Digestive Disorders

The team of physicians in the Digestive Diagnostic & Treatment Center at Tampa General Hospital uses the most advanced technology for both the diagnosis and treatment of all types of conditions concerning the digestive system. Click here to take a virtual tour of the Digestive Diagnostic & Treatment Center.

Our Multi-disciplinary Team Includes

Gastrointestinal Surgeons
Colorectal Surgeons
Gastroenterologists
Oncologic Surgeons
Radiologists
Enterostomal Therapy Nurses
Registered Dietitians
Medical Oncologists
Clinical Nurse Specialists
Biofeedback Therapists
Research Nurses and Associates
Major Organ Transplant Team
Pharmacotherapists
Outcomes Managers
Social Workers

Disorders Treated
Areas of Specialty
Specialty Procedures
Other procedures include


Disorders Treated

Anorectal

Rectal cancer can often be treated to avoid permanent colostomy. Other ailments treated are rectal prolapse, rectorele, hemorrhoids (done both surgically and non-surgically), anal stenosis, and rectal fistula. Treatment of fecal incontinence with anal sphincter reconstruction and biofeedback therapy is available.

Colon

Colorectal cancer screening is available. Diverticular disease, polyps, colorectal cancers, and chronic constipation are frequently treated conditions. Ulcerative colitis is treated both medically and surgically with new surgical procedures utilizing anal conservation, ileonal reservoir, and continent ileostomy.

Esophageal

Swallowing problems are frequently caused by esophageal disorders.Treatments for esophageal cancers and strictures, which may involve laser therapy or surgery, can be undertaken. Esophageal emptying problems can often be cared for without surgery or with minimally invasive surgery. Modern techniques such as endoscopic procedures are used to control bleeding and reduce hospital stay. Hiatal hernia disease is another common disorder which can be treated with new technologies. Acid indigestion or 'heartburn', also known as Gastroesophageal Reflux Disease (GERD) can be diagnosed and treated using newly developed procedures and minimally invasive surgical techniques utilizing laparoscopic equipment. Click here to view a replay of a live webcast of a minimally invasive procedure to treat GERD.

Gastric

Peptic ulcer disease is a common gastric disorder. New diagnostic tests and treatments have been developed to detect bleeding peptic ulcers caused by H. Pylori bacteria. Once detected, minimally invasive technologies, including endoscopy and laparoscopy, can be used in treatment.

Liver

Assessment and treatment of advanced liver disease and liver failure are available. TGH is a designated Liver Transplant Center for the west coast of Florida. Medical treatment with Interferon for individuals with chronic hepatitis is available. Our advanced treatment for ascites and portal hypertension has received national acclaim. Surgery for liver tumors and liver cancer is available for even the most serious problems. Modern surgical treatment for gallbladder disorders has reduced pain and shortened hospitalization.

Pancreatic

Treatment of pancreatitis and surgery for pancreatic cancer are available. Nationally prominent programs and innovative therapies are utilized to provide care.

Small Intestine

Malabsorption disorders, chronic diarrhea, inflammatory bowel disease, Crohn's disease, cancers, and enteric fistulae are frequently treated with innovative therapies. New research-based pharmacotherapy is available to treat complicated Crohn's disease.


Areas of Specialty

Colon (Large Intestine) : The muscular tube which assists in the mixing of the contents, absorption or water, and other functions

Esophagus : The muscular tube extending from the mouth to the stomach

Gallbladder : A saclike structure that holds and releases bile which aids in the digestion of fats

Liver : The largest organ in the body which provides many functions including the purification of harmful substances, synthesis of complex substances, storage of sugars, fats, and vitamins, and transformation of essential building blocks into other substances.

Pancreas : An organ which has various functions relating to both digestion of food and regulation of functions of the body

Rectum : The end portion of the colon which assists in control of elimination

Small intestines : A long muscular tube leading from the stomach to the colon which functions to hold and absorb nutrients

Stomach : A dilated saclike structure attached to the esophagus that empties into the small intestine


Specialty Procedures

The Digestive Disorders Center conducts diagnostic procedures including:

Advanced laparoscopic techniques

Minimally invasive techniques may be used in certain operative procedures. Compared to traditional procedures, they result in less pain, less scarring, a shorter hospital stay, and a quicker recovery time.

Anal manometry/electromyography

Manometry - computerized measurement of the anal sphincter (muscle) activity - useful in the assessment of bowel incontinence and constipation

Endoscopic Retrogradecholan-gio Pancreatagraphy (ERCP)

X-rays of the pancreatic ducts and bile ducts - useful in diagnosing and treating disorders of the pancreas and bile ducts, including jaundice, pancreatitis, and tumors

Esophageal function studies

24-hour esophageal pH monitoring and motility studies - useful in the treatment of persistent and continued 'heartburn' and other swallowing disorders.

Gastrointestinal Endoscopy

Direct visualization of the inside of the intestine - useful in diagnosing intestinal disorders

Robot-assisted Surgery

Tampa General Hospital offers robot-assisted surgery for a number of surgical procedures. Called the da Vinci® Surgical System, this system provides the surgeon with enhanced surgical precision, increased range of motion, improved agility, enhanced visualization and easier access to very confined areas of the body while taking a minimally invasive approach during surgery. Benefits for patients include shorter length of stay, less pain, lower risk of infection and quicker recovery.
Photo courtesy of Intuitive Surgical

The system consists of four interactive robotic arms, a surgeon’s control console and an endoscopic tower system that provides high-definition, three-dimensional images in brilliant color and with natural depth of field. During an operation, the surgeon sits at the console, where he/she can see the targeted anatomy while using the console’s master controls to maneuver the robotic arms. These arms hold the dual endoscopic cameras, which provide stereoscopic, high-definition images, and highly specialized instruments capable of moving in any direction, exceeding the range of motion of a human hand.

The system translates the surgeon’s hand movements into extremely precise, tremor-free movements by the instruments. The surgeon can also remotely reposition the camera at any time to obtain the precise view needed

TIPS - Transjugular Intrahepatic Porto Systemic Shunt

An angiographic method conducted in radiology to decrease portal hypertension - useful in the treatment of severe liver dysfunction and bleeding varices


Other procedures include

Arteriography
Intestinal Transit Studies
Duplex Ultrasound
Endoscopic Ultrasound
Laparoscopic Ultrasound
MR Imaging
Multi-organ Transplantation
Spiral CT Scanning
Weight Loss Surgery