Dr. David James Sanders – Gastroenterologist | Kelowna, BC

Dr. David James Sanders 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 within Kelowna, BC, he is a key member of the local medical community. He provides comprehensive care for a wide range of digestive system disorders, including conditions affecting the esophagus, stomach, intestines, liver, and pancreas, utilizing diagnostic and therapeutic endoscopy. His approach emphasizes patient-centered care, focusing on accurate diagnosis and effective treatment strategies tailored to each individual’s needs.

He graduated with an MD from the University of British Columbia (Canada) and holds specialty certification as a Gastroenterologist. He is certified by the Royal College of Physicians and Surgeons of Canada, ensuring adherence to the highest standards of medical practice and ongoing professional development. His training and certifications reflect his commitment to maintaining expertise in the latest advancements in digestive health care and endoscopic techniques.

Dr. Sanders is committed to evidence-based, compassionate, and personalized digestive health care. He prioritizes patient education on GI conditions and lifestyle modifications, emphasizing early and accurate diagnosis through advanced procedures. His clinical philosophy centers on providing thorough, individualized treatment plans designed to improve quality of life for his patients in Kelowna. He delivers care in English and is dedicated to supporting his patients through clear communication and compassionate service.

Dr. David Sanders diagnoses and treats a wide range of digestive system disorders, including:

Functional Gastrointestinal & Motility Disorders

• Cyclic Vomiting Syndrome: A disorder characterized by recurrent, stereotypical episodes of intense nausea and vomiting lasting for hours or days, with symptom-free intervals in between.
• 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).
• Functional Dyspepsia & Epigastric Pain Syndrome: Persistent or recurrent pain or discomfort centered in the upper abdomen (dyspepsia) or specifically in the epigastric region, without an identifiable structural cause after investigation.

Inflammatory Bowel Disease (IBD) Focus

• Indeterminate Colitis & IBD-Unclassified (IBD-U): Cases of IBD, particularly early in the disease course, where it is difficult to definitively distinguish between Crohn's disease and ulcerative colitis based on clinical, endoscopic, and histological features.
• Microscopic Colitis (often considered alongside IBD for chronic diarrhea): Though distinct from classic IBD, it's an inflammatory condition of the colon diagnosed by biopsy, causing chronic watery diarrhea.

Esophageal, Stomach & Upper GI Disorders

• Barrett's Esophagus & Dysplasia Monitoring: A precancerous condition in which the normal lining of the esophagus is replaced with tissue similar to the intestinal lining, often due to chronic GERD, requiring regular surveillance for dysplasia (abnormal cells).
• Esophageal Motility Disorders (e.g., Achalasia, Esophageal Spasms, Nutcracker Esophagus): Disorders affecting the coordinated muscle movements of the esophagus required for swallowing, leading to symptoms like dysphagia (difficulty swallowing), chest pain, and regurgitation.

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

• 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.
• 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.
• Chromoendoscopy & Advanced Imaging Techniques (e.g., NBI, FICE): Use of special dye sprays (chromoendoscopy) or electronic light filters (Narrow Band Imaging, Fuji Intelligent Chromo Endoscopy) during endoscopy to enhance visualization of mucosal patterns and improve detection of subtle lesions or precancerous changes.
• 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.
• Endoscopic Hemostasis for Acute & Chronic GI Bleeding: Various endoscopic techniques (e.g., injection therapy, thermal coagulation/APC, mechanical clips, hemostatic sprays) used to stop acute or recurrent bleeding from ulcers, varices, angiodysplasias, or tumors in the GI tract.
• Management of Chronic Constipation & Chronic Diarrhea (idiopathic & secondary): Systematic investigation into underlying causes (including motility testing where appropriate) and tailored treatment strategies for persistent constipation or diarrhea not attributed to other major GI diseases.
• Management of Functional Dyspepsia & Functional Abdominal Pain Syndrome: Diagnosis and management of chronic upper abdominal pain or discomfort (dyspepsia) or generalized abdominal pain without an identifiable structural cause, often involving lifestyle, dietary, and neuromodulator therapies.

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Sanders 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. Sanders practices within a well-equipped gastroenterology clinic located in the heart of Central Kelowna, in the South Pandosy, Downtown neighborhood. The facility is conveniently situated near South Pandosy Village and Kelowna General Hospital, making it accessible for patients from across the region. Public transit options are readily available through the Kelowna Regional Transit System (BC Transit), allowing easy access for those utilizing bus services. The practice location is wheelchair accessible, ensuring barrier-free entry and movement for all patients. Parking is convenient with metered street parking and nearby parking lots, providing flexible options for visitors.

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

Medically necessary consultations with a licensed Gastroenterologist like Dr. Sanders, 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. Sanders'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. Sanders, 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. Sanders 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 are common reasons someone would be referred to a Gastroenterologist like Dr. Sanders?

Referral to a Gastroenterologist like Dr. Sanders is common for various reasons, including: persistent heartburn or acid reflux (GERD); difficulty or pain when swallowing; unexplained abdominal pain or bloating; chronic nausea or vomiting; significant changes in bowel habits (e.g., chronic diarrhea, severe constipation); blood in the stool or rectal bleeding; iron deficiency anemia with no obvious cause; suspected or diagnosed Inflammatory Bowel Disease (Crohn's disease, ulcerative colitis); Irritable Bowel Syndrome (IBS) not responding to initial management; celiac disease; abnormal liver function tests or suspected liver disease (like hepatitis or fatty liver); pancreatitis; or for screening and surveillance colonoscopies to prevent colorectal cancer, especially if there's a family history or personal history of polyps.

How does a Gastroenterologist like Dr. Sanders approach the management of Inflammatory Bowel Disease (IBD)?

The management of IBD (Crohn's disease and ulcerative colitis) by a Gastroenterologist like Dr. Sanders is a highly individualized and long-term process. The primary goals are to induce and then maintain remission (control inflammation), alleviate symptoms, prevent complications, and improve the patient's overall quality of life. Treatment strategies often involve a combination of medications, which can include aminosalicylates (5-ASAs), corticosteroids (for acute flare-ups), immunomodulators (e.g., azathioprine, methotrexate), and increasingly, biologic therapies or small molecule drugs that target specific inflammatory pathways. Regular monitoring through clinical assessment, blood tests, stool tests (like fecal calprotectin), and endoscopic procedures is crucial to track disease activity and adjust treatment as needed. Nutritional counseling and lifestyle advice are also integral parts of comprehensive IBD care.

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

Yes, a Gastroenterologist like Dr. Sanders 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.

564 Leon Ave
Kelowna, BC V1Y 6J6

Phone: (250) 763-6433 | Fax: (250) 763-3818

The facility is wheelchair accessible.

Dr. Sanders 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. Sanders 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/339043/Sanders%2CDavid