The treatment of patients with pancreatic and biliary diseases can be highly complex. The diagnostic and therapeutic approaches necessary to manage these conditions may require skills and support beyond the scope of care offered by many community-based gastroenterologists. The Interventional Endoscopy team at NewYork-Presbyterian Hospital, a major academic medical center, features exceptional expertise in the evaluation and treatment of patients with these disorders. Our group also specializes in the management of patients with other challenging medical conditions in addition to pancreatic or biliary disease.
We offer a range of minimally invasive methods to diagnosis and treat these conditions whenever possible. These novel approaches are associated with faster recovery times, fewer complications, less scarring, and excellent outcomes.
Pancreatic diseases include cancerous and noncancerous conditions that affect the pancreas – an organ located behind the stomach that secretes juices that help digest food and hormones (such as insulin and glucagon) to regulate blood sugar levels. The most common benign pancreatic disease is pancreatitis, which may be either acute (short-term) or chronic (long-term). Pancreatic cancer is a malignancy of the pancreas.
Biliary diseases affect the bile ducts and gallbladder, which are involved in the production and transport of bile. This liquid is produced by the liver and stored in the gallbladder, and aids in the digestion of fats and the transport of wastes. Bile normally drains from the liver through a number of bile ducts to the duodenum of the small intestine, and eventually back to the bile ducts and liver.
If any duct in this complex system becomes diseased or blocked, a number of benign but serious diseases may result. These include gallstones, cholecystitis, primary sclerosing cholangitis (PSC), and primary biliary cirrhosis (PBC). Biliary duct cancer, or cholangiocarcinoma, is a malignancy of the biliary system and is very challenging to treat successfully.