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Blog - BCIR

  • Pill Cam, Capsule Endoscopy or Camera Study

    | Posted by Ernest Rehnke, M.D.

    What is Capsule Endoscopy? Capsule Endoscopy lets your doctor examine the lining of the middle part of your gastrointestinal tract, which includes the three portions of the small intestines (duodenum, jejunum, ileum). These are areas that cannot be reached by traditional upper endoscopy or by a pouchoscopy. Your doctor will give you a pill sized video camera for you to swallow. This camera has its own light source and takes pictures of your small intestines as it passes through. These pictures ...

  • Treatment for a Blockage

    | Posted by Ernest Rehnke, M.D.

    There are several degrees of blockages which may include partial or complete, simple or complicated. Partial obstruction allows some liquid contents and gas to pass through the point of obstruction, whereas complete obstruction impedes passage of all bowel contents. Unlike simple obstruction, complicated obstruction indicates compromise of the circulation to a segment of bowel with resultant ischemia, infarction and possible perforation. Symptoms of a complete blockage usually include ...

  • Kidney Stones and Our BCIR Alumni

    | Posted by Ernest Rehnke, M.D.

    Kidney stones are among the most painful and prevalent urologic disorder. More than a million kidney stone cases are diagnosed each year, with an estimated 10 percent of Americans destined to suffer at some point in their lives. For unknown reasons, the number of people in the United States with kidney stones has been increasing over the past 20 years. Caucasians are more prone to develop kidney stones than African Americans. Although stones occur more frequently in men, the number of women who...

  • Probiotics for Treatment of Chronic Pouchitis

    | Posted by Ernest Rehnke, M.D.

    For many, the most common problem after a BCIR is pouchitis, which is the development of recurrent mucosal inflammation within the pouch. The etiology and pathophysiology of pouchitis are not well understood but it likely results from an interaction between a patient who is genetically susceptible and the small bowel mucosa which is exposed to fecal stasis (retention) and bacterial over growth. Episodes of pouchitis may be acute and intermittent or chronic and unremitting. Antibiotics ...

  • Fecal Continence is Important: KocK Pouch or BCIR?

    Medical conditions exist that can only be cured with removal of the large intestine. When this is the case, a new way to eliminate bowel waste must be considered. Once upon a time, the only way to achieve this was to bring the end of the small bowel through an opening in the abdominal wall creating a protruding stoma to which an external device was fashioned to collect your bowel waste. This was called an ileostomy. With medical advances, we now have options that address continence of fecal ...