Posts for category: GI Care

By Glenn D Madokoro, MD
April 23, 2020
Category: GI Care
Tags: Endoscopy  

An endoscopy is a simple nonsurgical procedure commonly utilized for inspecting the digestive tract. It entails the use of an endoscope, which is a malleable, thin tube with a tiny camera and light attached at the tip so that your doctor could see images of your digestive tract projected on a display monitor. It can spot precancerous and benign polyps and cancerous or malignant tumors.

Likewise, it can determine the presence of inflammation, ulcers, and other kinds of damage to your stomach or intestine walls. Additionally, an upper GI (gastrointestinal) endoscopy could spot the cause of swallowing issues, chest pain, and heartburn. In certain cases, an endoscopy may also be used for removing objects or polyps and taking tissue samples for evaluation.

Endoscopy comes in different types and it will be up to your gastroenterologist, Dr. Glenn Madoroko of Glenn D Madoroko, MD, in Newport Beach, CA, to determine which one will suit you best.

The Different Types of Endoscopies

During a standard upper endoscopy, your doctor will pass an endoscope through your mouth, throat, and esophagus to enable him to see into your esophagus, the small intestines’ upper portion, and your stomach. Similarly, an endoscope could be passed into the colon or large intestine via the rectum to inspect that part of the intestine.

Likewise, an ERCP, or endoscopic retrograde cholangiopancreatography, will enable your doctor to take images of the gall bladder, pancreas, and associated structures. It can also be utilized for biopsies and placing stents. In addition, EUS, or endoscopic ultrasound, combines ultrasound and endoscopy to obtain information and images about different digestive tract structures.

When is an Endoscopy Recommended?

Your gastroenterologist in Newport Beach, CA, may recommend an endoscopy for assessing the following:

  • Abdominal pain
  • Swallowing problems
  • Ulcers
  • Bleeding in the digestive tract
  • Gastritis
  • Bowel habit changes such as sudden and/or consistent diarrhea or constipation
  • Colon growths or polyps

Depending on your reason for undergoing an endoscopy, your gastroenterologist may also utilize an endoscopy to take a sample of suspicious tissue (biopsy) that should be assessed. Likewise, an endoscopy can be used for treating digestive tract issues. For instance, aside from spotting active bleeding from ulcers, an endoscope can also carry devices that could help halt the bleeding. Furthermore, gallstones that have accumulated in the bile duct could be taken out through endoscopy.

For Concerns, Information, and Questions About Endoscopy, Contact Us

Call (949) 548-8800 to arrange an appointment with Dr. Glenn Madokoro here at Glenn Madoroko, MD, in Newport Beach, CA.

By Glenn D Madokoro, MD
March 15, 2019
Category: GI Care

A colonoscopy screens patients for colon cancer. Recommended for people ages 50 and older, this minimally-invasive test looks for Ulcerative Colitisirregularities in the bowels, takes samples for biopsies, and uncovers the reasons for chronic diarrhea, ulcerative colitis, and other problems of the lower GI tract. In Newport Beach, Dr. Glenn Madokoro is your go-to gastroenterologist for a colonoscopy. Is it time for you to have one?


What to expect

During a screening colonoscopy our Newport Beach practice, your gastroenterologist will use a thin lighted tube to inspect the interior of your lower Gi tract, including the ascending colon, transverse colon, descending colon, and rectum. He takes real time and still images of the lining of the bowels and looks for problems such as diverticulitis and, more importantly, cancerous growths and polyps.

Many individuals over the age of 50 have benign and precancerous polyps. While these lesions themselves are not necessarily cancerous, some may become malignant over time. In fact, all colon cancer arises from polyps.

Dr. Madokoro performs a colonoscopy in about 45 minutes with the patient positioned on their left side. Typically, patients are sedated so they can respond to simple commands but feel very relaxed or even drop off to sleep. You should also know that this GI test is painless. In fact, most patients say that bowel prep the day before the procedure is the most difficult part of it. To prepare, you'll consume only clear liquids and take a large volume of cathartics to thoroughly cleanse the large intestine.

Finally, after your test, your gastroenterologist will review his findings with you. Biopsy results may take a week. You'll be driven home by a friend or loved one and resume your usual activities the next day.


Get Peace of mind

If you're over 50 and you know that it's time for your screening colonoscopy, call Dr. Glenn Madokoro for an appointment. You'll receive complete prep and aftercare instructions so that you know what to expect. Phone (949) 548-8800 today!

By Glenn D Madokoro, MD
August 22, 2017
Category: GI Care
Tags: Colonoscopy  

If you're age 50 or older, you know that a screening colonoscopy appears on your "to do" list. If your heredity and current health status


indicate you're at low risk for developing colon cancer, your gastroenterologist in Newport Beach, CA may ask you to repeat the test every 10 years. However, some conditions require more frequent screening or a follow-up colonoscopy. Follow-up of this very accurate diagnostic test is much like your original screening. Find out the reasons why it's performed from Dr. Glenn Madokoro.

Is colon cancer a real threat?

Yes, it is, especially as your age advances beyond 50. The American Cancer Society says that undetected, colon cancer will kill 50,000 Americans this year alone. That's why prophylactic testing is so important. If detected in its earliest stages, colon cancer can be cured.

Your Newport Beach gastroenterologist will help you determine what your interval should be between your initial screening colonoscopy and your follow-ups. Many adults require follow-up after 10 years because their intestinal mucosa showed no areas of concern.

If however, your exam reveals abnormalities such as diverticulum, small pouches or indentations which form in the walls of the large intestine, or polyps, growths that can be benign or precancerous (adenomas), you likely will need more frequent colonoscopies.

What happens during a follow-up colonoscopy?

Physicians also call this procedure a surveillance colonoscopy because it watches for changes in previously found abnormalities. Dr. Madokoro is well-known for his slow and careful search through the large intestine using a lighted and video-monitored scope.

To begin your procedure, you are given a tranquilizer, such as Valium, to relax you. You rest on one side and the doctor gently inserts the thin, flexible instrument through the rectum. Some patients drift off to sleep during the test and may remember very little of the experience afterward.

As the doctor advances the scope, he searches for polyps and removes them for biopsy if he encounters any. Polyps may be excised with a tiny electrical current (burn fulguration) or with a small loop of wire (snare polypectomy). Dr. Madokoro carefully looks through the entire length of the colon to ensure he has retrieved all polyps.

Don't worry; be informed

Whatever the reason is for your follow-up colonoscopy in Newport Beach, CA, rest assured it is an excellent tool in keeping you and your colon healthy. If it's time for your first colonoscopy or for your follow-up test, please contact Dr. Madokoro's staff for an appointment. Call today: (949) 548-8800.