Claxton-Hepburn Medical Center’s Gastroenterologist, Dr. Ahmad Kadhim is now offering four new patient services: Fecal Microbiota Transplantation (FMT), Pill Capsule Endoscopy, Esophageal Manometry with Impedance, and the Bravo pH Monitoring System. No physician referral is necessary to see Dr. Kadhim. For an appointment call (315) 713-6740. His office is at 3 Lyon Place, Suite 100, in Ogdensburg.
According to the American College of Gastroenterology, FMT, which is also commonly known as stool transplantation or fecal transplant, the primary purpose is to transfer gut organisms from a healthy donor to a patient. Currently, FMT is used to treat patients with recurrent C. difficile infection (CDI). This infection is often a consequence of antibiotic use, which can disrupt a patient’s microbiome, allowing C. diff to grow unchecked. Clinical studies using FMT have demonstrated nearly 90% cure rates for recurrent CDI as compared to 30% using standard antibiotic treatment. FMT works by restoring the natural balance of the intestinal bacterial community. Dr. Kadhim added, “Here at Claxton-Hepburn we implant the stool, obtained from a stool bank, where specimens are obtained from pre-screened healthy donors and frozen. He added, “My preferred method for implanting the stool is by placing several samples within the large colon via a colonscope tube.”
Capsule endoscopy is a relatively new kind of endoscopic procedure which involves swallowing a small capsule with a tiny camera, battery, and transmitter inside. It takes digital images once swallowed, of the inside of your digestive system every two seconds for ten and a half hours. These images are transmitted wirelessly and stored on a recorder worn around the waist.
Dr. Kadhim stated, “Capsule endoscopy is used to examine the small intestine. It can be helpful in detecting such things as cancer, ulcers, unexplained bleeding, Crohn’s disease, coeliac disease, and iron deficiency anemia.” He added, “The capsule should pass from your body naturally the following day when you go to the toilet. The capsule is flushed as it stops recording once it leaves the body.”
Esophageal manometry with impedance is a test done to investigate the function of the esophagus by assessing various parameters. Dr. Kadhim stated, “This test allows us to investigate the neuro gastrointestinal function of the esophagus. It helps us diagnose esophageal spasms amongst other diseases of the esophageal nerves such as achalasia and hypotensive esophageal spasms.” He continued, “The test is indicated in patients with persistent difficulty swallowing (esophageal dysphagia), and it can be readily available at our center.” The test requires the placement of a catheter with pressure sensors through the nose into the esophagus. This catheter is attached to a computer which analyzes swallows. Dr. Kadhim concluded, “Treatment would be initiated depending on the diagnosis.”
The Bravo pH Monitoring System is a capsule that is placed in the esophagus via an esophagogastroduodenoscopy (EGD). An EGD allows the doctor to look inside the esophagus, stomach, and small intestine. These are the upper portions of your digestive system. While you are anesthetised, starting at your mouth, your doctor will use a small flexible tube, to see inside your body. Your doctor will place the BRAVO pH monitoring device in your esophagus during the EGD. Dr. Kadhim stated, “The objective of this procedure is to measure the acid levels in the esophagus to see if the patient is eligible for surgical correction. It is an adjunct to conventional diagnostic methods and helps to initiate proper treatment for gastroesophageal reflux disease, GERD.”
Dr. Kadhim stated, “I am glad to be able to offer these new diagnostic and treatment modalities for my patients. These improved techniques allow me to easily identify disease early on in my patients, which leads to improved treatment options and outcomes, and a better quality of life.” For more information about Dr. Kadhim, and how he is defending your tomorrows and keeping the North Country strong, visit us on the web at providers.claxtonhepburn.org/kadhim.