Dr. Kirles Bishay – Gastroenterologist | Edmonton, AB

Dr. Kirles Bishay 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 gastroenterology clinic or hospital department in Edmonton, AB, 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 practice is committed to delivering patient-focused digestive health care in a supportive environment, adhering to the standards and ethical guidelines set by the College of Physicians and Surgeons of Alberta (CPSA).

He has completed extensive post-graduate training and holds the necessary certifications to practice Gastroenterology (Comprehensive Care for Digestive System Disorders) in Alberta. Dr. Bishay earned his Doctor of Medicine (MD) degree from the University of Alberta and has obtained specialty certification as a Gastroenterologist, ensuring he is well-qualified to manage complex digestive health issues.

Dr. Bishay’s clinical philosophy centers on evidence-based practice, patient education, and early, accurate diagnosis through advanced procedures. He is dedicated to developing personalized treatment plans tailored to each patient's unique needs, emphasizing lifestyle modifications and ongoing support. Fluent in English, he strives to provide compassionate and comprehensive care to his patients in Edmonton, fostering a trusting doctor-patient relationship.

Dr. Kirles Bishay diagnoses and treats a wide range of digestive system disorders, including:

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.
• 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.
• 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.

Inflammatory Bowel Disease (IBD) Focus

• 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.
• 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.
• 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.

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.
• 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.
• 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).

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

• 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.
• 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.
• 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.
• 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.
• 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. Bishay 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 Alberta (CPSA) and relevant gastroenterological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Bishay practices within a gastroenterology clinic or hospital department situated in Edmonton's Downtown East neighbourhood, near Boyle Street and Riverdale. The facility is conveniently accessible via public transit, including Edmonton Transit Service (ETS) Light Rail Transit (LRT) and bus routes. The practice location is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are conveniently located nearby, facilitating easy arrival and departure for scheduled appointments. The practice is ideally situated close to the Botanical Gardens (Pyramids), providing a welcoming environment for patients seeking expert digestive health care in Edmonton.

Are consultations and procedures like endoscopies with Dr. Bishay, a Gastroenterologist, covered by Alberta Health Care Insurance Plan (AHCIP) in AB?

Medically necessary consultations with a licensed Gastroenterologist like Dr. Bishay, 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 Alberta Health Care Insurance Plan (AHCIP) in AB 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. Bishay's office, the hospital/clinic's financial services, or Alberta Health Care Insurance Plan (AHCIP) beforehand.

Do I need a referral from my family doctor to see Dr. Bishay, 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. Bishay 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 a Gastroenterologist like Dr. Bishay approach the management of Inflammatory Bowel Disease (IBD)?

The management of IBD (Crohn's disease and ulcerative colitis) by a Gastroenterologist like Dr. Bishay 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 an integral part of comprehensive IBD care.

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. Bishay'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.

310-11010 101 St NW
Edmonton, AB T5H 4B9

Phone: (780) 421-1029 | Fax: (780) 425-5533

The facility is wheelchair accessible.

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

Verify registration with the College of Physicians and Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=8c33d169-3c52-445c-95fa-40d096c842e9&i=182