Gastroenterology
Monument Health Gastroenterology provides the highest level of care for a full range of digestive system diseases including general gastroenterology, hepatology and interventional gastroenterology with hepato-pancreatic-biliary interventions.
With advances in medicine and technology, Monument Health is now able to provide world-class Gastroenterology care, allowing our patients to receive the care they need right here in the Black Hills.
Conditions and Procedures
What We Treat
- A wide range of GI complaints such as abdominal pain, nausea, dysphagia, vomiting, bloating, change in bowel habits and more
- Gastroesophageal reflux disease (GERD)
- Eosinophilic esophagitis (EoE)
- Esophageal stricture and complex dysphagia pathology
- Esophageal varices
- Barrett’s esophagus
- Gastric ulcer disease
- Helicobacter pylori treatment
- Gastric masses and subepithelial lesions
- Gastric varices
- Gastrointestinal bleeding
- Celiac disease
- Irritable bowel syndrome (IBS)
- Small intestinal bacterial overgrowth (SIBO)
- Pancreatitis (acute and chronic)
- Pancreatic cysts and masses
- Hepatitis and liver diseases
- Biliary stricture and bile duct pathology
- Choledocholithiasis
- Small bowel AVMs
- Diverticulosis and diverticular associated disease
- Inflammatory bowel disease (ulcerative colitis and Crohn’s disease)
- Microscopic colitis
- Rectal varices
- Colon cancer screening and polyp resections
Procedures We Perform
- Esophagogastroduodenoscopy (EGD)
- Esophageal dilation
- High-resolution manometry (HRM)
- Esophageal pH monitoring (Bravo)
- Esophageal EndoFLIP planimetry
- Barrett’s esophagus with endoscopic eradication therapy (Endoscopy Mucosal Resection, Radiofrequency Ablation, Cryotherapy)
- Push enteroscopy
- Endoscopy hemostasis
- Endoscopic retrograde cholangiopancreatography (ERCP), with wide range of interventions on complex biliary pathology
- Direct cholangioscopy (SpyGlass)
- Diagnostic upper and lower Endoscopy Ultrasonography (EUS): EUS guided fine-needle aspiration/fine-needle biopsy
- Interventional upper and lower Endoscopy Ultrasonography (EUS): EUS guided transgastric ERCP (EDGE), EUS guided gastroenterostomy and enteroenterostomy (EGGE, EGEE), EUS guided gastric and rectal variceal embolization
- Endohepatology with EUS guided liver biopsy, direct portal pressure gradient measurement, liver shear wave elastography
- Video capsule enteroscopy with Smart PillCam (VCE)
- Flexible sigmoidoscopy
- Colonoscopy
- Endoscopy mucosal resection of large polyps (EMR)
- Endoscopic Full-Thickness Resection Device (eFTRD)
- Endoluminal stenting
- Endoluminal defect closure and suturing
- Vibration Controlled Transient Elastography (VCTE) using FibroScan
- Anti-reflux intervention: Transoral Incisionless Fundoplication (TIF) and robotic assisted Concomitant hiatal hernia repair and Transoral Fundoplication (cTIF)
The number of digestive disease conditions leading to primary care physician visits and specialty referrals is progressively on the rise. At Monument Health, our Interventional Gastroenterologist and GI clinic team are committed to providing top-notch care for patients’ gastrointestinal complaints despite the complexity of their disease. Our team provides evaluation and defines treatment for a full range of digestive disease conditions — tailoring treatment plans to each patient’s specific needs with the goal of improving their functional status and quality of life.
The Gastroenterology Clinic is co-located with the General Surgery Clinic within the Rapid City Hospital to provide a multidisciplinary approach for our providers to work collaboratively as a team to monitor your progress and provide the best answers for your digestive disease complaints.
TAKE A VIRTUAL TOUR
Take a virtual tour of our state-of-the-art Endoscopy Suite, completed in 2024. This dedicated space has been designed to provide patients with a comfortable environment allowing Physicians and Providers access to cutting-edge technologies for procedures. Along the tour, you can see first-hand the advanced technology available in procedure rooms and spacious patient rooms, the modern design and patient-centered features implemented to provide high-quality care, close to home.
Find a Provider
At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.
Liver Care in Partnership with Nebraska Medicine
Monument Health partners with Nebraska Medicine specialists to provide convenient care for patients with liver, pancreas and biliary disorders in and around Rapid City.
Nebraska Medicine hepatologists and surgeons hold clinic hours at Monument Health on the first and third Tuesday of each month, allowing patients to receive specialized liver and hepatobiliary care close to home. Constant communication and coordination between both health systems helps ensure patients receive state-of-the-art health care.
Keeping care close to home
Nebraska Medicine hepatologists and surgeons see patients experiencing the following conditions:
Chronic and genetic liver diseases
- Hepatitis and cirrhosis, including NASH.
- Hemochromatosis.
- Wilson’s disease.
- Alpha-1 antitrypsin deficiency.
- Cystic fibrosis–related liver disease.
- Glycogen storage disease.
- Tyrosinemia.
- Familial amyloidosis.
Biliary disorders
- Primary biliary cholangitis (PBC)/cirrhosis.
- Primary sclerosing cholangitis (PSC).
- Biliary atresia.
- Bile duct strictures, injuries and cancers.
- Complex gallbladder removals.
Liver and pancreatic conditions
- Liver lesions and tumors.
- Metastatic colorectal cancer to the liver.
- Chronic pancreatitis.
- Pancreatic tumors and cysts.
If liver transplantation is necessary, patients will travel to The Nebraska Medical Center in Omaha for a three- to four-day outpatient liver transplant evaluation.
After transplantation, patients will continue to be seen and monitored at Monument Health.
How to make a referral
Patients can either self-refer or obtain a referral from their primary care provider to see a Nebraska Medicine hepatologist in Rapid City.
The following documentation is required to schedule your first appointment:
- Referral
- Insurance card or photo of the front and back of the insurance card
- Clinic notes
- Endoscopy reports (colonoscopy, EGD)
- Pathology reports
- Imaging studies (ultrasound, MRI, CT or X-ray)
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