Gastroenterology and advanced endoscopy are areas that are constantly developing, new technologies in the field give rise to new treatments, which respectively assimilate new terms in medical terminology.
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Stones in the gallbladder
About 20% of the population has gallstones. STONES IN THE GALLBLADDER CAN CAUSE PAIN, INFLAMMATION OF THE GALLBLADDER AND PANCREAS AND THE EXIT OF STONES INTO THE MAIN BILE DUCT AND CAUSE JAUNDICE. The treatment of gallstones is surgery to remove the gallbladder, or removal of stones in the gallbladder without surgery and if the stone passes into the main bile duct, an endoscopic removal should be performed in an operation called ERCP.
Laparoscopic surgery is a common technique that is done through small holes in the body (between 5-10 millimeters), which eliminates the need for open surgery and allows quick recovery.
Endoscopic Ultrasound - EUS
ENDOSCOPIC ULTRASOUND EUS IS ONE OF THE EFFECTIVE IMAGING MEASURES IN BENIGN PATIENTS AND TUMORS OF THE GASTROINTESTINAL TRACT AND SERVES AS A DIAGNOSTIC AND THERAPEUTIC AID. With this tool it is possible to assess the degree of penetration of tumors, the involvement of different layers of the gastrointestinal tract, the involvement of blood vessels and other important data that will affect the medical treatment. In addition, endoscopic ultrasound allows taking a cell sample - a biopsy using a needle (FNA) for accurate diagnosis of the type of tumor. The examination is performed orally with the help of a flexible optical device at the end of which is an ultrasound transducer.
Endoscopic ultrasound examination EUS is carried out on suspicion of gallstone disease, recurrent inflammation of the pancreas, suspicion of tumor diseases of the biliary tract and pancreas, suspicion of the presence of submucosal processes in the gastrointestinal tract cavity, for assessment of the degree of penetration of tumors in various sites of the gastrointestinal tract, for assessment of the degree of proliferation of tumors in the chest And in vision, for the purpose of taking samples from different areas (in order to characterize the nature of the disease and differentiate between a benign process and a malignant process).
Dr. Sergey Vasko the founder of the Department of Advanced Endoscopic Cuts at Shamir Medical Center (Asaf Doctor Hospital). Performs examinations, treatments and surgeries using advanced endoscopy and artificial intelligence.
To coordinate an inspection, contact Our Customer Service
Esophagitis - inflammation of the esophagus
Azoophagitis is an inflammation that affects the tissues of the esophagus. This inflammation often causes pain during swallowing, difficulty swallowing, and chest pain. The causes of this include the return of acids from the stomach into the esophagus, ingestion of drugs, infection and allergies.
Eosinophilic azophagitis
Eosinophils are white blood cells that regulate inflammation and are important at the time of allergic reactions. Eosinophilic esophagitis occurs when there is a high concentration of these white blood cells in the esophagus. This is probably due to a reaction to an allergic factor. People with eosinophilic esophagitis are allergic to various types of food.
Drug-induced azophagitis — Ingestion of pills can cause tissue destruction if they remain long inside esophageal tissue.
Infectious azophagitis
Azoophagitis can be caused by a viral, fungal infection or by a parasite in the tissues of the esophagus.
It is a relatively rare inflammation that occurs in people whose immune systems are weak, such as people with AIDS or cancer.
Achalasia/ Achalasia
Disease of the sphincter between the esophagus and stomach.
A condition in which the sphincter muscle at the lower end of the esophagus does not reach relaxation and causes difficulty swallowing and picking up recently eaten food. Complaints include difficulty swallowing, pain while eating, vomiting, weight loss. Treatment is endoscopic or surgical and is based on cutting the muscle (mitomy) that does not contract in the lower esophageal sphincter.
Endoscope / Endoskop
An advanced device made of a long, narrow and flexible tube and built of glass fibers and around it a housing made of plastic material. The thickness of the endoscope is like a finger and with it you can look into the cavity of the stomach or intestine and perform various actions at the same time. At the time of endoscopic examination, the tip of the device can be easily directed inside the gastrointestinal tract. In addition to careful examination and examination, it is possible during the examination to take a tissue sample (biopsy), pump bile juice or gastric juice, and find out the presence of an infection in the gastrointestinal tract.
For example, a straight endoscope is used to examine joints, while a flexible endoscope helps in the examination of the large intestine.
Endoscopy/Endoscopy
Endoscopy is a generic name for tests that make use of various endoscope devices. The examination usually refers to an examination of the upper gastrointestinal tract, which is why it is sometimes also called gastroscopy. However, endoscopy tests are called depending on the organ they examine. Thus, for example, an examination of the lower gastrointestinal tract is called a colonoscopy and is performed using a colonoscope.
Endoscopy examination of the upper gastrointestinal tract usually involves the insertion of a tube (Endoscope) long and flexible into the esophagus through the mouth. A tiny camera on the edge of the device allows examination of the esophagus, stomach and upper part of the small intestine (the duodenum).
For detailed and enriching information about Advanced Endoscopy, please go deeper on the page Advanced Endoscopy
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ERCP test
The test is carried out with the help of a flexible device (Endoscope), which is introduced orally into the duodenum and reaches the opening of the bile duct and pancreas. THROUGH THE ENDOSCOPE CANAL, A PLASTIC TUBULE IS INSERTED INTO THE APERTURE OF THE PAPILLA AND THROUGH IT A CONTRAST AGENT BASED ON IODINE IS INJECTED, WHICH ALLOWS (UNDER X-RAY MIRRORING) TO EXPOSE THE BILE DUCTS AND PANCREAS. With ERCP it is also possible to perform therapeutic actions such as removing stones from the biliary tract and pancreas, dilating the arteries (blockage) and taking tissue samples (in case of suspected cancer or precancerous condition) and inserting a stent to drain the bile and pancreas and keep them open, for example in situations where there is obstruction.
ERCP is a test that takes an average of about 40 minutes.
The test is carried out under obfuscation (sedation), which is given through the lowered before the test.
After receiving the blur, a “tooth holder” will be inserted into your mouth, the purpose of which is to keep your mouth open throughout the examination.
The test is performed lying on the left side or on the stomach. During the examination, monitoring devices will be connected to your body to check your heart rate, blood pressure, and respiratory activity.
During the examination, the doctor inserts the device through the mouth and places it in the area of the papilla, which is the opening of the biliary tract and pancreas into the small intestine. Through the papilla it is possible to enter the biliary tract or pancreas for treatment, for example cleaning stones, taking a biopsy from a lump or opening a blockage.
In some cases, the patient will be given prophylactic antibiotics at the time of the operation to prevent infection.
Laparoscopic surgery is a common technique that is done through small holes in the body (5-10 millimeters), which eliminates the need for open surgery and allows quick recovery.
Dr. Sergei Vosko the founder of the Department of Advanced Endoscopic Cuts at Shamir Medical Center (Asaf Doctor Hospital). Performs examinations, treatments and surgeries using advanced endoscopy and artificial intelligence.
To coordinate an inspection, contact Our Customer Service
Diaphragmatic hernia/Hiatal hernia
A hiatal hernia is a condition in which part of the stomach is pushed upward through the diaphragm. The diaphragm has a small opening (hiatus) in which the esophagus passes on its way to the stomach.
Discovered when examining the causes of heartburn, chest pain or abdominal pain. Most people with diaphragmatic hernia do not feel symptoms and do not need treatment. If symptoms such as heartburn and acid rising from the stomach and esophagitis (reflux) are repeated they can be treated with medication or surgery.
General information
The stomach can be pushed through this opening and cause a diaphragmatic hernia. In most cases, a small hernia does not cause problems and most people do not know that it exists. But a large diaphragmatic hernia can lead to a condition where food and acid rise back up the esophagus and cause heartburn and chest pain.
Medications can relieve symptoms but sometimes a large diaphragmatic hernia requires surgery when the hernia develops and muscles and ligaments of the opening area in the diaphragm weaken and allow part of the stomach to protrude into the thoracic cavity.
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Gastrointestinal Gases/Gas Flatus
Gastes in the digestive tract are manifested by belching (the emission of gas through the mouth) or bloating (the emission of gas through the rectum). Most people produce between half a liter and a half of gas daily, emitting gases up to 14 times a day.
This is a normal natural phenomenon of the body. In most cases, the gas emission is odorless, but there are cases when an odor that is not pleasant to the environment is emitted. Also, the phenomenon of flatulence can cause bloating and abdominal pain and those who experience it a little beyond the average amount, may suffer greatly and even feel a deterioration in the quality of life. Treating gastrointestinal gases correctly and accurately, may very well help reduce flatulence, abdominal bloating, and abdominal pain.
In patients aged fifty and over, the possibility of colon cancer is also usually considered. The same applies when there are previous cases of gastrointestinal cancer in the patient's family. This matter is especially important in cases where the patient has never undergone a colon examination such as sigmoidoscopy or colonoscopy (endoscopic examinations of the lower gastrointestinal tract).
Tumor/Tumor
A cluster of cells that have begun to divide uncontrollably.
Benign tumor - is a tumor whose cells do not spread to other organs in the body - but if they continue to grow in the original area and their growth can cause stress on nearby organs.
Malignant tumor- It is cancerous in nature, consists of cells that have the ability to spread. Without treatment, may metastasize to other areas of the body, adjacent tissues and destroy them. Sometimes cells detach from the original (primary) tumor and spread to other organs of the body, through the bloodstream or lymphatic system. When these cells reach a new area, they may continue to divide and form new nodules called 'secondary growth' (secondary) or 'metasta'.
Symptoms of the tumor depend on its location. For example, a tumor in the lungs can cause coughing, shortness of breath, or chest pain. Tumors in the intestine can cause weight loss, diarrhea, constipation, anemia, and blood in the stool.
Gastroenterology/Gastroenterology
Or “gastro” for short, is a field of medicine that treats diseases of the gastrointestinal tract and organs of the gastrointestinal tract, which include the stomach, esophagus, intestines, biliary tract and pancreas. The meaning of the word gastroenterology is: gastro = stomach, antero = intestines, Logos = Torah.
Gastroenterology has made huge strides and has developed technologically mainly with regard to surgical procedures and advanced diagnostic methods.
Among the tests offered in the gastronomic institutes are colonoscopy, gastroscopy, sigmoidoscopy and others. If in the past it was necessary to “open the abdomen” with each operation, today most of the medical procedures are carried out in minimally invasive surgeries using an endoscope.
Dr. Sergei Vosko Director of the Endoscopic Unit - performs examinations, treatments and surgeries using advanced endoscopy and artificial intelligence.
To coordinate an inspection, contact Our Customer Service
Gastroscopy/Gastroscopy
(or endoscopy of the upper gastrointestinal tract) using advanced endoscopy
is an examination used to view the esophagus in the stomach and duodenum (the first part of the small intestine). The test is performed by inserting an endoscope into the subject's mouth. The endoscope is a flexible tube with a diameter of about 1 cm, containing a light source and a camera.
Inside the endoscope there are working channels that allow pumping, injecting air and water, and transporting instruments for various treatments. The endoscope allows, if necessary, the use of additional equipment, for example, to take a biopsy or perform a polyp excision during the examination.
Dr. Sergey Vosko the founder of the Department of Advanced Endoscopic Cuts at Shamir Medical Center (Asaf Haroffe Hospital). Performs examinations, treatments and surgeries using advanced endoscopy and artificial intelligence.
To coordinate an inspection, contact Our Customer Service
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NEOPLASM SAMPLING BY FINE NEEDLE - FNA
Taking samples from suspicious tissue in the digestive tract and adjacent organs by endoscopic route under the audio-acoustic system sights accompanying the endoscope (EUS).
The method allows access to many organs of the body, while assessing the spread of the malignant disease for the purpose of planning surgery and treatment methods.
Dyspepsia / Dyspepsia
Also called functional dyspepsia, it is a disorder of the digestive system, which manifests itself in the upper part of the stomach in a complex of symptoms called dyspeptic symptoms: a feeling of bloating, flatulence, constipation or diarrhea, a feeling of early satiety and fullness regardless of the size of the meal, belching, burning sensation, nausea, vomiting, etc.
Rectal Bleeding
Rectal bleeding also called blood in the stool is the secretion of bright red fresh blood through the rectum. The amount of secretion can be small or large.
In any case of the appearance of bleeding in the stool, it is necessary to monitor the bleeding, its duration, frequency and severity. When bleeding becomes prolonged and involves the loss of significant amounts of blood, it is a potentially life-threatening condition and should be consulted with the attending physician for examination and treatment adjustment.
The blood can be seen in the stool, in the toilet or on the toilet paper and slight bleeding is expressed in single drops of fresh, red blood.
When bleeding is accompanied by pain, this is often a sign that the source of the problem is in the anus.
Symptoms are discharge from the anus of red or red-brown blood and clots.
The shade of blood in the stool depends primarily on the area where the bleeding is located in the gastrointestinal tract. The closer the bleeding area to the anus, the more bright red the blood will be. Therefore, bleeding from the rectum, anus and lower part of the colon tends to have a strong red color, and in contrast bleeding originating in the first parts of the colon — the right or transverse colon — is usually characterized by a dark red or brown tint. In bleeding from the upper gastrointestinal tract, the color of the stool will be brown or black.
The common causes of bleeding of this type can be divided into groups:
• DISEASES OF THE RECTUM AND RECTUM AREA - LIKE, HEMORRHOIDAL CRAMPS AND ULCERS.
•Mild rectal bleeding may occur due to constipation and passage of hard stool through the rectum.
• Anatomical (structural) problems - mainly from the presence of “pockets” (called sections or diverticulosis) in the colon that cause problems with the blood supply to the intestine (ischemia).
• Tumors such as colon cancer.
• Inflammation of the intestine - for example due to infection or radiation exposure - and inflammatory diseases such as Crohn's disease and ulcerative colitis.
• After invasive operations such as a colonoscopy during which polyps were excised or a biopsy was taken.
• Abnormal superficial blood vessels in the intestinal wall (angiodysplasia)
• After radiation therapy to the pelvis due to malignancy, for example in the prostate gland.
Esophagitis due to reflux
Reflux is a condition in which gastric contents return from the stomach and esophagus. This disease called Gastroesophageal reflux disease (GERD) is a condition in which the return of gastric acidity is an ongoing problem condition. As a result, the tissues of the esophagus are damaged and chronic inflammation occurs.
Occult Blood in Feces (Test) /Occult Blood Screen
A simple and recommended examination for the diagnosis of colon cancer. In the case of a positive result, latent blood in the stool may indicate the presence of polyps, since polyps and cancer tend to bleed. It may take many years for a polyp to develop into cancer. Although since a long time passes from the formation of the polyp until it becomes cancerous, there is a long time interval that allows early detection of colon cancer and usually the patient will be referred for a colonoscopy.
Defacography- Photography-emptying
Dapchography is an X-ray examination that allows you to see the rectum and assess its functioning. The examination can detect internal prolapse of the pelvic organs and checks the motility of the rectum and rectum. The examination is performed while performing a bowel movement in real time and allows the doctor to assess the function of the pelvic floor muscles and rectum.
The purpose of the examination is to examine conditions of chronic constipation or rectal prolapse. It is performed when there are complaints of rectal incontinence and anismus (excessive contraction of the rectum) and in other conditions of dysfunction.
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Esophageal stenosis
Damage to cells in the lower part of the esophagus as a result of exposure to gastric acids leads to a change in esophageal tissues. AS A RESULT, ESOPHAGEAL NARROWING FOLLOWED BY DIFFICULTY SWALLOWING.
(disease) Waschetti's payback/ GERD
Gastroesophageal reflux disease (GERD) also called reflux is actually a disease that affects the lower esophageal goiter, which is responsible for preventing the stomach contents from returning to the esophagus. The severity of the disease is determined by the degree of impairment of function, the type of fluid returning from the stomach into the esophagus and the degree of its neutralizing effect of saliva.
When the digestive process is normal, with the movement of food down the esophagus into the stomach, the lower esophageal doorway opens to allow food to enter the stomach, and closes immediately afterwards to prevent the stomach contents from rising back into the esophagus. Various processes in the body cause the goiter to weaken and regurgitate, resulting in the return of food, with or without gastric acids or bile from the stomach to the esophagus. These cause irritation of the esophageal shell and cause the esophageal reflux disease.
Symptoms of esophageal reflux mainly include reflux and heartburn. Both constitute gastrointestinal diseases in their own right, and are common in their temporary appearance in most people. If these symptoms occur more than twice a week, or interfere with the daily routine, they are often diagnosed as GERD.
A persistent state of return of gastric acids into the esophagus, can irritate the tissues of the esophagus and make them inflamed (azophagitis). Chronic inflammation of the esophagus can lead to complications such as an esophageal ulcer (stomach acids have the ability to severely erode the tissues of the esophagus and cause open ulcerative wounds. These ulcers may bleed, cause pain and difficulty swallowing).
Or Barrett's esophagitis — this is a condition in which the color and texture of esophageal tissue changes. These changes cause an increase in the chances of getting esophageal cancer. In this case, the doctor may recommend performing a gastroscopy examination.
In order to diagnose whether you have had the vestigial reimbursement syndrome, the doctor can recommend tests such as:
X-RAY OF THE UPPER GASTROINTESTINAL TRACT IS SOMETIMES CALLED BARIUM. In this examination, drink a liquid that saturates and fills the cavities in the digestive tract. Then an X-ray of the upper gastrointestinal tract is performed. Because of drinking the liquid, the doctor can see the shape of the upper digestive tract.
Helicobacter pylori ---- Helicobacter pylori
A bacterium that is located in the stomach. It is present in about 60% of the population in Israel. The infection is from person to person (through saliva). Usually does not cause problems and does not need to be treated. It can sometimes cause symptoms of abdominal pain, nausea, stomach or duodenal ulcer and rarely stomach cancer.
Treatment of Helicobacter pylori involves a combination of several types of antibiotics and an antacid preparation and there are studies that suggest combining probiotics alongside drug therapy.
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ESOPHAGUS — Esophagitis
It is a tube 20-25 cm long, through which food passes by pushing the muscles of the esophagus from the pharynx to the stomach. The location of the esophagus is behind the trachea and is basically located in part of the length of the neck down towards the chest.
When disrupting the functioning of the esophagus, various medical problems occur. Among the common medical problems that concern the esophageal tube is a problem with the lower or upper sphincter of the esophagus. Also problems in the esophagus include narrowing of the esophagus in an inflammatory manner, a flat esophageal ring in the lower part of the esophagus. The same applies to disruption of the esophageal muscles when swallowing, tumors in the esophagus that interfere with swallowing and esophageal activity. Also destruction of the esophageal lining due to gastroesophageal reflux is a relevant problem. Gastroesophageal Reflux Disease is a disorder during which acidic fluid rises from the stomach up the esophagus. Reflux will cause a feeling of heartburn in the chest, inflammation and burning in the throat. Reflux damages the esophagus, forming wounds in it and damaging the esophageal pads. Reflux disorder is caused by the problem of the lower esophageal sphincter, bacteria, and more diaphragmatic hernia.
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Hemorrhoids/ Hemorrho
Hemorrhoids are natural blood vessels of the rectum that protrude outward, usually due to chronic constipation. In women, it is characteristic after pregnancy and childbirth. Usually does not cause complaints. Can cause pain or bleeding. Treatment is constipation treatment, local drug therapy, and hemorrhoid surgery or hemorrhoid removal should rarely be performed.
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Liver - drug damage Drug-Induced Liver Injury) — DILI)
Liver damage due to the use of medication is an acute problem that can cause mortality. In the US, it is the most common cause of acute liver failure, following which 600 liver transplants are performed per year.
Peptic Ulcer/Peptic Ulcer
It is actually a wound in the lining of the stomach or duodenum. The ulcer is formed when the natural protection of the intestinal mucosa is impaired. Ulcers are more common in smokers and patients taking NSAIDs (non-steroidal anti-inflammatory drugs such as: aspirin, voltran, nuprofen, etc.).
Stomach/duodenal ulcer (ulcer)
A wound that occurs in the stomach or in the duodenum. May cause abdominal pain, bleeding, and rarely a hole in the stomach or duodenum. It is usually caused by the bacterium Helicobacter pylori but is also caused by drugs such as aspirin, smoking or alcohol.
Complex polyp resection (EMR)
Polyps are small nodules that grow into the small intestine large intestine, stomach, esophagus and other organs. There is a great variety of polyps and some of them can even develop into cancerous tumors.
The larger the surface area of the polyp, the more complex its excision will be. One of the innovative methods for removing large polyps is through endoscopic polectomies, which replaces surgery in some cases. In this technique, a liquid, such as salt water, is used that is injected under the polyp in order to elevate and isolate it from the tissue surrounding it.
Dr. Vosko paints polyp removal with innovative equipment, state-of-the-art knives, advanced technology, optimal and increased visibility in HD and a combination of years of experience and skill increase the chances of complete removal of the polyp or lesion along with a higher and faster chance of recovery.
Dr. Sergey Vasko the founder of the Department of Advanced Endoscopic Cuts at Shamir Medical Center (Asaf Doctor Hospital). Performs examinations, treatments and surgeries using advanced endoscopy and artificial intelligence.
To coordinate an inspection, you can contact Our Customer Service
Removal of gastrointestinal tumors without surgery using a new method — ESD
A method that was born in Japan in the early 2000s as a method to remove gastric tumors at earlier stages and endoscopically. In the last decade, the method has also spread to Western countries and recently reached Israel as well.
Most of the cancerous tumors in the gastrointestinal tract begin with precancerous lesions that develop in the most superficial layer of the gastrointestinal wall - the mucosa. As the tumor grows, it begins to penetrate into the deeper layers of the intestinal wall and from there it may spread to nearby lymph nodes and metastasize to more distant areas of the body.
The accepted treatment for these premalignant lesions is resection through endoscopic operation.
Advantages of the method compared to other excision methods such as EMR, both lesions of any size can be excised in one piece, which allows a good pathological examination of the finding and an accurate assessment of the risk of metastasis to the lymph nodes depending on the degree of penetration of the tumor into the mucous membrane.
All operations that involve this method are done under anesthesia or obfuscation, through an endoscope inserted from the mouth or anus and without surgical surgery.
Initially, markings of the tumor boundaries are made through the endoscope, and then fluid is injected under the tumor directly into the submucosal layer, so that it is possible to separate the tumor from the deeper layers of the tumor. After making a circumferential incision around the tumor area, Dr. Vasco will perform a cut of the submucosa with a special knife that will separate the tumor from the surrounding tissue. After the tumor is removed in its entirety, it will be sent for laboratory pathological examination.
Dr. Sergei Vasko Director of the Endoscopic Unit at Hadassah Medical Center and founder of the Department of Advanced Endoscopic Resurrections at Shamir Medical Center (Asaf Doctor Hospital) - performs examinations, treatments and surgeries using advanced endoscopy and artificial intelligence.
To coordinate an inspection, you can contact Our Customer Service
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PANCREAS — INCREASE IN ENZYMES Pancreas
The pancreas is a gland located between the stomach and the small intestine and which secretes enzymes that participate in the digestive process. On top of that, the pancreas produces hormones such as insulin.
Inflammatory Pancrea/Pancreatitis
Can be acute (not permanent) or chronic (permanent or continuing intermittently for a long time).
Chronic inflammation of the pancreas manifests itself in repeated seizures that eventually cause scarring of the pancreas, pain, disorders of blood sugar levels, and diarrhea.
Pancreatitis can be of varying degrees of severity: from mild inflammation and ending with severe and life-threatening inflammation.
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Cholestatic liver diseases (PSC-PBC)
Primary Marital Cirrhosis (PBC) — inflammation of the portal spaces and narcosis of the intravascular biliary tract. PSC is a chronic cholestatic disease that is characterized by inflammation, obstruction, and fibrosis of the intra- and extra-hepatic biliary tracts.
Tableted liver disease/ Metabolic Liver Disease
Metabolic conditions that involve the liver and can cause chronic liver disease, cirrhosis, and cancer.
Section disease/diverticulosis
Sections are “pockets” that depart from the wall of the large intestine and protrude through weak points in the large intestine. Each such pocket is referred to as a 'section' (diverticula).
About half of the entire population in the Western world is between 60 and 80 years old, and almost all people over the age of 80 have section disease.
When the pockets become inflamed or become inflamed, the problem is referred to as 'section inflammation' (diverticulitis). The incidence of inflammation is 10%-25% of cases of section disease.
Very common in older ages in the Western world. CAN CAUSE ABDOMINAL PAIN AND CONSTIPATION. Sometimes the sections also cause bleeding, inflammation, or perforation of the intestinal wall. Treatment of symptoms or drug therapy for constipation or abdominal pain. If there are complications, surgery should be performed to remove part of the intestine with the sections.
Overweight/ Overweight
Obesity is defined as the storage of fat in a higher amount than desired to the extent that it may cause morbidity or worsen an existing disease. The most common measure for assessing obesity and its severity is the Body Mass Index (BMI). This indicator is calculated based on the ratio of height to weight squared.
General information
However, BMI does not predict everything. When assessing a link between obesity and morbidity, we must take into account chronic diseases, age, family history, eating habits, type of obesity, etc.
Using this measure, it is possible to learn whether the person is at normal weight, underweight, overweight or obese.
The index is calculated as follows: weight (in kilograms) divided by height squared (in meters).
Helen table of BMI values and weight ratings:
Up to 18.5 — underweight and at risk of giving nutrition.
5-24.9 Normal weight and relatively low risk of obesity-related diseases.
25-29.9 Overweight.
30-34.9 — Obesity Grade I.
35-39.9 — Obesity Grade II.
40 or older -- Grade III obesity.
Thus overweight is a condition in which the subject's BMI ranges from 25-29.9
The recommended solution before bariatric surgery is to go to the dietitian as soon as you can to give an initial response by changing your diet, diagnosing blood test results, and directing recommended foods and sports activities to allow real and lasting change.
In extreme cases, further treatments may help and include medication, endoscopic therapy, or bariatric surgery.
Jenny Vasco, clinical nutritionist, specialist in gastro nutrition, diabetes nutrition and accompanies over a decade of patients after endoscopic treatments and provides them with knowledge, tools and methods for proper and healthy eating that will enhance the effect of the treatment and help preserve it for years.
To arrange a consultation you can contact Our Customer Service
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ESOPHAGEAL ACIDITY MONITORING (TEST)
In this test, a device is used that measures when the acid in the esophagus rises and for how long. On examination, a catheter - a thin, flexible tube - is inserted through the nose into the esophagus. During the test, the catheter remains in place and is connected to a small computer located on the subject's meters.
TEST TO MEASURE ESOPHAGEAL MOTILITY - THIS TEST CHECKS THE PRESSURE AND MOTILITY OF THE ESOPHAGUS AND IS PERFORMED BY INSERTING A CATHETER THROUGH THE NOSE THAT REACHES THE ESOPHAGUS.
Treatment for heartburn and the other symptoms of the vestigial reflux syndrome often begins with taking over-the-counter medications that control acid. In cases where there is no relief of symptoms and after a few weeks, the doctor can recommend stronger drugs and sometimes even surgery.
Dr. Vosko Performs Transoral Incisionless Fundoplication (TIF) An innovative treatment of its kind in Israel that will address the gap between drug therapy and surgical surgery. TIF is a sexually invasive, endoscopic procedure, much safer compared to surgery, with a faster recovery time for the patients, and all with amazing clinical results.
To schedule a test appointment, you can contact Our Customer Service
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Strata/ Stretta
Stretta therapy is an innovative and minimally invasive solution for the treatment of reflux disease (GERD). This is a unique method that uses radio wave (RF) energy to strengthen the lower esophageal sphincter muscle (LES), thereby significantly reducing reflux symptoms and improving patients' quality of life.
Sigmoidoscopy/Sigmoidoscopy
Sigmoidoscopy is a short colonoscopy examination that advances in the last 60 cm of the colon cavity, the examination is intended to diagnose and treat various diseases relevant to the area in question, the examination is carried out through the insertion of an endoscope at the end of which is a camera with advanced optical capabilities and high resolutions, the camera transmits the image to the screen of Dr. Vasco, through which he monitors the findings AND NAVIGATES THE ENDOSCOPE ACCORDING TO NEEDS, THE EXAMINATION IS RELEVANT FOR BLEEDING IN THE RECTUM, CHANGES IN THE NATURE OF THE EXITS, MONITORING OF INFLAMMATORY BOWEL DISEASE AND MUCH MORE. The test allows you to detect tumors at an early stage, the test length is relatively short and should not take more than 15 minutes.
Pancreatic cancer
There are about 20 different types of pancreatic tumors. THE ORIGIN OF MOST PANCREATIC CANCERS IS IN THE PANCREATIC TUBULE. These crustaceans are usually of the adenocarcinoma type (cancer that originates in the glands). As the cancer grows, it may spread to nearby organs (such as the stomach and blood vessels) or to distant organs (such as lungs and liver). Pancreatic cancer is relatively uncommon, but despite this it is the fourth most lethal of all cancers.
Colorectal cancer/ Colorectal Cancer
Cancer (malignancy) originating from the large intestine. Can cause abdominal pain, weight loss, changes in exit habits, bleeding from the anus. However, it can also be detected without any complaints from the patient. The selection test for its detection is a colonoscopy.
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Stops/ constipation
Difficulty moving feces out of the intestine. Can be due to slow intestinal transit, a problem in the rectum or secondary to medication or systemic diseases (Parkinson's, severe diabetes, etc.). Treatment is medicamentous.
CONSTIPATION IS A COMMON GASTROENTEROLOGICAL PROBLEM.CONSTIPATION IS DEFINED AS TWO EXITS OR LESS PER WEEK OR AS DIFFICULTY AND GREAT EFFORT WHEN EMPTYING. Among the general population, the normal frequency of departures is defined as 3-12 departures per week. There is a widespread misconception in the public that a normal frequency of departures is one exit per day. This perception leads to excessive and sometimes even dangerous use of laxatives.
People who suffer from it sometimes experience difficulties during the transfer of feces, and this process is accompanied by pain and effort. Fortunately most cases of constipation are temporary. A slight change in lifestyle such as exercise and a diet rich in fiber will often relieve constipation.
Complaints and signs:
Hard stools
The number of departures per week is less than 3
EXCESSIVE EXERTION DURING BOWEL MOVEMENT
FEELING OF “RECTAL OBSTRUCTION”
Feeling that you have not fully emptied after a bowel movement
In a normal state, the stool is pushed through the intestine by muscle contraction. In the large intestine, most of the water and salt present in the feces mix and are absorbed again because they are essential for the body. Even so when the intestine absorbs a large amount of water or if the muscle contraction is slow, the stool becomes hard and dry and passes through the intestine very slowly. This is the main cause of constipation. Another cause of constipation is when muscles used during a bowel movement are not properly “coordinated”. This problem is called “dysfunction of the pelvic floor” and it causes effort in every bowel movement.
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Polyp/ Polyp
A polyp is a benign (non-cancerous) tumor in the digestive tract. There are several types of polyps. A polyp called an adenoma may develop into cancer. Polyps as if can be found throughout the digestive tract however are more common in the colon. Statistics show that 20-50% of the population over the age of 50 will have polyps in the colon.
Polyp in the colon
A polyp, is a lesion of the lining of the colon, a protrusion consisting of an accumulation of cells that cover the intestinal cavity. Although most polyps are not a medical problem, some can become malignant over time. Anyone can develop a colon polyp, but the risk increases beyond the age of 50. People with high excess weight, smokers, high-fat diets or family backgrounds are at increased risk.
Polyps are formed as a result of abnormal growth of cells that make up the tissue of the large intestine. Healthy cells grow regularly, in a process that is regulated by several sets of genes.
A mutation, a growth process that is not normal, in one of the genes can cause cells to grow uncontrollably.
Following this uncontrolled growth leads to the formation of polyps and can develop along the entire length of the large intestine.
Fissure/ Anal Fissure
A fissure is a tear in the muscle of the anus. Caused due to chronic constipation.
Causes pain and bleeding from the anus. Treatment is the prevention of constipation, and local drug therapy for pain relief or surgical treatment.
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Celiac disease/celiac disease Celiac
In Hebrew, it was also called carbuncle disease, which is characterized by sensitivity to the protein gluten of cereals. Can be diagnosed at any age. The complaints can be of abdominal pain, diarrhea, iron deficiency anemia, premature calcium incontinence, etc. The diagnosis is made in a combination of a blood test (serology) and a biopsy from the duodenum taken in a gastroscopy examination.
Heartburn/ Heartburn
Burning sensation accompanied by burning pain in the chest area, behind the sternum and in the throat. Sometimes the burning sensation can continue to the neck and reach the mouth.
Symptoms usually appear after eating, however can also occur during the night. Lying down or leaning forward can make symptoms worse.
Excess weight, pregnancy, a high-fat diet, nocturnal eating and smoking increase the risk of heartburn. Usually a change in lifestyle will relieve the unpleasant feeling.
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Colonoscopy/ Colonoscopie
Colonoscopy examination of the large intestine with the help of fiber optics. PERFORMED AFTER TAKING A LAXATIVE TO CLEANSE THE INTESTINE AND PROVIDING BLURRING (SEDATION) AT THE TIME OF THE EXAMINATION. This test has been proven to save lives and prevent colon cancer. Recommended for every person over 45 years of age for early detection of colorectal cancer.
Colonoscopy using advanced endoscopy
The examination is performed for the diagnosis and treatment of diseases of the lower gastrointestinal tract, which includes the large intestine and the far end of the small intestine.
The colonoscope is a thin, flexible tube, 11 mm in diameter that has a tiny video camera at its end. It is inserted through the rectum and allows you to look directly at the large intestine and the far end of the small intestine as well as performing operations such as taking biopsies, excision of small tumors and polyps, injection, and burning to stop bleeding and dilate the formations. From this it can be understood that the guarantee of the success of these operations involves full and precise adherence to the instructions of the preparation in order to come to the examination with a clean colon without feces.
Dr. Sergei Vasko Director of the Endoscopic Unit at Hadassah Medical Center and founder of the Department of Advanced Endoscopic Resurrections at Shamir Medical Center (Asaf Doctor Hospital) - performs examinations, treatments and surgeries using advanced endoscopy and artificial intelligence.
To coordinate an inspection, you can contact Our Customer Service
Crohn's disease
Chronic inflammatory disease of the intestine. Can damage all parts of the digestive tract from the esophagus to the rectum.
Crohn's disease causes inflammation of the gastrointestinal tract, the disease can affect any of the parts of the digestive system: esophagus, stomach, small intestine and large intestine but it is most common in the lower part of the small intestine (ileum), where the absorption of food takes place. In this disease, the damage is to the depth of all layers of the intestine. Common symptoms are diarrhea, abdominal pain, cramps, nausea, vomiting, bloody stools, fatigue and weakness, fever, purulent discharge from the anus due to abscesses and others, which vary from person to person and depend on the severity of the disease. Daily medication may relieve symptoms but sometimes the condition may also need surgical treatment.
Ulcerative colitis (Ulcerative colitis)
Inflammation of the colon (large intestine). It can be caused by an infectious agent (virus or bacteria) or by an inflammatory process that the body turns on itself (ulcerative colitis).
is an inflammatory bowel disease (IBD) in which inflammation develops in the lining of the colon — the inner wall lining the intestinal cavity (this is in contrast to Crohn's, which can develop in all layers of the intestinal wall — from the mucosa to the serosa, its outer membrane). Colitis can involve the entire colon or only part of it, but will always involve the rectum.
It is a chronic disease that is characterized by flare-ups and remissions over the years and usually requires regular drug treatment. Usually it is diagnosed in the third or sixth decade of life. In recent years, the disease has been on the rise in Western countries. There are about 21,000 patients with colitis in Israel.
ACCORDING TO ONE OF THE THEORIES OF THE DEVELOPMENT OF THE DISEASE, THE IMMUNE SYSTEM TREATS THE BENEFICIAL INTESTINAL BACTERIA AS INVADERS TO THE BODY AND PRODUCES AN INFLAMMATORY REACTION AGAINST THEM. ALTERNATIVELY, IT MAY BE OVERREACTING TO FOREIGN FACTORS (PATHOGENS) IN THE INTESTINE AND THUS CREATE AN UNCONTROLLED PERSISTENT INFLAMMATION. Therefore, some of the drugs given to patients are for suppressing the immune system.
Colorectal capsule- Colon capsule examination is performed using video. A capsule similar in size to a vitamin pill is easily swallowed thanks to a special smoothing coating. The video capsule has its own camera and light source. While the capsule makes its way inside the gastrointestinal tract, images are sent to the belt placed on the subject's waist and to the portable receiver. After the examination, the doctor will watch the film and diagnose the findings. Read more about Colon Capsule Examination.
Crohn's Disease
Crohn's disease causes inflammation of the gastrointestinal tract, the disease can affect any of the parts of the digestive system: esophagus, stomach, small intestine and large intestine but it is mainly common in the lower part of the small intestine (Ilium Terminal Ileum), where the absorption of food takes place. In this disease, the damage is to the depth of all layers of the intestine, from the mucosa (the inner lining of the intestine) to the serosa (the outer membrane of the intestine).
Crohn's disease (as well as ulcerative colitis) belongs to the family of inflammatory bowel diseases.
These diseases are characterized by the presence of chronic inflammation that affects the mucosa of the gastrointestinal tract. Inflammation is caused by overactivity of the immune system - the immune system secretes inflammation-forming substances that damage the lining of the intestines.
Common symptoms of the disease are abdominal pain (usually in the lower right part of the abdomen), bothersome diarrhea, general weakness, weight loss, cramps, nausea, vomiting, bloody stools, fatigue and weakness, diarrhea, fever, purulent discharge and bleeding from the anus due to abscesses, impaired nutritional status, delayed physical development in adolescents and more that vary from person to person and dependent Indications of the severity of the disease.
Daily medication may relieve symptoms but sometimes the condition may also need surgical treatment.
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Reflux/Esophageal Reflux
Return of acid from the stomach to the esophagus. Causes heartburn, pain when swallowing, chronic cough.
Gastroesophageal reflux disease (GERD) is a disorder in which acidic contents, which normally remain in the stomach, rise from the stomach into the esophagus and cause a burn of the inner lining of the esophagus (the tube that connects the mouth to the stomach). Sometimes gastric juices can even rise into the throat and oral cavity.
Reflux means to flow back or back. Gastroesophageal reflux is a condition in which what is in the stomach returns to the esophagus.
In normal digestion, the lower sphincter of the esophagus opens to allow food to enter the stomach. It is then closed to prevent food and acidic gastric juices from flowing back into the esophagus. Gastroesophageal reflux occurs when the lower sphincter of the esophagus is weak or relaxes when it should not occur.
The increase of the acid content up the esophagus causes various symptoms that impair the patient's quality of life, including heartburn. In addition, the burn caused by the acidic contents can cause long-term damage.
Gastroesophageal reflux disease, arises from dysfunction of the muscle ring between the esophagus and stomach. This ring is called the lower esophageal sphincter.
Reflux symptoms can be alleviated through changes in diet and lifestyle. But some people may need medication or surgery.
Risk factors for reflux
More than 25% of the population in Israel suffer from heartburn at least once a month, and more than 5% of adults suffer from heartburn daily, including many pregnant women. Recent studies show that GERD in infants and children is more common than doctors thought. This can cause vomiting that happens over and over again. It can also cause coughing and other respiratory problems.
Some doctors believe that a diaphragmatic hernia may weaken the lower esophageal sphincter and increase the chances of gastroesophageal reflux. Diaphragmatic hernia occurs when the upper part of the stomach rises to the chest through a small opening in the diaphragm (diaphragmatic break). The diaphragm is the muscle that separates the abdomen from the chest.
Recent studies show that the opening in the diaphragm helps support the lower end of the esophagus.
Importantly, there are many people with a diaphragmatic hernia who will not suffer from heartburn or reflux. But a diaphragmatic hernia may allow stomach contents to spill more easily into the esophagus.
Coughing, vomiting, straining or sudden physical exertion can increase pressure in the abdomen and lead to a diaphragmatic hernia. Many healthy people aged 50 and over have a small diaphragmatic hernia, although it is usually a condition of middle age, hiatal hernias affect people of all ages.
Diaphragmatic hernias usually do not need treatment. But it may be necessary if the hernia is in danger of suffocation, or deformed in a way that cuts off the blood supply. A hernia may need to be treated if you additionally have severe reflux or inflammation
. Several other things can increase the likelihood that you will have reflux:
OVERWEIGHT OR OBESITY PREGNANCY DELAYED EMPTYING OF THE STOMACH, CONNECTIVE TISSUE DISEASES SUCH AS RHEUMATOID ARTHRITIS, SCLERODERMA OR LUPUS CHOICES IN DIET AND LIFESTYLE CAN WORSEN ACID REFLUX IF YOU ALREADY HAVE IT: SMOKING CERTAIN FOODS AND DRINKS, INCLUDING CHOCOLATE AND FATTY OR FRIED FOODS, COFFEE AND ALCOHOL EATING LARGE MEALS BEFORE BED, Certain medications, including aspirin.
The most common symptom of reflux is heartburn. It usually feels like a burning pain in your chest that starts behind your sternum and moves upward to your neck and throat. Many people say it feels as if the food comes back into the mouth, leaving an acidic or bitter taste.
The burning, pressure, or pain of heartburn can last up to two hours. Often it is worse after eating. Lying down or bending over can also cause heartburn. Many people feel better if they stand upright or take an acid repellent that cleans acid out of the esophagus. People sometimes mistake heartburn for the pain of heart disease or heart attack, but there are differences. Exercise can worsen pain in heart disease, and rest may relieve it. Heartburn pain is less likely to go along with exercise. But you can't tell the difference, so seek medical help immediately if you have chest pain. BESIDES PAIN, YOU MAY ALSO HAVE NAUSEA BAD BREATH DIFFICULTY BREATHING DIFFICULTY SWALLOWING VOMITING EROSION TOOTH ENAMEL LUMP IN THROAT IF YOU HAVE ACID REFLUX AT NIGHT, YOU MAY ALSO HAVE: PERSISTENT COUGH LARYNGITIS ASTHMA THAT OCCURS SUDDENLY OR WORSENS SLEEP PROBLEMS
In addition to heartburn, you may suffer from:
nausea
Bad breath
Difficulty breathing
Difficulty swallowing
Vomiting
Erosion of tooth enamel
Lump in the throat
Persistent cough
Inflammation of the larynx
Asthma that occurs suddenly or worsens
Sleep problems
Transoral Incisionless Fundoplication (TIF) - Novel Treatment for Reflux!
Gastroesophageal reflux disease is a very common condition among the large population. Symptoms of heartburn or regurgitation (an increase in stomach contents and esophagus and pharynx) have been reported in 25% of patients in developed countries every year. Although drug therapy gives a solution to a significant proportion of patients, a significant number of people (ranging from 10% to 40% of patients) may fail to achieve a complete resolution of the symptoms.
Given the significant impact of symptomatic reflux disease on quality of life, alongside the high costs and increasing awareness of possible adverse effects from long-term treatment with pills.
Now after years of waiting, we are proud to be at the forefront of medical technology innovation and to bring Transoral Incisionless Fundoplication (TIF) to patients in Israel
TIF is a sexually invasive, endoscopic procedure, much safer compared to surgery, with a faster recovery time for the patients, and all with amazing clinical results.
Multiple international studies have shown that the TIF procedure is successfully performed in up to 99% of patients, with only 2% experiencing problems during or after the procedure, such as tearing or internal bleeding. For a large number of patients, TIF provides significant relief of symptoms of reflexes and improvement in quality of life. Most patients (91%) also experience a reduction in diaphragmatic hernia and many (89%) are able to stop taking medication .Symptom relief after TIF usually lasts between eight and 10 years, which is similar to relief in most cases of surgical treatment. When reflux symptoms recur.
If we compare with Israel, this means that about 250 to 500 thousand people are potential candidates for endoscopic TIF reflux treatment, which can significantly improve their quality of life, and reward from regular drug treatment.
Dr. Sergei Vasko Director of the Endoscopic Unit at Hadassah Medical Center and founder of the Department of Advanced Endoscopic Resurrections at Shamir Medical Center (Asaf Doctor Hospital) - performs examinations, treatments and surgeries using advanced endoscopy and artificial intelligence.
To coordinate an inspection, contact Our Customer Service
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Diarrhea/ Diarrhea
Diarrhea- transfer of liquid stool several times a day. May be caused by poor nutrition, bacterial, viral infection, infections of the gastrointestinal tract, diseases outside the gastrointestinal tract, medications and mental stress.
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Irritable Bowel Syndrome/ IBS - Irritable Bowel Syndrome
This is a syndrome and not a disease. Sufferers of it may complain of a variety of complaints such as- abdominal pain, flatulence, constipation, diarrhea bloating and nausea. Usually caused by a mental background (stress, stress and/or anxiety). Treatment is medicamentous, dietary, and sometimes mental.