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Medical Journal Erebouni

Endoscopy Department

General characteristics

 


Endoscopy department of MC Erebouni is a multi-profile department where diagnostic and therapeutic endoscopy procedures in the pathology of gastrointestinal and respiratory tract, organs of thorax and abdomen are performed.

Each year for about 3000 endoscopic procedures are carried out in the department. 

Currently, it is one of the largest endoscopic departments in Armenia equipped with the most modern equipment and staffed with highly qualified specialists. It provides a comfortable environment for patients.

 

 



 


All examinations may be complemented by biopsy, chromoscopy, Helicobacter pylori test. The immunocytochemical and immunohistochemical studies of tissue are more informative and accurate methods of benign and malignant tumors diagnostics.

 

In addition to diagnostic procedures the complete list of emergency and planned endoscopic interventions including range from polypectomy to endoscopic surgery on the bile and pancreatic ducts are performed at the department. Minimally invasive surgery can significantly reduce the period of hospitalization and minimize the period of rehabilitation in comparison with the traditional surgeries.

 


 

In the Endoscopy department of MC Erebouni the diagnostic and therapeutic endoscopy are carried out:

 

* Esophagogastroduodenoscopy

 

* Colonoscopy

 

* Bronchoscopy

 

* Endoscopic retrograde Cholangiopancreatography (ERCHPG)

 

There are also surgical interventions, such as:

 

* Esophageal variceal ligation

 

* Esophageal, piloro- duodenal and colon stenting

 

* Retrograde cholangio-pan creatography (ERCP)

 

* Endoscopic papillosphincterotomy

 

* Endoscopic gallbladder stenting (EGS)

 

* Endoscopic resection of the mucous membrane for precancerous polypoid growths

 

* Endoscopic gastrostomy formation

 

* Balloon dilation of achalasia

 

* Large-scale surgical endoscopic interventions

 

 

* Argon plasma coagulation


 


 


 

Endoscopy Department of MC Erebouni uses modern equipment that is still new in the republic. The department is equipped with a modern endoscope of the Japanese PENTAX medical company, which enables to carry out the examinations of stomach and intestinal tract painlessly and without any difficulties. And in case of tumors detection, it is possible to perform surgery at the time of examination.


 

 

 

Equipping

The Endoscopy Department has:

 

  • Modern video endoscopes of Japanese «Olympus» company IF, TJF, CF, BF, GIF Viscera 160, 180.
  • Auxiliary electrosurgical set and papillotomy
  • Diathermic nodes,
  • Mechanical lithotriptor of Japanese «Olympus» company
  • Mechanical lithotriptor of Irish «Wilson-Cook» company
  • Mechanical lithotriptors of German «Endoflex» company


The technical condition of endoscopic devices is under the permanent control of high-qualified engineers for repair and service of endoscopes.


Processing and sterilization of endoscopic equipment meets contemporary patient's safety requirements.
The permanent control of microbial contamination allows keep optimal sanitary and epidemic conditions of environment. The equipment passes all processing steps, starting with the mechanical cleaning and finishing with high-level of disinfection. Endoscopic toolset is sterilized and maintained in sterile conditions.

 
Main activities

  Diagnostic endoscopy


In Endoscopy Department of Erebouni Medical Centre are introduced and routinely performed the following diagnostic endoscopy procedures:

 

  • Esophagogastroduodenoscopy (EGDS)
  • Colonoscopy
  • Bronchoscopy
  • Endoscopic retrograde cholangiopancreatography


  Therapeutic endoscopic surgical  and interventional procedures

They are performed under the local anesthesia, with moderate or deep sedation, or under the endotracheal anesthesia.

 

  • Electrocoagulation of the bleeding locum in the stomach and duodenum, or respiratory tract
  • Removal of the foreign bodies from the esophagus, stomach, duodenum, respiratory tract
  • conduction of the nutrient probes into the lower parts of the esophagus, stomach and duodenum for the feeding and also for prevention of the insufficiency of the seams of the operated patients
  • endoscopic placement of the balloon in the stomach for the weight loss
  • biopsy of the mucous of stomach, duodenum, respiratory tract with consequent cytological and histological sudy
  • endoscopic removal of colon polyps
  • bronchoscopic lavage of the bronchi
  • endoscopic dilation of the bile duct (biliar hypertension)
  • endoscopic wirsungotomy as independent or one of the stages of decompression of pancreatic duct
  • endoscopic dilation of the main pancreatic duct (pancreatic hypertension)
  • endoscopic papillotomy (papillosphincterotomy) EPST   
  • biliary duct stenting
  • endoscopic lithotripsy and lithoextraction – crushing and removing of the chololiths (concrements) in the cholecyst and the bile ducts
 
Staff
Write a letter +37455204444
Ruben Kanayan, MD Ruben Kanayan, MD Write a letter Head of Endoscopy Department endoscopist PhD (c.m.s.)
Manvel Paskevichyan, MD Manvel Paskevichyan, MD Write a letter gastroenterologist, gastroscopist
Ferdinand Snkhchyan, MD Ferdinand Snkhchyan, MD Write a letter endoscopist
Write a letter +374 98 57 77 59 nune.movsisyan91@gmail.com
Publications
Price list

 

 

Diagnostic endoscopic examinations / Price list

07.11.2018

 

Service

Price (AMD)

 

Primary examination by the Head of Department (Service)

                            10,000

 

Secondary examination by the Head of Department (Service)

5,000

 

Examination by doctor

5,000

 

Esophagogastroduodenoscopy (EGD)

15,000

 

Esophagogastroduodenoscopy (EGD) for Helicobacter pylori with biopsy

20,000

 

Esophagogastroscopy (EGS)                                Esophagoscopy (ES)                    Esophagogastroduodenoscopy (EGD) under anesthesia

35,000

 

Video- rectosigmoidoscopy (RSS)

15,000

 

Videocolonoscopy (VCS)

25,000

 

Videocolonoscopy (VCS) under anesthesia

45,000

 

Total colonoscopy without anesthesia 

25,000

 

Total colonoscopy without anesthesia with CO2

30.000

 

Endoscopic retrograde cholangiopancreatography (ERCP)

270,000

 

Endoscopic biliary sphincterotomy (EBS) and stone extraction (under anesthesia)                                                                            

380,000

 

Bronchoscopy

35,000

 

Bronchoscopy under anesthesia

60,000

 

Esophagogastroduodenoscopy (EGD) with video endoscope performed by the Head of Department

20,000

 

Esophagogastroduodenoscopy (EGD) under anesthesia with video endoscope performed by the Head of Department

40,000

 

Biopsy for diagnosis of Helicobacter pylori

5,000

 

Anesthesia /IV/ /added to the cost of intervention/

20,000

 

Endoscopic method for stopping gastrointestinal bleeding by injection or coagulation

50.000

 

Endoscopic method for stopping gastrointestinal bleeding by IV anesthesia 

85.000

 

Endoscopic method for stopping GI bleeding by haemostatic clips /IV anesthesia/ 

100,000

 

Esophageal variceal elastic ligation / IV –anesthesia and ligament Simple case /1 Box /  

170,000

 

Esophageal variceal elastic ligation / IV –anesthesia and ligament Complex case /2 box/   

240,000

 

 Esophageal variceal elastic ligation, complicated by bleeding / / IV –anesthesia and ligament Simple case  

250,000

 

 Esophageal variceal elastic ligation, complicated by bleeding / IV –anesthesia and ligament Complex case 

300,000

 

Esophageal, piloro- duodenal and colon stenting/ IV anesthesia/ stent is not included / Simple case

120,000

 

Esophageal, piloro- duodenal and colon stenting/ IV anesthesia/ stent is not included / Complex case

170,000

 

Esophageal stenting / IV anesthesia/ stent is included

500,000

 

Endoscopic resection of the mucous membrane for polypoid growths/IV anesthesia / /1 polyp /    

100,000

 

Endoscopic resection of the mucous membrane for polypoid growths/IV anesthesia / /2-3 polyps/ 

150,000

 

Endoscopic resection of the mucous membrane for polypoid growths/IV anesthesia / /3 and more polyps / 

180,000

 

Endoscopic gastrostomy formation/ IV anesthesia/ gastrostomy supplies are not included/ Simple case 

80,000

 

Endoscopic gastrostomy formation/ IV anesthesia/ gastrostomy supplies are not included/ Complex case

110,000

 

Intragastric balloon placement for obesity / IV anesthesia /balloon is not included //

70,000

 

Intragastric balloon removal / IV anesthesia / 

50,000

 

Endoscopic mucosal dissection for precancerous flat and polypoid growths up to 1cm

150,000

 

Endoscopic mucosal dissection for precancerous flat and polypoid growths for 1-2 cm 

200,000

 

Endoscopic mucosal dissection for precancerous flat and polypoid growths for 2-3 cm

250,000

 

Endoscopic mucosal dissection for precancerous flat and polypoid growths for 3-4 cm

300,000

 

Endoscopic mucosal dissection for precancerous flat andpolypoid growths for 4 cm and more

400,000

 

Argon intervention in Barrett's Esophagus /Simple case

150,000

 

Argon intervention in Barrett's Esophagus /Medium case

180,000

 

Argon intervention in Barrett's Esophagus /Complex case

220,000

 

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