Pancreas, Biliary, Esophageal and Interventional Endoscopy Clinic
The Pancreas-Biliary-Esophageal and Interventional Endoscopy Clinic at the Penn State Hershey Medical Center comprises a team of highly trained physicians who are respected both locally and nationally for their capabilities, expertise, research and innovation. They provide an expert and coordinated approach to the diagnosis and treatment of the disorders of the pancreas, biliary system and esophagus, as well as world class diagnostic and advanced therapeutic endoscopy. This group is dedicated to using innovative technology and championing clinical advances through research in the diagnosis and treatment of these digestive diseases. This group includes Drs. Thomas J. McGarrity MD, Charles E. Dye MD, Matthew T. Moyer MD, Abraham Mathew MD, Raquel Davila MD and physician assistant Brandy Dougherty-Hamod PA-C, who provide both general care and highly specialized tertiary diagnosis and treatment for these conditions, including but not limited to:
- Diagnosis and treatment of diseases of the pancreas, biliary system and esophagus.
- Screening, diagnosis, and treatment of precancerous and certain cancerous conditions of the entire gastrointestinal tract. Treatment of cancerous conditions includes endoscopic treatment of early mucosal cancers and the collaboration with appropriate Penn State Cancer Institute Groups, such as the Liver Pancreas Foregut Group and Colorectal Surgery, in the evaluation and treatment of more advanced GI cancerous conditions.
- The Pancreatic Cyst Evaluation and Surveillance Clinic
- Specializing in leading edge Interventional Endoscopy (Therapeutic Endoscopy) procedures, many of which are not available at other institutions including:
- Endoscopic ultrasound (EUS) including fine needle aspiration (EUS-FNA) for the detection, diagnosis and staging of abnormalities and cancers of the central mediastinum, esophagus, stomach, pancreas, rectum and adjacent areas.
- ERCP including cholangioscopy and intraductal radiofrequency ablation for the evaluation and treatment of biliary and pancreatic disease.
- Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) for the removal of gastrointestinal premalignant conditions and early limited cancers, such as large colon polyps found at screening procedures, Barrett's esophagus and intramucosal esophageal cancer, gastric and small bowel mucosal lesions and certain submucosal tumors.
- Endolumenal stenting with fluoroscopy or balloon dilation for a complex range of strictures, obstructions, fistulas, and leaks of the gastrointestinal tract.
- Evaluation of the small bowel with video capsule endoscopy and/or double-balloon endoscopy.
- Translumenal endoscopic drainage and/or debridement of pancreatic fluid collections and other associated fluid collections of the GI tract.
- Ablation therapy: including cryotherapy and radiofrequency ablation (RFA) for the treatment of hemorrhagic or premalignant conditions of the gastrointestinal tract, including Barrett's esophagus and GAVE. Ablative services offered also include EUS with fine needle infusion (EUS-FNI) for EUS guided ablation of select gastrointestinal cysts and tumors.
Our team excels in the evaluation and treatment of patients who suffer from complex or high risk digestive disorders, and is committed to a multidisciplinary method of care for these patients where physicians work in a coordinated manner so that patients receive the best treatment options and outcomes. Excellence in the care of patients with complex, high risk or advanced gastrointestinal disease requires the combined work of gastroenterologists, hepatologists, surgeons, oncologists, interventional radiologists, pathologists, as well as expert hospitalist and specialty services for those patients who require a transition to inpatient care. Our clinical expertise, innovative research, and state of the art technology are allowing us to reach new heights in delivering exceptional care, conducting groundbreaking research, and providing innovative education and training as we serve the patients of central Pennsylvania.