Who is a Gastroenterologist and What Do They Treat?
A gastroenterologist is a highly trained physician specializing in the prevention, diagnosis, and treatment of diseases of the digestive system, also known as the gastrointestinal (GI) tract. This complex system is responsible for digestion, nutrient absorption, and waste removal, and includes organs such as the esophagus, stomach, small intestine, large intestine (colon), rectum, liver, pancreas, and gallbladder.
Common Conditions Treated
Gastroenterologists manage a broad spectrum of conditions affecting these organs. They treat conditions including GERD, IBD, IBS, Celiac Disease, Hepatitis, Cirrhosis, Pancreatitis, Gallstones, and Ulcers. A patient's primary care doctor often refers them to a GI specialist for expert evaluation of persistent or serious digestive symptoms.
The Path to Becoming a Gastroenterologist
Becoming a gastroenterologist requires extensive training. Board certification in Internal Medicine and Gastroenterology is a widely recognized mark of professional excellence.
Diagnostic and Therapeutic Procedures
GI specialists perform various non-surgical procedures for diagnosis and treatment. These include colonoscopies to examine the colon and rectum, upper endoscopies (EGD) to view the esophagus, stomach, and upper small intestine, and capsule endoscopy where a patient swallows a tiny camera. Biopsies can also be taken during endoscopic procedures for testing.
Gastroenterologist vs. Other GI Specialists
While gastroenterologists cover the entire digestive system, related specialists focus on specific areas. See the table below for a comparison.
Specialist | Primary Focus | Key Procedures / Treatments |
---|---|---|
Gastroenterologist | Entire digestive system, including esophagus, stomach, intestines, liver, and pancreas. | Colonoscopy, endoscopy, capsule endoscopy, treatment of GERD, IBS, and IBD. |
Hepatologist | Specific subspecialty focusing exclusively on the liver, gallbladder, and bile ducts. | Liver biopsies, managing advanced liver diseases like cirrhosis and hepatitis, potential involvement with transplant services. |
Colorectal Surgeon (Proctologist) | Surgical treatment of conditions affecting the colon, rectum, and anus. | Hemorrhoid surgery, anal fissure treatment, surgery for colorectal cancer, and removal of large polyps. |
When to See a Gastroenterologist
A primary care doctor may refer you to a gastroenterologist for persistent, severe, or complex digestive issues. Symptoms that may warrant a visit include persistent heartburn or acid reflux, chronic abdominal pain, unexplained changes in bowel habits, rectal bleeding or blood in stool, unexplained weight loss, and difficulty swallowing. Routine screening colonoscopies are also recommended for adults starting at age 45, or earlier with risk factors.
Conclusion
A gastro specialist is formally called a gastroenterologist, or a GI doctor. These physicians are experts in diagnosing and treating conditions of the digestive system and related organs. Their extensive training and use of advanced tools like colonoscopies and endoscopies allow them to manage a wide range of digestive disorders. If you have persistent or concerning digestive symptoms, consulting a gastroenterologist is important for diagnosis and treatment. For additional information, the American College of Gastroenterology website is a valuable resource. American College of Gastroenterology website.