• Barrett's Esophagus
• Esophageal / UGI tract / anastomotic / colonic strictures (benign, malignant, and refractory)
• GI tract fistulas, leaks, and perforations
• GI tract neoplasms: advanced diagnostics / detection / staging / local therapy
• Gastric and esophagogastric varices
• Gastric antral vascular ectasia (GAVE)
• Small bowel and obscure GI bleeding
• Bile duct stones (choledocholithiasis)
• Biliary tract strictures: benign / post-operative / malignant / indeterminate
• Bile leak
• Pancreatic cysts
• Acute, recurrent, and chronic pancreatitis
• Pancreatic and biliary tract cancers

• Diagnostic endoscopic ultrasound: tumor detection / staging / tissue sampling
• Interventional endoscopic ultrasound: celiac block-neurolysis / pseudocyst drainage and necrosectomy / fiducial placement / biliary or pancreatic duct drainage / liver biopsy / gastric varices obliteration
• ERCP: includes ductoscopy / intraductal lithotripsy / endomicroscopy / altered anatomy procedures
• Single-session EUS / ERCP
• Endoscopic mucosal resection (EMR) / Endoscopic submucosal dissection (ESD)
• Endoscopic ablation: luminal / biliary
• Endomicroscopy: luminal tract / biliary / pancreas cyst
• Stent placement: luminal tract / pancreatic / biliary
• Endoscopic suturing / clipping
• Device-assisted enteroscopy

Your liver, bile ducts, pancreas and gallbladder produce, release and manage bile and other hormones that help with digestion. When pancreatic cancer, gastrointestinal tears or other issues occur, turn to Ochsner. Our pancreatic and biliary services team offers comprehensive diagnosis and treatment for conditions that impact your pancreas, gallbladder or biliary ducts.

Our advanced pancreatic and biliary endoscopy technology allows our doctors to use tiny cameras and minimally invasive techniques to evaluate the pancreas and bile ducts for abnormalities, including tumors, blockages, pancreatic cysts and more. In many cases, our doctors can use these minimally invasive endoscopic tools to close leaks, perform biopsies, place stents, remove stones and more, all without the need for major surgery.

Our team is comprised of four, full-time interventional endoscopists and ten nurses and assistants. Our physicians are national leaders in the field, recurrent faculty invitees at regional and national meetings, authors of numerous scientific articles, and active in local and multicenter, collaborative clinical research studies. Our nurse and assistant team are all highly trained, experienced, and focused solely on advanced endoscopy procedures. We focus on a team approach to care, and we strive to deliver the highest quality, safe, and timely care to our patients using the most innovative and state-of-the-art techniques and technology.

Physician Team

• Janak N. Shah, MD
• Ricardo Romero, MD
• Abdul El Chafic, MD
• John Jerry Evans, MD

Advanced Endoscopy Practice Coordinator

• Raeann Totaro

• Download the physician referral form
  • ​After completing, send back to our office​:

    • Fax: 504-842-0409

    • Email: advancedendscopy@ochsner.org

• OchsnerOutcomes: Digestive Diseases

View the latest Outcomes for Advanced Endoscopy

Contact Information

• Email: advancedendoscopy@ochsner.org