Dr. Marie-Hélène Gingras

Dr. Marie-Hélène Gingras diagnoses and treats a wide range of digestive system disorders, including:

Esophageal, Stomach & Upper GI Disorders

• Gastroesophageal Reflux Disease (GERD) / Acid Reflux / Heartburn: Chronic condition where stomach acid frequently flows back into the esophagus, causing heartburn, regurgitation, chest pain, and potential complications like esophagitis.
• 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.
• 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).

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.
• 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.
• 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).

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.
• 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.
• 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.

This list is not exhaustive. For personalized advice regarding your specific digestive condition, please consult with Dr. Marie-Hélène Gingras.

• Irritable Bowel Syndrome (IBS) Comprehensive Diagnosis & Management (including subtypes IBS-D, IBS-C, IBS-M): Multifaceted approach to managing IBS symptoms (abdominal pain, bloating, diarrhea, constipation, mixed pattern) including thorough exclusion of other conditions, dietary modifications (e.g., low FODMAP diet), lifestyle changes, stress management, and targeted medications.
• 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.
• 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).
• Helicobacter pylori (H. pylori) Testing & Eradication Therapy: Diagnosis of H. pylori infection using breath tests, stool tests, or endoscopic biopsies, and providing appropriate antibiotic regimens for eradication to treat ulcers and gastritis.
• 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.
• 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.
• 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.

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

ExcelleMD is conveniently situated in Saint-Eustache's areas near central Saint-Eustache, easily accessible via public transit and with ample parking options. The practice is located close to local points of interest, making it easy for patients to reach. The facility is wheelchair accessible, ensuring comfort for all patients. Metered street parking and nearby parking lots are available to accommodate visitors, providing a hassle-free experience for those seeking expert digestive health care in a welcoming environment.

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

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

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

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. Gingras or the anesthesia provider beforehand. Because of the sedation, you will need to have someone accompany you to drive you home after the procedure.

What are some common procedures a Gastroenterologist like Dr. Gingras typically performs?

Gastroenterologists like Dr. Gingras are highly skilled in performing a range of endoscopic procedures. The most common are upper endoscopy (also called EGD or gastroscopy) to examine the esophagus, stomach, and duodenum, and colonoscopy to visualize the entire colon. During these procedures, She can take biopsies (small tissue samples for analysis), remove polyps (which can prevent colon cancer), dilate narrowed areas (strictures), control bleeding, and place feeding tubes. Other procedures may include flexible sigmoidoscopy (examining the lower colon), capsule endoscopy (swallowing a tiny camera to see the small intestine), and more specialized interventions like ERCP or EUS depending on their training and practice focus. Many also specialize in managing specific areas like hepatology (liver disease) or IBD.

ExcelleMD
101-460 du Parc
Saint-Eustache, QC J7R 0C9

Phone: (450) 735-8111 | Fax: (450) 473-1034

The facility is wheelchair accessible.

Dr. Gingras 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. Gingras 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=13759