Overview
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Clinical Programs at Duke Division of Gastroenterology
Biliary and Pancreas Service: Officially known as the Hepatopancreato-Biliary (HPB) Diseases Service, this program offers consultation by regionally and nationally recognized experts for patients with biliary and pancreatic disorders and includes a multidisciplinary approach with Duke Surgery, Radiology and Oncology. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) are particular areas of expertise within the Biliary Service, with physicians performing approximately 2000 procedures each year.
Disorders of the Esophagus: Esophageal manometry and ambulatory pH monitoring including capsule pH (Bravo®) studies for patients with swallowing disorders and gastroesophageal reflux are available at the Duke GI Manometry Laboratory. We are involved with new endoscopic techniques for the treatment of both esophageal reflux as well as the pre-malignant condition of Barrett’s esophagus. Our faculty is recognized for expertise in the management of esophageal cancer including esophageal stent placement and photodynamic therapy (PDT) and work closely with our surgical colleagues at Duke who are recognized leaders in the surgical treatment of esophageal diseases including newer laparoscopic techniques.
Disorders of the Stomach, Small Intestine, and Colon: Duke’s GI service has a particular interest in colon cancer screening and prevention. The multidisciplinary approach combines endoscopy, general surgery, oncology and endosurgery to offer comprehensive medical care. Our general gastroenterology clinic cares for a wide range of patients with gastrointestinal disorders ranging from acid-peptic diseases to functional GI disorders.
Physicians: Joanne Wilson, Wendy Davis, Michael Feiler, Martin Poleski, Stan Branch, Jerry Evans, Jorge Obando, Jane Onken, Melissa Teitelman, Melissa Garrett, Rahul Shimpi.
Inflammatory Bowel Disease Clinic: The Inflammatory Bowel Disease Clinic offers state-of-the-art diagnostic and therapeutic options for patients with Crohn’s disease and ulcerative colitis, as well as access to studies of new treatments. We offer clinic consultation and management, treatment in our infusion center as well as endoscopic evaluation and surveillance by experienced faculty recognized for their expertise in this field. The IBD group takes a multidisciplinary approach for patients with complicated inflammatory bowel disease working closely with expert colleagues in the Duke Colorectal Surgery, Radiology and Pathology.
Liver Clinic: The Duke Liver Clinic provides care to a variety of liver conditions, including hepatitis B, hepatitis C, nonalcoholic fatty liver disease, autoimmune hepatitis, primary sclerosing cholangitis, primary biliary cirrhosis, hemochromatosis, Wilson’s disease, and alpha-1-antitrypsin deficiency. We also offer care for the complications of cirrhosis, including liver transplantation. The Duke Liver Transplant Program has been in existence since 1984. Our physicians and nurses provide outstanding clinical care and also offer patients the latest breakthroughs through opportunities in clinical trials of new therapies.
Endoscopy Units: Duke offers one of the largest endoscopy services in the U.S. offering patients a range of endoscopic services from the newest technology and procedures to efficient and patient friendly colorectal cancer screening at our new ambulatory endoscopy center @ Brier Creek. More than 12,000 procedures are performed each year, including diagnostic and therapeutic upper endoscopy and colonoscopy, small bowel enteroscopy, and wireless capsule endoscopy. More recently we are offering endoscopic treatment for gastroesophageal reflux, Barrett’s esophagus as well as mucosal resection of pre-malignant gastrointestinal lesions.
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