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Winter 2015-2016

SHINE 

27

Thanks to endoscopy, all of Jada’s treatment was able to

be done minimally invasively and without surgical incisions.

Endoscopy involves guiding a thin tube with a camera

attached to the end through the GI tract. Other tools can

follow and be used to repair tears in the intestinal lining,

remove tumors, and much more.

In particular for Jada, Dr. Kedia used endoscopy to

perform a pancreatic necrosectomy, which involves placing

a metal stent through the wall of the stomach to help drain

the necrotic fluid. Methodist Dallas is the first hospital in

Dallas–Fort Worth to offer this procedure through a U.S.

Food and Drug Administration–approved lumen-apposing

metal stent. In Jada’s complicated case, the endoscope was

also used to help remove the solid infected debris.

“In the past, patients would need some type of surgery

to go in and remove that tissue, which has risk for surgical

complications,” Dr. Kedia says. “Fortunately, we could go

through the stent with the endoscope and remove that dead

material. There are only a handful of pancreatic centers of

excellence in the country that can handle this type of disease

in a minimally invasive fashion, and we’re one of them.”

Time to celebrate

Jada was amazed at how easy the endoscopic procedures

were on her physically.

“There was no pain, and my throat wasn’t scratchy at

all,” she says. “It was like they didn’t do anything. I asked

Dr. Kedia, ‘Are you sure you went in there?’”

The proof is in Jada’s recovery. Months later, she

still feels great.

“God is good,” Jada says. “I’m thankful to Methodist

Dallas and all the doctors. I want to celebrate all the

people who helped me. I’d like to celebrate them

keeping me here.”

WHATWE TREAT

Here’s a quick look at all

the organs monitored and

treated at Methodist

Digestive Institute.

What doctors call it:

Radiofrequency

ablation (RFA)

How it helps:

Some patients with

gastroesophageal reflux disease,

or GERD, can develop a condition

called Barrett’s esophagus, which

can lead to cancer. In RFA, a small

endoscopic device delivers heat

energy to corrupted esophagus

tissue, destroying it and relieving

the patient of reflux symptoms.

What doctors call it:

Peroral endoscopic

myotomy (POEM)

How it helps:

For people

with swallowing or

esophageal disorders, this

endoscopic procedure

removes or loosens tight

muscles in the esophagus

and stomach. Then the

esophagus is free to

work correctly.

What doctors call it:

Pancreaticoduodenectomy,

or Whipple procedure

How it helps:

This complicated

procedure involves removing the

cancerous head of the pancreas, along

with the gallbladder, the common bile

duct, part of the stomach and small

intestine, and lymph nodes. The surgeon

then reconnects the pancreas, stomach,

and small intestine to restore digestion.

Methodist Dallas is one of only a few

hospitals in the country performing the

Whipple robotically, which results in far

less pain and a faster recovery.

Esophagus

Bile ducts

Pancreas

Liver

Gallbladder

Stomach

Small

and large

intestines

Colon

LISTEN

TO YOUR GUT

Call

214-947-6296

and ask for

a referral.