Mayo Clinic in Arizona manages a diverse group of referral patients with gastrointestinal and liver disease from across the country and around the world. The majority of national referrals originate in Arizona and the southwestern United States. Mexico has become an increasingly large source of international referrals. This diverse referral population creates an optimal patient mix for learning.
Outpatient consultations are primarily seen at Mayo Clinic's Scottsdale campus, a large outpatient facility equipped with a 10-room endoscopy unit, including a dedicated fluoroscopy unit, a motility lab, comprehensive pathology and laboratory medicine support, extensive radiology facilities and a full-service library.
More than 700,000 patients have been treated at this contemporary facility since it opened in 1987. Patients have a wide variety of disorders that can be managed in our various clinics including:
- Inflammatory bowel disease clinic
- Motility clinic
- Esophageal clinic
- General gastroenterology clinic
Fifteen examining rooms, all equipped with networked workstations, allow plenty of room in which to work.
Our hospital practice is based at Mayo Clinic Hospital, which has been awarded the Consumers' Choice Award annually since it opened in 1987. The hospital consists of 205 beds, including two ICUs. Hospitalized patients have critical problems in hepatobiliary disease, inflammatory bowel disease, gastrointestinal bleeding, cancer and nutritional issues.
The hospital endoscopy unit is a four-room facility that includes state-of-the-art endoscopic equipment with electronic image management. A new digital fixed fluoroscopy unit was installed in 2010 to support ERCP and other endoscopic procedures requiring fluoroscopic imaging. New endoscopic ultrasound equipment was obtained in 2010 and 2011 to support a full range of endoscopic ultrasound and endobronchial ultrasound procedures. Capsule, single-balloon and double-balloon enteroscopy complement the unit's ability to image and treat disorders anywhere in the GI tract.
Three interventional radiologists and a large surgical team support our GI services. Liver transplants are performed routinely for patients with end-stage liver disease, including both living-donor liver transplants, as well as deceased donor transplants. Transplantation is supported by a standing complement of consultants in infectious disease, pharmacology and physical therapy. Facilities complement patient care with a library, pathology and medical laboratories, surgical suites and examining rooms for managing outpatients.
The endoscopy practice is extremely large and diverse, performing more than 15,000 outpatient procedures each year at both the clinic and hospital, including advanced procedures such as:
- Endoscopic ultrasound
- Radiofrequency ablation therapy
- Endoscopic mucosal resection
- Esophageal and enteral stenting
- Percutaneous gastroscopy
Esophageal and gastroduodenal motility testing, hydrogen breath tests, anorectal function tests and esophageal pH tests also are performed.
During their training, fellows have access to the following resources and support services:
- A computerized patient record system, allowing immediate access to medical records from any workstation in the clinic or hospital setting and through broadband Internet access from home and via smart phone
- Electronic access to medical journals and UpToDate
- Endoscopy simulator
- Teaching tapes for endoscopic training
- Gastroenterology, hepatology and nutrition texts
- Pathology teaching files
- Secretarial services for patient care and academic activities
- Broadband access to the Internet through a dedicated T1 line to allow rapid literature search, slide creation, data base management, word-processing and e-mail
- Professional graphic services for slide, video and poster presentations
- Dedicated office space
The faculty members of the Division of Gastroenterology and Hepatology at Mayo Clinic in Arizona are committed to teaching and facilitating the growth of medical knowledge, as well as performing high-quality clinical care. The advanced endoscopy faculty has extensive expertise in diagnostic and therapeutic endoscopic procedures proving the advanced fellow with both a breadth and depth of training in endoscopy and clinical research.
Many prominent professors visit Mayo Clinic each year. They present their work during morning and late-afternoon lectures. Residents and fellows are encouraged to take advantage of these opportunities to interact with experts from other academic centers and are relieved from clinical assignments to do so.