GI Procedures Units

About the GI Procedures Units

We perform more than 17,000 GI endoscopic procedures each year at our three state-of-the art GI Procedures Units.  ERCPAnesthesiology professionals are available to ensure patient safety and comfort throughout the procedure. Ongoing programs aim to further improve quality, maximize efficiency, and enhance patient experiences and comfort.

  • At the UNC Medical Center GI Procedures Unit we perform a full range of general endoscopic procedures (upper endoscopy, sigmoidoscopy, and colonoscopy) and advanced endoscopic procedures (capsule endoscopy, deep enteroscopy, ERCP, endoscopic ultrasound, and PEG/feeding tube placement, endoscopic treatment of Barrett’s esophagus) for inpatients and outpatients in all states of health.
  • At the nearby UNC Endoscopy Center at Meadowmont, we provide general endoscopic procedures (upper endoscopy, sigmoidoscopy, and colonoscopy), as well as endoscopic treatment of Barrett’s esophagus and internal hemorrhoids for outpatients who are less medically complex.
  • At the nearby UNC Hillsborough Medical Office Building, we provide general endoscopic procedures (upper endoscopy, sigmoidoscopy, and colonoscopy) for outpatients who are less medically complex.

Our Team

  • Medical Directors: Ian Grimm, MD (UNC Medical Center), Sid Levinson, MD (UNC Endoscopy Center at Meadowmont), and Melissa Rich, MD (UNC at Hillsborough).
  • Director of Advanced Therapeutic Endoscopy:  Todd Baron, MD, FASGE
  • Nurse Manager: Jocelyn Gladney Allsbrook BSN-RN, CPAN, Rhonda Nelson, RN, Bonnie Streeter, MSN, RN, CGRN.
  • Each site is staffed by UNC gastroenterology faculty members, GI nurses, and anesthesiology professionals.  Gastroenterology fellows assist at UNC Medical Center.

Available procedures

We perform a full range of general and advanced endoscopic procedures, including:

  • Colonoscopy and sigmoidoscopy: Screening, surveillance, and diagnosis, as well as advanced therapeutic procedures for large polyps and colonic stenting.
  • Upper endoscopy: Diagnosis and screening, as well as advanced therapeutic procedures for achalasia (BoTox injection, pneumatic dilatation), Barrett’s esophagus (Barrx therapy and esophageal endoscopic mucosal resection), esophageal strictures (dilatation and stenting), duodenal polyps, and malignancy (enteral stenting).
  • Capsule endoscopy: To evaluate obscure bleeding and possible small bowel diseases, such as Crohn’s disease.
  • Deep enteroscopy (antegrade only): To evaluate and treat small bowel bleeding and mass lesions.
  • ERCP: For routine and emergent indications, including management of difficult bile duct stones and complex bile duct injuries.
  • Endoscopic Ultrasound (upper and lower): For gastrointestinal cancer staging, fine needle aspiration biopsy of abdominal and mediastinal masses, evaluation of submucosal gastrointestinal mass lesions.
  • Advanced Therapeutic Endoscopic Procedures including treatment of complex pancreaticobiliary disorders (including pancreatic necrosis, pseudocysts and pancreatic strictures), management of post-operative complications, palliation of gastrointestinal malignancies, treatment of complex lumenal strictures, therapeutic endoscopic ultrasonography, celiac plexis neurolysis, endoscopic treatment of Zenker's diverticula, and placement of direct jejunal access tube.
  • Infrared coagulation treatment: Non-surgical treatment of hemorrhoids.
  • PEG/feeding tube placement

How to refer a patient

Simply fax a completed procedure request form (available here) to 919-966-8764. Our scheduling office will directly contact the patient and schedule the appointment. For advanced procedures (capsule enteroscopy, therapeutic colonoscopy, deep enteroscopy, ERCP, lower EUS, upper EUS) please also include pertinent medical records (e.g., endoscopy, pathology, and radiology reports) for review by a UNC gastroenterologist. Select patients may require outpatient consultation prior to scheduling.

How to contact us

  • General questions during business hours: Call 919-966-5563. After hours, messages may be left at 919-966-2319.
  • Urgent matters during business hours: Call 919-966-4131 and ask to page the advanced endoscopy fellow on call (pager number 123-7045).  After hours, please call 919-966-5563 and ask to page the GI fellow on call (pager number 123-7010).
  • Telephone consultation during business hours: Call 919-966-4131 and ask to page the biliary attending on call.
  • Intra-hospital transfers: Contact the UNC Transfer Center at 1-800-806-1968.