Institute of Gastroenterology

a minimally invasive procedure in which the patient swallows a tiny camera and images are recorded for analysis

in this common screening test for colon cancer and to locate sources of bleeding, the patient is anesthetized and a scope is inserted into the anus

a scope is inserted into the throat and down through the stomach, generally to check for causes of stomach pain and bleeding

this procedure checks the small bowel, usually to detect bleeding; biopsies may be taken and sources of bleeding can be cauterized

an ultrasound probe is inserted in the patient’s rectum in order to gather a 3D picture of the prostate

to check the pancreas and common bile ducts, a scope is inserted through the mouth, into the stomach and the first part of the small intestine (duodenum)

using sound waves to create a visual image, EUS can investigate a variety of structures in the digestive system

a relatively new type of weight loss procedure that reduces the stomach size by using an endoscopic suturing device, with no need for surgery

• Acute gastrointestinal bleeding
• Chronic gastrointestinal bleeding
• Biliary and pancreatic diseases
• Pancreatic cysts
• Varicose veins
• Gastroesophageal reflux
• Polyp removal
• Stenting support for implant positioning
• To guide fine needle aspiration (FNA)

All types of endoscopic procedures, conventional and advanced, are provided using the latest technologies. At Sheba, we pioneer many new endoscopic procedures in Israel, many of which are later implemented around the world.

Comprehensive multidisciplinary services are provided to diagnose and treat patients who suffer from inflammatory bowel disease, such as Crohn’s disease and ulcerative colitis.

Working in conjunction with specialists from other Sheba departments, we treat gastrointestinal functional disorders, gastrointestinal motility disorders, and functional-structural disorders of the pelvic floor, including:

• Swallowing disorder
• Reflux syndrome (reflux)
• Gastroparesis
• Sensitive bowel syndrome
• Chronic constipation
• Failure to control feces
• Degenerative disorders
• Pelvic organs
• Chronic pain in the gastrointestinal tract

Proper nutrition plays a vital role in treating many diseases, and nutritional counseling can be critical for healing and improving the overall condition of the patient. During the first visit to our clinic, the patient meets with a physician specializing in the field, as well as a dietitian.
We offer nutritional counseling for:

• Celiac – gluten-free diet
• Lactose intolerance
• Sensitive bowel syndrome
• Pelvic floor problems
• Chronic constipation
• Gases
• Inflammatory bowel disease
• Septic disorder
• Pancreatic disease (pancreatic enzyme replacement and nutritional plans)
• Intravenous economics TPN
• Cancer patients
• Swallowing disorders or upper gastrointestinal obstruction

Experts at the Obesity Clinic collaborate with doctors from our Endocrine Clinic to treat patients in urgent need of assistance with losing weight.

Experts in gastroenterology and genetics staff this clinic, working closely with surgeons, oncologists, radiologists, and pathologists. We track and evaluate the progress of gastrointestinal malignancies, offering counseling regarding treatment and prevention for the patient and their family members.

Cancer can damage all parts of the digestive system, and an early diagnosis promotes effective treatment. Patients who have suspected cancerous symptoms are referred to this clinic for an overall evaluation and rapid diagnosis.

A variety of disorders can cause heartburn or problems with swallowing, such as:

• Impaired pharyngeal and laryngeal function, as seen in various neurological diseases, following brain events and various muscle diseases
• Gastrointestinal reflux disease
• Gastroparesis
• Irregular esophageal contractions
• Damage to the esophageal nerve and upper digestive tract

Using sophisticated technologies, a team of experienced specialists in gastroenterology, EAG, communication disorders and dietary services work together to diagnose and treat patients.

We provide comprehensive counseling for pancreatic, gallbladder and gastrointestinal disorders. Every week, multidisciplinary specialists evaluate each patient’s case – including general surgeons with expertise in pancreatic and biliary tract surgery, gastroenterologists who perform biliary tract imaging using ERCP and EUS, and imaging physicians who are experts in pancreatic and biliary tract surgery. Depending on the patient’s results, we will refer them for surgery, endoscopic treatment or radiation and chemotherapy treatments.

We provide specialized diagnosis and treatment for the following diseases:

• Gallstone and bile duct disease
• Chronic pancreatitis
• Pancreatic tumors
• Cystic diseases
• Neuroendocrine tumors

Using sophisticated technologies, a team of experienced specialists in gastroenterology, EAG, communication disorders and dietary services work together to diagnose and treat patients.

Many routine and experimental gastrointestinal tests are performed at Sheba’s modern laboratory. These include:

• Hepatitis examinations, both serology and molecular
• Endocrine examinations – CA 19-9, Gastrin levels
• Helicobacter Pylori detection, both through breath test and in tissue samples
• Celiac diagnosis – Anti-endomysial AB
• Maldigestion – H2 breath test
• Infliximab/Adalimumab drug levels and antibodies