroesophageal reflux condition, or if it has been mistaken for other diseases. Thereby, the procedure helps doctors to provide timely and effective treatment methods.

The products is manufactured by Medtronic

Fibroscan Expert 630

This technique is a quantification of liver stiffness and fibrosis; liver fat; and spleen stiffness by an ultrasound-fusion device that is guided by a convex transducer providing images to a 19 inch display.

It is the latest and most advanced generation of Fibroscan.

24h pH measurement

The 24-hour oesophageal pH is a test used to evaluate the acid reflux level from the stomach into the oesophagus. The test is commonly used in the diagnosis and monitoring of gastroesophageal reflux. It is recommended for patients with suspected gastroesophageal reflux disease that cause symptoms such as heartburn, chest pain and persistent dry cough.

The evaluation of the effectiveness of the gastroesophageal reflux disease treatment.

Endoscopic ultrasound (EUS)

EUS is a method that allows doctors to examine the lining of the digestive tract, including the oesophagus, stomach, duodenum, and rectum. EUS is also used to study organs near the gastrointestinal tract including the lungs, liver, gallbladder, bile duct systems (including the pancreas), and lymph nodes.

This method uses an endoscope with integrated mini ultrasound transducers combined with high frequency sound waves to record ultrasound images with higher quality and accuracy as compared to conventional ultrasound methods on the outside of the body.

When it’s combined with a biopsy, the doctor can take samples from the patient’s tissue and fluids, minimalizing the invasive impact. Additionally, EUS is also used in treatment such as pseudocyst drainage, prophylactic pancreatic duct stenting, biliary drainage, celiac plexus block, bile-intestine surgery, and abdominal drainage

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