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Our gastroenterology doctors have the most up-to-date technology to care for your ailment. We can screen for any potential issues or perform gastroenterology procedures to combat any symptoms or medical emergencies. If you are in or around Denver, Colorado, we have a state-of-the-art facility near you.
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If you’re dealing with acid reflux or you can’t seem to control the constant gurgling in your stomach, you aren’t the only one. At Colorado Gastroenterology, we’re committed to providing the Denver, CO community a place to turn for their GI issues, whether they’re big or small. Our teams take a compassionate approach to digestive healthcare.
For more than 20 years, our team of gastroenterology specialists has been providing exceptional treatment for a wide range of issues. Our board-certified doctors have the training and expertise to care for patients dealing with abdominal pain, colon cancer, gallstones, pancreatic disorders, and much more.
Portal hypertenisive gastropathy (PHG) and GAVE syndrome are recently discovered entities who can be associated with bloodloss from gastrointestinal tract at patients with or without liver cirrhosis. PHG will be developed at 65% of patients with portal hypertension caused by liver cirrhosis but it could be developed at portal hypertension which is not caused by the liver cirrhosis. PHG is often assosiated with portal hypertension patients and presence of esofageal and /or gastric varices. Mechanism of pathogenesis PHG is still not completely cleared up, but regulation of gastric nitric oxide level, postaglandins, tumor necrosis factor (TNF) and epidermal growth factor production could be important factors in development of portal hypertensive gastropathy. Mechanisms who participate in originating of Gastric Antral Vascular Ectasia (GAVE) are also not completly clear. Classic characteristics of this syndrome are red, often haemorrhagic lesions most often located in stomach antrum, and who could result in blood loss. More than 70% of patients with GAVE syndrome have no cirrhosis or portal hypertension. But when liver cirrhosis is present, it is very difficult to make difference between GAVE and PHG. This review will be focused on incidence, clinical importance, etiology, pathofisiology and treatment of PHG, and how to differentiate between GAVE syndrom and PHG in a case that there exists.
Its typical location is in the gastric fundus and upper body of the stomach although it can affect the whole stomach and even other areas of the gastrointestinal tract, such as the small bowel or the colon 1-8.
Nonalcoholic Fatty Liver Disease (NAFLD) is the term used for the buildup of extra fat within liver cells in individuals who consume little or no alcohol.
The pathophysiology of GAVE is not fully understood. In patients with cirrhosis, portal hypertension appears not to be essential in its development as patients do not respond to portal pressure-reducing therapies, such as TIPS or surgical shunt 40, 62. Liver insufficiency seems to play a significant role in the development of GAVE because it develops in patients with more severe liver dysfunction 59and it has been shown to resolve after liver transplantation 61, 63. Speculation regarding an accumulation of substances not metabolized by the liver which may induce vasodilatation and/or angiogenesis has been suggested as a posible mechanism 62. The association between GAVE and hormones with vasodilating properties such as gastrin 18, 54, 59and prostaglandin E264has also been suggested. Finally abnormal antral motility 65and mechanical stress 18have also been associated to the pathogenesis of GAVE which is further supported by the antral distribution of the lesions.
Some studies have evaluated alternative non-endoscopic methods for the diagnosis of PHG 31, 32such as MRI or CT although until further evaluation in larger populations is available, endoscopy still remains the chief diagnostic method. In a study evaluating the efficacy of capsule endoscopy in the evaluation of the presence and size of varices, capsule endoscopy was shown to have only moderate sensitivity and specificity for the detection of PHG 33. Future studies should specifically evaluate its efficacy in evaluating not only the presence but also the severity of PHG as capsule endoscopy will be particularly important in the evaluation of lesions in the small bowel.
Classic characteristics of this syndrome are red, often haemorrhagic lesions most often located in stomach antrum, and who could result in blood loss. More than 70% of patients with GAVE syndrome have no cirrhosis or portal hypertension.
Instead, it was the year that Emily began to suffer from symptoms of ulcerative colitis. Read Her Story.
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Rocky Mountain Gastroenterology (RMG) is home to the leading gastroenterologists in the Denver, CO area. For more than 20 years, our team of gastroenterology specialists has been providing exceptional treatment for a wide range of issues. Our board-certified doctors have the training and expertise to care for patients dealing with abdominal pain, colon cancer, gallstones, pancreatic disorders, and much more. We have 15 offices throughout the Rocky Mountain region, so you can be sure we are never far from your Colorado home. If you are experiencing any problems with your digestive tract, let us know. We are committed to providing safe, successful solutions daily. Call us today to learn more.
Our Gastroenterologists know all about GI disorders and the best forms of treatment.
Many of these procedures are routine – such as colonoscopy screening or hemorrhoid banding – but we also complete highly-specialized operations such as liver biopsies. We have several missions, including preventative care and reactive treatment. With each, we endeavor to promote health and well-being among all of our patients. We achieve this using state-of-the-art equipment that you will not find at any other facilities throughout the region.
However, because we stand alone in the industry, treatment at Rocky Mountain Gastroenterology is much less expensive than that which you would receive at a hospital. We are regularly among the most cost-effective groups in the area, offering procedures at one-half or even one-third the cost of those performed in hospitals. Additionally, we accept most insurance policies, so your out-of-pocket expenses may be minimal.
Colorado Gastroenterology, with three convenient locations in Denver and Aurora, offers a full spectrum of gastrointestinal services. The team is proud to be one of the region’s most trusted resources for the diagnosis, prevention, and treatment of all gastrointestinal and liver diseases.
The doctors at Colorado Gastroenterology cultivate that trust by taking the time to listen to their patients and fully understand the issues before empowering them with the information and resources they need. Then, together, the doctor and patient can embark on a comprehensive, cutting-edge path to wellness.
The board-certified specialists at Colorado Gastroenterology all have advanced gastroenterology training and expertise. They’re committed to offering all patients the compassionate, prompt, and professional care they expect and deserve. Referring doctors know that they can trust the team with their patients, and they respect the team’s ongoing commitment to offering the most comprehensive yet cost-effective care available.
Most of our procedures are performed at the Denver Endoscopy Center located in Lowry.
We accept most insurance plans at Colorado Gastroenterology. Please verify with our staff that we accept your current insurance when you call to schedule. The list below is an example of insurance plans we accept, but may not be accurate as our contracts frequently change.
Because the doctors all realize that many gastrointestinal issues can cause embarrassment in patients, or seem “taboo” to discuss, they strive to offer a caring, compassionate environment in every office.
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If your insurance company requires a referral, please bring your referral with you at the time of appointment. Without a referral, you will be responsible for total payment of services provided. Please contact your Primary Care Physician or insurance company for inquiries about referrals.
If you are checking your benefits with your insurance company please understand that we do not do colonoscopys, endoscopies or any other procedure in the office. These procedures are done at Southern Endoscopy Suite, LLC, our Ambulatory Surgical Center (ASC) Permit No. 067-200. Our facility is Medicare Certified and accredited with the Association for Ambulatory Health Care, Inc. (AAA). Southern Endoscopy Suite is located in the same building as our Lawrenceville clinic location. Procedures done in our Endoscopy Suite are NOT office procedures. They are procedures performed in an Outpatient Setting.