The Southwest Endoscopy Center is the only health care facility in the Four Corners Region in which gastrointestinal endoscopic procedures are performed only by fully trained and board certified specialists in the field of gastroenterology.
Since opening in 2001, the Center has performed over 18,500 endoscopic procedures in a convenient, safe, private and comfortable atmosphere.
Your time is very important to us. Even though we have a lot to do during your short stay to complete your procedure in a safe and effective manner, one of our key goals is to get you home as quickly as possible. In most cases, patients seen at our facility for an endoscopic procedure are ready to be discharged home 90 minutes to 2 hours after check-in.
Procedures commonly performed at our Center include:
Colonoscopy (click for additional information)
Colonoscopy is an examination of the large intestine (colon) which is frequently performed for routine colon cancer screening, detection and removal of polyps, evaluation of symptoms such as diarrhea, abdominal pain, bleeding or constipation, and the monitoring of inflammatory bowel diseases, such as ulcerative colitis and Crohn's disease.
Colonoscopy FAQs at Digestive Health
Upper gastrointestinal endoscopy (click for more information)
Esophagogastroduodenoscopy, or EGD, is an examination of the esophagus, stomach and duodenum often performed for the evaluation of symptoms such as heartburn, trouble swallowing, abdominal pain or indigestion, vomiting or weight loss, or a sensation of filling up too fast. Endoscopy is also often performed in individuals who have reflux symptoms such as heartburn to screen for complications such as the potentially precancerous problem known as Barrett's esophagus.
Upper Endoscopy FAQs at Digestive Health
Esophageal dilation (click for more information)
Esophageal dilation is the treatment of narrowing in the esophagus due to gastroesophageal reflux disease or other disease processes. Dilation is performed with a variety of instruments, including tapered plastic or rubber-like tubes and balloon catheters. Dilation is generally performed during an upper endoscopy.
Minimally invasive hemorrhoid therapy (click for more information)
We offer both infrared coagulation (infrared light-based coagulation probe) and hemorrhoidal band ligation (placement of temporary internal rubber bands at the base of hemorrhoids) treatments. These treatments can be performed at the time of colonoscopy.
Important processes of care at our facility
Sedation
In most cases procedures at the Center are performed under IV procedural sedation, which is sometimes called moderate-deep IV sedation. Unlike a general anesthetic for which an artificial breathing tube must be inserted, during procedural sedation patients are asleep enough not to feel or remember painful aspects of the procedure, but awake enough to maintain breathing and other essential body functions. Sedatives in our facility are administered by a specially trained registered nurse working under the direction of the physician-endoscopist. Our patients are closely monitored by their sedation nurse, who has no other tasks during the procedure. Our monitoring procedures additionally include ECG (heart electrical tracing), oximetry (blood oxygen level) and capnography (exhaled breath carbon dioxide level). All patients receive supplemental oxygen by nasal cannula or mask.
Most procedures in our facility are performed under gastroenterologist-directed propofol sedation, an increasingly utilized technique in GI endoscopy which affords superb patient comfort during the procedure yet permits very rapid recovery of normal function minutes after the procedure is completed. Postprocedural adverse affects such as nausea or lingering amnesia are rare with this form of sedation.
Procedure reports
We complete computer-generated procedure reports, which include digital photographs taken during the procedure, while our patients are in the recover area. All patients are provided with a copy of their full report prior to discharge. Our trained recovery area nurses review findings with our patients before discharge, and provide provide patient education materials pertinent to any important findings. When necessary, additional physician consultation may also be arranged prior to discharge or later on the day of examination. Unless instructed otherwise, we provide a copy of this report to referring providers, primary care providers, and other designated doctors or facilities.
Pathology examinations
Tissue is commonly removed during endoscopic procedures. Any biopsies, polyps or other specimens obtained or removed during a procedure at our facility is referred for examination by a pathologist at Mercy Regional Medical Center. Mercy's pathologists are highly experienced in the evaluation of endoscopic tissue specimens, and are members of the AmeriPath network, facilitating ready access to outside expert opinions, when necessary. Your Digestive Health doctor will communicate your pathology findings directly to you, typically by letter, telephone call or e-mail.
Clinical Outcomes Research Initiative (click for more information)
Digestive Health has been a member of this prestigious endoscopic research consortium, which is based at the University of Oregon's Health Sciences Center, since 1999. CORI is the world's leading endoscopic data repository. We are one of 107 university hospitals, Veteran's Administration hospitals and private practice research sites in the United States and Canada working together to improve the quality of clinical practice in gastroenterology. At the Southwest Endoscopy Center all of our procedure data are electronically processed to remove any information by which an individual patient or physician could be identified, following which the remaining "deidentified" data are shared for research purposes in the National Endoscopic Database. Many CORI-based studies have already added significantly to our understanding of gastrointestinal diseases and have influenced the practice of gastrointestinal endoscopy worldwide. Our Digestive Health CORI database currently includes more than 27,600 reports of endoscopic procedures we have performed at our Durango sites.
How are flexible endoscopes cleaned between patients? (click for more information)
What are the differences between our endoscopy center and Mercy Regional Medical Center's endoscopy facility?
Additional information
Please visit the American Society for Gastrointestinal Endoscopy's patient education site for additional general information information about gastrointestinal endoscopy.
Disclosure of Ownership: The Southwest Endoscopy Center, RLLLP is an independent business licensed in Colorado as an Ambulatory Surgery Center. It is operated by entities owned by Drs. Gerstenberger, Christensen and Saslow.
The material provided on this website is for general informational purposes only.
If you need specific medical advice, please contact our office for an appointment.
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