Dr. Darin Steven Krygier – Gastroenterologist | New Westminster, BC

Dr. Darin Steven Krygier is a dedicated Gastroenterologist specializing in the diagnosis and treatment of a wide array of disorders affecting the digestive system in adult patients, and may also see older adolescents for certain conditions. Practicing at a reputable gastroenterology clinic or hospital department in New Westminster, BC, he is a key member of the local medical community. Dr. Krygier provides comprehensive care for a broad spectrum of digestive system disorders, including conditions affecting the esophagus, stomach, intestines, liver, and pancreas, utilizing both diagnostic and therapeutic endoscopic procedures. His approach emphasizes patient-centered care, ensuring that each individual receives tailored and supportive management in a state-of-the-art environment.

He graduated with a medical degree (MD) from the University of Alberta in Canada and holds specialty certification as a Gastroenterologist. His credentials include certification from the Royal College of Physicians and Surgeons of Canada, reflecting his expertise and adherence to the highest standards of practice in digestive health care.

Dr. Krygier is committed to evidence-based medicine, prioritizing patient education about gastrointestinal conditions and lifestyle modifications. His philosophy centers on early and accurate diagnosis through advanced endoscopic and diagnostic techniques, followed by personalized treatment plans aimed at improving quality of life. Fluent in English, he provides compassionate, comprehensive care to his patients in New Westminster, always striving to deliver the best possible outcomes through a collaborative approach.

Dr. Darin Krygier diagnoses and treats a wide range of digestive system disorders, including:

Small & Large Intestine (Colorectal) Disorders

• Irritable Bowel Syndrome (IBS) - All Subtypes (IBS-D, IBS-C, IBS-M, IBS-U): A common functional gastrointestinal disorder affecting the large intestine, causing symptoms like cramping, abdominal pain, bloating, gas, and changes in bowel habits (diarrhea, constipation, or mixed).
• Small Intestinal Bacterial Overgrowth (SIBO) & Intestinal Methanogen Overgrowth (IMO): An abnormal increase in the bacterial population in the small intestine, or an overgrowth of methane-producing archaea, leading to symptoms like bloating, gas, abdominal pain, and altered bowel habits.
• Ischemic Colitis: Inflammation and injury of the large intestine that results from inadequate blood flow.

Functional Gastrointestinal & Motility Disorders

• Pelvic Floor Dysfunction & Anorectal Disorders (e.g., Dyssynergic Defecation): Inability to correctly relax and coordinate pelvic floor muscles to facilitate a normal bowel movement, often requiring specialized testing like anorectal manometry and biofeedback therapy.
• Chronic Idiopathic Constipation (CIC) & Opioid-Induced Constipation (OIC): Persistent constipation that does not have an identifiable underlying cause (CIC) or is a side effect of opioid medications (OIC).
• Rumination Syndrome: A condition in which people repeatedly and unintentionally spit up (regurgitate) undigested or partially digested food from the stomach, rechew it, and then reswallow it or spit it out.

Liver, Gallbladder, Bile Duct & Pancreatic Disorders

• Gallstone Disease (Cholelithiasis), Cholecystitis & Choledocholithiasis: Formation of hardened deposits (gallstones) in the gallbladder. Cholecystitis is gallbladder inflammation. Choledocholithiasis refers to gallstones in the common bile duct.
• Alcohol-Related Liver Disease (ARLD): Liver damage caused by excessive alcohol consumption, ranging from fatty liver and alcoholic hepatitis to advanced cirrhosis.

This list is not exhaustive. For personalized advice regarding your specific digestive condition, please consult with Dr. Darin Krygier.

• Colonoscopy (Screening, Diagnostic, Surveillance) & Polypectomy: Comprehensive examination of the entire colon (large intestine) using a colonoscope to detect and remove precancerous polyps, screen for and diagnose colorectal cancer, evaluate symptoms, and diagnose other colonic conditions like colitis or diverticular disease.
• Screening & Prevention Strategies for Gastrointestinal Cancers: Risk assessment and counseling on screening for colorectal cancer, esophageal cancer (in Barrett's esophagus), gastric cancer, and liver cancer (in cirrhosis), including FIT testing and colonoscopy recommendations.
• Flexible Sigmoidoscopy with Biopsy: Examination of the lower part of the colon (sigmoid colon and rectum) using a flexible sigmoidoscope, often for evaluation of rectal bleeding, diarrhea, or as part of some screening protocols.
• Biofeedback Therapy Coordination for Pelvic Floor Dysfunction & Fecal Incontinence: Evaluation for defecatory disorders and fecal incontinence, with coordination of biofeedback therapy and other interventions to improve pelvic floor muscle function.
• ERCP (Endoscopic Retrograde Cholangiopancreatography) - Diagnostic & Therapeutic: Specialized procedure combining upper endoscopy and X-rays to diagnose and treat problems of the bile and pancreatic ducts, such as gallstone removal from bile duct, stent placement for strictures or leaks, and sphincterotomy.
• Personalized Nutritional Assessment & Medical Dietary Therapy for GI Conditions: Evaluation of nutritional status and provision of evidence-based dietary advice and medical nutrition therapy tailored to specific gastrointestinal disorders like IBD, IBS, celiac disease, eosinophilic esophagitis, gastroparesis, or food intolerances, often in collaboration with registered dietitians.
• Endoscopic Ultrasound (EUS) with Fine Needle Aspiration/Biopsy (FNA/FNB): Procedure combining endoscopy with ultrasound to obtain high-resolution images and tissue samples (FNA/FNB) of the digestive tract wall, surrounding organs (pancreas, liver, adrenal glands, gallbladder), and lymph nodes for staging cancers or diagnosing lesions.

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Krygier for care relevant to your specific condition.

All medical and surgical services (if applicable) are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant gastroenterological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Krygier’s practice is situated within a well-equipped gastroenterology clinic in the Uptown neighborhood of New Westminster, BC. The clinic is conveniently located near Douglas College New Westminster Campus and the New Westminster SkyTrain Station, providing easy access via public transit, including TransLink services like the SkyTrain Expo Line and local buses. The facility is wheelchair accessible, ensuring barrier-free entry for all patients. Parking is available at or near the facility, making it convenient for those traveling by car.

Are consultations and procedures like endoscopies with Dr. Krygier, a Gastroenterologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Gastroenterologist like Dr. Krygier, as well as most diagnostic procedures (e.g., endoscopies for investigating symptoms, biopsies for medical reasons) and treatments for provincially insured digestive conditions (e.g., IBD, celiac disease, screening colonoscopies as per provincial guidelines, liver disease management), are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor or another specialist is in place. Procedures considered purely for screening outside of guidelines, or for non-medical reasons, and some advanced technologies or specific drug therapies might have different coverage. It's crucial to discuss coverage specifics for any proposed treatment or procedure with Dr. Krygier's office, the hospital/clinic's financial services, or Medical Services Plan (MSP) beforehand.

Do I need a referral from my family doctor to see Dr. Krygier, a Gastroenterologist?

Yes, in nearly all cases, a referral from your family physician or another specialist (such as an internist or surgeon) is required to schedule an appointment with a Gastroenterologist like Dr. Krygier for services covered by the provincial health plan. Gastroenterological issues often require initial assessment and preliminary investigations by your primary care provider. The referral ensures that a specialist consultation is appropriate, helps with prioritizing appointments, and facilitates coordinated care, including the transfer of relevant medical information.

What exactly does a Gastroenterologist like Dr. Krygier specialize in?

A Gastroenterologist, often called a GI specialist, is a medical doctor who has undergone extensive specialized training beyond medical school and internal medicine residency to diagnose, treat, and manage diseases of the entire digestive or gastrointestinal (GI) system. This includes the esophagus, stomach, small intestine, colon (large intestine), rectum, anus, as well as associated organs like the liver, gallbladder, bile ducts, and pancreas. He is a Gastroenterologist specializing in the comprehensive medical and procedural management of digestive system disorders. Dr. Krygier is skilled in performing endoscopic procedures (like gastroscopy and colonoscopy) for both diagnosis and treatment, interpreting complex diagnostic tests, and developing comprehensive management plans for a wide variety of acute and chronic digestive health issues.

How does Dr. Krygier approach treating functional GI disorders like IBS or functional dyspepsia?

Treating functional GI disorders like Irritable Bowel Syndrome (IBS) or functional dyspepsia often involves a multi-faceted approach tailored by Dr. Krygier to your specific symptoms and triggers. Since these conditions don't have a structural cause seen on tests, management focuses on symptom relief and improving quality of life. This may include dietary modifications (like identifying trigger foods or trying a low FODMAP diet for IBS), lifestyle adjustments (stress management, regular exercise), fiber supplements, over-the-counter remedies, and prescription medications. Medications can target specific symptoms like pain (antispasmodics), diarrhea (anti-diarrheals), constipation (laxatives), or abnormal gut-brain interaction (neuromodulators in low doses). He will work with you to find the most effective combination of strategies.

What's the difference between Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD)? Can Dr. Krygier diagnose and treat both?

Yes, a Gastroenterologist like Dr. Krygier can diagnose and treat both IBS and IBD, but they are very different conditions. IBD, which includes Crohn's disease and ulcerative colitis, is characterized by chronic inflammation and physical damage (like ulcers and strictures) to the digestive tract, visible during endoscopy and on biopsies. It's an autoimmune-related condition. IBS, on the other hand, is a functional gut disorder, meaning the GI tract doesn't work correctly, but there's no visible inflammation or damage on standard tests. IBS causes symptoms like abdominal pain, bloating, and altered bowel habits. While IBS can significantly impact quality of life, it doesn't cause the destructive inflammation seen in IBD. Diagnosis involves different criteria and investigations for each.

#410-301 East Columbia Street
New Westminster, BC V3L 3W5

Phone: (604) 525-0155 | Fax: (604) 525-1699

The facility is wheelchair accessible.

Dr. Krygier is a licensed Gastroenterologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Krygier for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/328126/Krygier%2CDarin