Dr. Gaetano Morelli

Dr. Gaetano Morelli diagnoses and treats a wide range of digestive system disorders, including:

Inflammatory Bowel Disease (IBD) Focus

• Crohn's Disease (Ileal, Colonic, Ileocolonic, Perianal): A chronic inflammatory condition that can affect any part of the digestive tract from mouth to anus, causing transmural (full-thickness) inflammation, pain, diarrhea, weight loss, and potential complications like strictures or fistulas.
• Ulcerative Colitis (Proctitis, Left-sided Colitis, Pancolitis): A chronic inflammatory condition that causes inflammation and ulcers primarily in the lining of the large intestine (colon and rectum), typically presenting with bloody diarrhea, urgency, and abdominal pain.

Esophageal, Stomach & Upper GI Disorders

• Peptic Ulcer Disease (Gastric, Duodenal, H. pylori-related, NSAID-induced): Open sores that develop on the inside lining of the stomach (gastric ulcer) and the upper portion of the small intestine (duodenal ulcer), commonly caused by H. pylori infection or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs).
• 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.

Functional Gastrointestinal & Motility Disorders

• Gastroparesis (Delayed Gastric Emptying): A condition that affects the normal spontaneous movement of the muscles (motility) in your stomach, preventing proper and timely emptying of stomach contents, leading to nausea, vomiting, and fullness.
• 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.

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

• 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.
• Capsule Endoscopy (Small Bowel & Colon): Non-invasive procedure where the patient swallows a vitamin-pill sized camera that takes pictures of the small intestine (for obscure GI bleeding, Crohn's disease) or colon (as an alternative to colonoscopy in select cases).
• 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.
• 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.
• Management of Common & Chronic Digestive Symptoms: Investigating and treating common but potentially disruptive digestive symptoms such as heartburn, acid reflux, bloating, abdominal pain, cramping, excessive gas, constipation, diarrhea, difficulty swallowing (dysphagia), and unexplained weight loss.
• Diagnosis & Management of Small Intestinal Bacterial Overgrowth (SIBO) & Intestinal Methanogen Overgrowth (IMO): Utilizing glucose or lactulose breath tests for diagnosis and providing targeted antibiotic/antimicrobial therapy, prokinetics, and dietary advice for SIBO and IMO.

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Morelli 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 Collège des médecins du Québec (CMQ) and relevant gastroenterological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Centre Hospitalier Saint Mary is situated in Montréal's Côte-des-Neiges Central (UdeM area) neighborhood. The facility serves as a key medical hub within the hospital, providing specialized units for digestive health care. Patients can access the hospital via public transit, with the Société de transport de Montréal (STM) (Métro, Bus) offering convenient options. The hospital is wheelchair accessible, ensuring barrier-free access for all patients. Paid parking options are also available nearby, making it easy for patients to attend appointments comfortably. The hospital's location in the vibrant Montréal area places patients close to cultural attractions such as Gay Village and Quartier des Spectacles, enhancing the overall experience of their healthcare journey.

Are consultations and procedures like endoscopies with Dr. Morelli, a Gastroenterologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Gastroenterologist like Dr. Morelli, 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 Régie de l'assurance maladie du Québec (RAMQ) in QC 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. Morelli's office, the hospital/clinic's financial services, or Régie de l'assurance maladie du Québec (RAMQ) beforehand.

Do I need a referral from my family doctor to see Dr. Morelli, 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. Morelli 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. Morelli 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. Morelli 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. Morelli'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.

What are common reasons someone would be referred to a Gastroenterologist like Dr. Morelli?

Referral to a Gastroenterologist like Dr. Morelli 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.

Centre Hospitalier Saint Mary
3830 Lacombe
Montréal, QC H3T 1M5

Phone: (514) 345-3511 | Fax: (514) 734-5432

The facility is wheelchair accessible.

Dr. Morelli is a licensed Gastroenterologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Morelli for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=84209