{"id":3778,"date":"2021-10-11T10:52:31","date_gmt":"2021-10-11T14:52:31","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/"},"modified":"2024-11-25T16:10:02","modified_gmt":"2024-11-25T21:10:02","slug":"clinical-services","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/","title":{"rendered":"Who We Care For"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/www.med.unc.edu\/medicine\/gi\/wp-content\/uploads\/sites\/1267\/2021\/12\/Patient_Care_3-1.png\" \/><\/p>\n<p style=\"text-align: center;color: #13294b;font-weight: bold\">Our outpatient clinical services include clinic-based consultations and ongoing care, as well as gastrointestinal procedures and motility testing. Our team is dedicated to research that advances the field and training the next generation of gastroenterologists.<\/p>\n<h2>We Focus on Caring for Adults with the Following Conditions<\/h2>\n<p>Given the high demand for gastroenterology services, we must focus on serving adults with complex conditions who benefit most from our team\u2019s expertise, collaborative care, and clinical trials. To refer patients with these conditions, please follow the instructions <a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/referrals\/\">here<\/a>.<\/p>\n<span class=\"collapseomatic  colomat-close\" id=\"id69ec34fc554a1\"  tabindex=\"0\" title=\"Inflammatory Bowel Disease\"    >Inflammatory Bowel Disease<\/span><div id=\"target-id69ec34fc554a1\" class=\"collapseomatic_content \">\n<ul>\n<li>We care for patients with complex inflammatory bowel disease.<\/li>\n<\/ul>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69ec34fc55584\"  tabindex=\"0\" title=\"Esophageal Diseases\"    >Esophageal Diseases<\/span><div id=\"target-id69ec34fc55584\" class=\"collapseomatic_content \">\n<ul>\n<li>We care for patients with complex eosinophilic esophagitis, Barrett\u2019s esophagus, and complex issues with swallowing.<\/li>\n<\/ul>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69ec34fc555dd\"  tabindex=\"0\" title=\"Advanced Resection\"    >Advanced Resection<\/span><div id=\"target-id69ec34fc555dd\" class=\"collapseomatic_content \">\n<ul>\n<li>Our advanced resection team specializes in:\n<ul>\n<li>complex endoscopic mucosal resection (EMR)<\/li>\n<li>endoscopic submucosal dissection (ESD)<\/li>\n<li>POEM (Peroral endoscopic myotomy) \u2013 esophageal, gastric, and for Zenker\u2019s<\/li>\n<li>STER (Submucosal tunneling endoscopic resection) \u2013 for highly selective esophageal and gastric lesions<\/li>\n<li>EFTR (Endoscopic full thickness resection) \u2013 for highly selective colon polyps<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69ec34fc55624\"  tabindex=\"0\" title=\"Liver Disease\"    >Liver Disease<\/span><div id=\"target-id69ec34fc55624\" class=\"collapseomatic_content \">\n<ul>\n<li>We see patients with complex liver conditions including MASLD, alcohol-related liver disease, viral hepatitis, autoimmune liver disease, as well as patients with cirrhosis.<\/li>\n<li>There are specialized multidisciplinary clinics to help manage liver transplant evaluations as well as liver malignancies and managing patients with alcohol-related liver disease.<\/li>\n<\/ul>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69ec34fc55677\"  tabindex=\"0\" title=\"Pancreaticobiliary diseases\"    >Pancreaticobiliary diseases<\/span><div id=\"target-id69ec34fc55677\" class=\"collapseomatic_content \">\n<ul>\n<li>We specialize in complex ERCP (diagnostic and therapeutic), EUS ( diagnostic and therapeutic), single balloon enteroscopy, luminal stents, and inpatient daytrip consults<\/li>\n<\/ul>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69ec34fc556bb\"  tabindex=\"0\" title=\"Gastrointestinal Cancer Syndrome\"    >Gastrointestinal Cancer Syndrome<\/span><div id=\"target-id69ec34fc556bb\" class=\"collapseomatic_content \">\n<ul>\n<li>Patients with a strong family history of colorectal cancer, or other characteristics concerning for having a genetic high-risk gastrointestinal cancer syndrome. For these patients, we work with a genetics counselor to have face-to-face genetics counseling and coordinate surveillance strategies.<\/li>\n<\/ul>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69ec34fc556f9\"  tabindex=\"0\" title=\"C. Difficile Infection\"    >C. Difficile Infection<\/span><div id=\"target-id69ec34fc556f9\" class=\"collapseomatic_content \">\n<ul>\n<li>We are one of only three North Carolina centers who work with a stool bank to provide fecal microbiota transplant for patient with severe, refractory or recurrent C. We coordinate care with our infectious diseases colleagues in a multidisciplinary way.<\/li>\n<\/ul>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69ec34fc55736\"  tabindex=\"0\" title=\"Complex Gastrointestinal Diseases\"    >Complex Gastrointestinal Diseases<\/span><div id=\"target-id69ec34fc55736\" class=\"collapseomatic_content \">\n<ul style=\"font-weight: 400\">\n<li>We care for patients with diverticulitis and work with colorectal surgeons to care for these patients in a multidisciplinary way.<\/li>\n<li>We care for patients with gastrointestinal alpha-gal syndrome and work with UNC allergists and nutritionists to care for these patients in a multidisciplinary way.<\/li>\n<\/ul>\n<\/div>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/endocrinology-metabolism\/patient-care\/referrals\/\">Refer A Patient<\/a>\n<h4><\/h4>\n<h4>Click below to learn more about particular focus areas.<\/h4>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<ul style=\"padding-left: 0\">\n<li style=\"padding: 10px;border-bottom-width: 1px;border-bottom-style: solid;border-bottom-color: #e1e1e1\"><a style=\"text-decoration: none\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/gi-procedures-units\/\">GI Procedures Units<\/a><\/li>\n<li style=\"padding: 10px;border-bottom-width: 1px;border-bottom-style: solid;border-bottom-color: #e1e1e1\"><a style=\"text-decoration: none\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/gi-motility-unit\/\">GI Motility Unit<\/a><\/li>\n<li style=\"padding: 10px;border-bottom-width: 1px;border-bottom-style: solid;border-bottom-color: #e1e1e1\"><a style=\"text-decoration: none\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/general-gastroenterology-clinic\/\">General Gastroenterology<\/a><\/li>\n<li style=\"padding: 10px;border-bottom-width: 1px;border-bottom-style: solid;border-bottom-color: #e1e1e1\"><a style=\"text-decoration: none\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/the-center-for-esophageal-diseases-and-swallowing-disorders\/\">Esophageal Diseases and Swallowing Disorders<\/a><\/li>\n<\/ul>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<ul style=\"padding-left: 0\">\n<li style=\"padding: 10px;border-bottom-width: 1px;border-bottom-style: solid;border-bottom-color: #e1e1e1\"><a style=\"text-decoration: none\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/unc-center-for-functional-gi-and-motility-disorders\/\">Functional GI and Motility Disorders<\/a><\/li>\n<li style=\"padding: 10px;border-bottom-width: 1px;border-bottom-style: solid;border-bottom-color: #e1e1e1\"><a style=\"text-decoration: none\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/unc-liver-center\/\">Liver Diseases<\/a><\/li>\n<li style=\"padding: 10px;border-bottom-width: 1px;border-bottom-style: solid;border-bottom-color: #e1e1e1\"><a style=\"text-decoration: none\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/unc-high-risk-gastrointestinal-clinic\/\">High Risk GI Cancer Conditions<\/a><\/li>\n<li style=\"padding: 10px;border-bottom-width: 1px;border-bottom-style: solid;border-bottom-color: #e1e1e1\"><a style=\"text-decoration: none\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/unc-center-for-inflammatory-bowel-disease\/\">Inflammatory Bowel Diseases<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<h2>We Are Unable to Routinely See Adults with the Following Conditions<\/h2>\n<p>To ensure access for people with high-priority conditions, UNC Faculty Practice gastroenterologists do not routinely see adults with the following conditions. These problems are usually well-managed by a primary care providers or other specialists.<\/p>\n<ul>\n<li><strong>Disorders of Gut Brain Interaction<\/strong>: Due to limited capacity, we must decline any patient who lives out of state or has been seen by an academic gastroenterologist in the last 3 years.<\/li>\n<li><strong>General GI Group<\/strong>: Due to limited capacity, the general GI group is not currently accepting second opinions for patient who are actively being seen by another gastroenterologist for nausea, vomiting, abdominal pain, etc. we are not accepting complex gastroparesis patients.<\/li>\n<li><strong>Total parenteral nutrition (TPN):<\/strong> <span style=\"font-size: 14px\">We are not equipped to manage\/see TPN patients at this time.<\/span><\/li>\n<li><strong>Our pancreaticobiliary team<\/strong> are not equipped to manage\/see:\n<ul>\n<li>Chronic pancreatitis without endoscopic treatment target, including management of chronic pancreatitis pain<\/li>\n<li>Incidental pancreaticobiliary findings with primary reason for referral being unrelated, possible GI symptom<\/li>\n<li>Pancreaticobiliary disease that resolves but with persistent non-pancreaticobiliary GI symptoms\/illnesses<\/li>\n<li>Exocrine pancreatic insufficiency alone, without other needs<\/li>\n<li>we do not offer retrograde single balloon enteroscopy or double balloon enteroscopy and those referrals should all be sent to Duke.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Our outpatient clinical services include clinic-based consultations and ongoing care, as well as gastrointestinal procedures and motility testing. Our team is dedicated to research that advances the field and training the next generation of gastroenterologists. We Focus on Caring for Adults with the Following Conditions Given the high demand for gastroenterology services, we must focus &hellip; <a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/\" aria-label=\"Read more about Who We Care For\">Read more<\/a><\/p>\n","protected":false},"author":79967,"featured_media":0,"parent":2254,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-3778","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Who We Care For | Division of Gastroenterology and Hepatology<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/patient-care\/clinical-services\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Who We Care For | Division of Gastroenterology and Hepatology\" \/>\n<meta property=\"og:description\" content=\"Our outpatient clinical services include clinic-based consultations and ongoing care, as well as gastrointestinal procedures and motility testing. 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