Dr. Janie de Repentigny

Dr. Janie de Repentigny diagnoses and treats a wide range of digestive system disorders, including:

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.
• 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).

Esophageal, Stomach & Upper GI Disorders

• Eosinophilic Esophagitis (EoE): A chronic immune system disease characterized by a buildup of eosinophils (a type of white blood cell) in the esophagus, causing inflammation, difficulty swallowing, food impaction, and chest pain.
• 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).

Liver, Gallbladder, Bile Duct & Pancreatic Disorders

• Chronic Viral Hepatitis (Hepatitis B, C, D): Long-term viral infections that cause inflammation and damage to the liver, potentially leading to cirrhosis, liver failure, or liver cancer if untreated.
• 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. Janie de Repentigny.

• 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.
• Comprehensive Gastroenterology Consultation & Digestive Health Assessment: In-depth assessment of digestive system disorders, including detailed review of medical history, family history, lifestyle factors, physical examination, symptom analysis, and development of a personalized diagnostic and treatment strategy.
• 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.
• 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.
• 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.
• 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.
• 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.

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

In the areas near central Saint-Charles-Borromée, the Centre hospitalier régional de Lanaudière serves as a vital medical facility providing specialized digestive health care. The practice is situated within this hospital, which is easily accessible via local public transit. The facility is wheelchair accessible, ensuring comfort and convenience for all patients. Parking is available at or near the hospital, making it straightforward for patients to attend their appointments and procedures. This location is a key hub for advanced medical services in the Lanaudière region, supporting the local community's health needs.

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

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

Will I be asleep for my endoscopy or colonoscopy with Dr. de Repentigny?

For most endoscopic procedures like upper endoscopy (gastroscopy) and colonoscopy, patients are typically given sedation to help them relax and be comfortable. This is often called 'conscious sedation' or 'moderate sedation,' meaning you'll be drowsy and may not remember much of the procedure, but you won't be under general anesthesia (completely unconscious with a breathing tube). The specific type and level of sedation can vary and will be discussed with you by Dr. de Repentigny or the anesthesia provider beforehand. Because of the sedation, you will need to have someone accompany you to drive you home after the procedure.

Centre hospitalier régional de Lanaudière
1000 boul Sainte-Anne
Saint-Charles-Borromée, QC J6E 6J2

Phone: (450) 759-8222

The facility is wheelchair accessible.

Dr. de Repentigny 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. de Repentigny 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=17604