Pancreas and Biliary Disorders Program

PARTICIPATING PROVIDERS

Jason N. Rogart, MD, FASGE, Director (Interventional Gastroenterologist & Therapeutic Endoscopist)
Cataldo Doria, MD, PhD, MBA, FACS (Surgeon)
Steven A. Johnson, MD, FACS (Surgeon)

Program Description
Pancreatic and biliary disorders can be among the most challenging gastrointestinal conditions to diagnose and treat, and they are becoming more and more common. The good news is that using advanced diagnostic and therapeutic technologies and techniques, some of these conditions can be prevented and cured, while others can be successfully managed. The Program in Pancreas and Biliary Disorders at Capital Health offers a multi-disciplinary approach to optimize not only the care patients will receive, but also to better coordinate their care with referring physicians, medical oncologists, and other providers.

Our expert physicians have dedicated extra years to specialized training in these techniques and technologies, including advanced therapeutic gastrointestinal endoscopy, surgical oncology, and minimally invasive surgery.

Diseases/Conditions Treated

Pancreatic cancer
Pancreatic cysts
Pancreatic neuroendocrine tumors
Abdominal/back pain caused by pancreas or bile duct cancer
Acute Pancreatitis
Chronic Pancreatitis
Autoimmune Pancreatitis
Pancreatic pseudocyst
Cholangiocarcinoma (bile duct cancer)
Bile duct stones
Gallbladder stones
Bile duct strictures
Bile leaks
Cholangitis
…and more

State-Of-The-Art Endoscopic Technology and Treatments 

Advanced Surgical Treatments
Surgical intervention may be necessary to adequately treat many pancreatic and biliary disorders. In the past, this meant that the patient could routinely expect a long surgical incision, significant time in the hospital, and a protracted recovery time. Laparoscopic cholecystectomy was first performed in the United States in 1989. Since then, progressive advancement of minimally invasive techniques has been applied to an ever wider range of pancreato-biliary operations.

Whenever feasible, minimally invasive techniques are utilized to complete surgical therapies for the bile ducts and pancreas. These operations include laparoscopic cholecystectomy, laparoscopic distal pancreatectomy, and laparoscopic common bile duct exploration. These techniques have a track record of decreasing hospital stay and recovery time while maintaining the precision necessary when treating the bile ducts and pancreas.

In addition to minimally invasive techniques, advanced surgical techniques are utilized when a traditional open operation is required when treating a cancer. Cancers of the pancreas can be aggressive and require surgical resection as a major part of the curative treatment plan. As such, we utilize a combination of advanced energy devices, pylorus-preservation when appropriate, and a two-surgeon team to provide the best possible surgical care.

Clinical Research and Education
As part of the Center’s mission to improve patient care and remain on the cutting edge of technology, our physicians are continually involved in clinical research and education. All procedures, however, are performed only by the attending gastroenterologist or surgeon, without trainee involvement. Our gastroenterologists and surgeons are often among the first to trial new equipment before or right after it becomes commercially available, and they have published numerous studies in the most prestigious medical journals in gastroenterology and surgery, as well as published numerous book chapters.

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