Dr. Eric M. Yoshida – Gastroenterologist | Vancouver, BC

Dr. Eric M. Yoshida 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 Vancouver, BC, he is a key member of the local medical community. Dr. Yoshida adheres to the standards and guidelines set forth by the College of Physicians and Surgeons of British Columbia (CPSBC). 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 to optimize patient outcomes. His practice is committed to delivering patient-focused digestive health care, employing advanced diagnostic techniques and minimally invasive procedures in a supportive environment.

He graduated with an MD from the University of Toronto in Canada and holds specialty certification as a Gastroenterologist. Dr. Yoshida has earned certifications including those from the Royal College of Physicians and Surgeons of Canada, reflecting his expertise and commitment to maintaining high standards in gastroenterological care.

Guided by a philosophy of evidence-based medicine, Dr. Yoshida emphasizes thorough patient education on GI conditions and lifestyle modifications. He strives for early and accurate diagnosis through the use of advanced endoscopic and diagnostic procedures, and tailors personalized treatment plans to meet each patient's unique needs. His dedication to providing high-quality care in Vancouver is complemented by his fluency in English, ensuring clear communication and compassionate support for his patients.

Dr. Eric Yoshida diagnoses and treats a wide range of digestive system disorders, including:

Small & Large Intestine (Colorectal) Disorders

• Celiac Disease & Gluten Sensitivity: Celiac disease is an autoimmune disorder triggered by gluten ingestion, damaging the small intestine. Non-celiac gluten sensitivity involves GI symptoms related to gluten without the autoimmune damage.
• 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).
• Microscopic Colitis (Lymphocytic & Collagenous Colitis): Inflammation of the colon that is only visible under a microscope when biopsies are examined, a common cause of chronic watery diarrhea, particularly in older adults.

Liver, Gallbladder, Bile Duct & Pancreatic Disorders

• Non-Alcoholic Fatty Liver Disease (NAFLD) & Non-Alcoholic Steatohepatitis (NASH): A spectrum of conditions characterized by excessive fat accumulation in the liver not caused by alcohol. NASH involves liver inflammation and cell damage and can progress to cirrhosis.
• Cirrhosis & Management of Its Complications (Ascites, Varices, Encephalopathy): Advanced stage of liver scarring (fibrosis) impairing liver function, leading to complications such as fluid accumulation in the abdomen (ascites), enlarged veins that can bleed (varices), and brain dysfunction (hepatic encephalopathy).
• Alcohol-Related Liver Disease (ARLD): Liver damage caused by excessive alcohol consumption, ranging from fatty liver and alcoholic hepatitis to advanced cirrhosis.

Esophageal, Stomach & Upper GI Disorders

• Hiatal Hernia & Paraesophageal Hernia: Condition where part of the stomach pushes upward through an opening (hiatus) in the diaphragm into the chest, potentially contributing to GERD and other symptoms.
• Dysphagia (Difficulty Swallowing) & Odynophagia (Painful Swallowing): Symptoms requiring investigation to determine underlying causes, which can range from structural abnormalities and motility disorders to inflammatory conditions or tumors.
• 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).

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

• 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.
• Upper Endoscopy (EGD - Esophagogastroduodenoscopy) with Biopsy & Interventions: Diagnostic and therapeutic procedure to examine the esophagus, stomach, and duodenum using a flexible tube with a camera. Allows for targeted biopsies, polyp removal (polypectomy), dilation of strictures, control of bleeding (hemostasis), and foreign body removal.
• Endoscopic Dilation of Gastrointestinal Strictures (Esophageal, Pyloric, Colonic): Procedure to stretch narrowed areas (strictures) in the esophagus (e.g., due to reflux, EoE), stomach outlet (pylorus), small intestine, or colon using balloons or Savary-Gilliard dilators passed through an endoscope.
• Second Opinion Consultations for Complex Digestive Diseases: Providing expert second opinions on challenging or rare gastrointestinal diagnoses, unclear test results, and proposed complex treatment plans, including for IBD, liver disease, and pancreatic disorders.
• 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.
• Interpretation & Correlation of Advanced Digestive Health Diagnostic Tests: Expert analysis and clinical correlation of results from endoscopies, biopsies, imaging studies (CT, MRI, MRCP, ultrasound), breath tests (e.g., for H. pylori, SIBO, lactose intolerance), stool tests (e.g., calprotectin, FIT), motility studies, and genetic testing for GI conditions.
• Enteroscopy (e.g., Double-Balloon, Single-Balloon, Spiral Enteroscopy): Advanced endoscopic techniques allowing deep visualization, biopsy, and therapy within the small intestine, beyond the reach of standard endoscopes, for conditions like obscure bleeding or small bowel tumors.

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Yoshida 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.

Situated in the vibrant 'Fairview' neighborhood of Vancouver, Dr. Yoshida's practice is housed within a modern gastroenterology clinic or hospital department that offers convenient access for patients. The facility is located in an area known for 'The Drive' Neighbourhood and Cultural Hub, providing a lively environment with numerous amenities nearby. Public transit options are plentiful, including TransLink's SkyTrain Expo, Millennium, and Canada Lines, as well as bus, SeaBus, and West Coast Express (Waterfront), making travel straightforward. The practice location is fully wheelchair accessible to accommodate all patients, and metered street parking along with nearby parking lots are available for those arriving by car.

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

Medically necessary consultations with a licensed Gastroenterologist like Dr. Yoshida, 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. Yoshida'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. Yoshida, 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. Yoshida 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.

How does Dr. Yoshida 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. Yoshida 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 is generally involved in preparing for a colonoscopy procedure?

Preparing for a colonoscopy is a critical step to ensure the procedure is effective and safe. Dr. Yoshida's office will provide very specific instructions, which must be followed closely. Typically, preparation involves dietary changes for a few days beforehand (e.g., low-residue diet), followed by a clear liquid diet for the 24 hours prior to the exam. The most important part is the bowel cleansing process, which involves drinking a prescribed laxative solution designed to completely empty and clean your colon. This usually starts the evening before and may continue the morning of the procedure. You'll also need to arrange for transportation home, as sedation is commonly used.

Are there significant risks associated with procedures like gastroscopy or colonoscopy?

Gastroscopy (upper endoscopy) and colonoscopy are generally very safe procedures, especially when performed by an experienced Gastroenterologist like Dr. Yoshida. Complications are uncommon. Potential risks can include bleeding, particularly if polyps are removed or biopsies are taken; perforation (a tear in the wall of the digestive tract); infection (rare); or adverse reactions to the sedative medication used. Before your procedure, Dr. Yoshida will thoroughly discuss the specific potential risks and benefits based on your individual health and the reason for the procedure, allowing you to make an informed decision.

5153-2775 Laurel St, Div of Gastroenterology, VGH
Vancouver, BC V5Z 1M9

Phone: (604) 875-5371 | Fax: (604) 875-5447

The facility is wheelchair accessible.

Dr. Yoshida 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. Yoshida 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/306373/Yoshida%2CEric