Dr. Robert Alfred Mitchell – Gastroenterologist | Surrey, BC

Dr. Robert Alfred Mitchell 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 within a hospital department in Surrey, BC, he is a key member of the local medical community. His practice adheres to the high standards established by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring that patients receive safe, ethical, and comprehensive digestive health care. Dr. Mitchell provides thorough evaluation and management for a broad spectrum of digestive conditions, utilizing advanced diagnostic and therapeutic endoscopic procedures in a supportive environment.

He graduated with a Medical Degree from the University of Toronto (Canada) and holds specialty certification as a Gastroenterologist. Dr. Mitchell’s credentials include certification from the Royal College of Physicians and Surgeons of Canada, reflecting his expertise and commitment to maintaining the highest standards of medical practice in digestive health care.

Guided by a philosophy of evidence-based medicine, Dr. Mitchell is committed to patient education on gastrointestinal conditions and lifestyle modifications that promote long-term wellness. He emphasizes early and accurate diagnosis through the use of advanced endoscopic and imaging techniques, and tailors personalized treatment plans to meet each patient's unique needs. Fluent in English, he is dedicated to providing compassionate, patient-centered care to the Surrey community and surrounding areas.

Dr. Robert Mitchell diagnoses and treats a wide range of digestive system disorders, including:

Functional Gastrointestinal & Motility Disorders

• 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).
• 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.
• Cyclic Vomiting Syndrome: A disorder characterized by recurrent, stereotypical episodes of intense nausea and vomiting lasting for hours or days, with symptom-free intervals in between.

Liver, Gallbladder, Bile Duct & Pancreatic Disorders

• Pancreatic Cysts, Tumors & Pancreatic Insufficiency (Evaluation & Co-management): Evaluation of fluid-filled sacs (cysts) or growths (tumors) on or in the pancreas, and management of exocrine pancreatic insufficiency (EPI) where the pancreas doesn't produce enough digestive enzymes.
• 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.
• Alcohol-Related Liver Disease (ARLD): Liver damage caused by excessive alcohol consumption, ranging from fatty liver and alcoholic hepatitis to advanced cirrhosis.

Small & Large Intestine (Colorectal) Disorders

• Gastrointestinal Bleeding (Obscure & Overt): Bleeding anywhere along the digestive tract, which can be visible (overt) or hidden (occult/obscure), requiring investigation to identify and treat the source.
• Small Intestinal Bacterial Overgrowth (SIBO) & Intestinal Methanogen Overgrowth (IMO): An abnormal increase in the bacterial population in the small intestine, or an overgrowth of methane-producing archaea, leading to symptoms like bloating, gas, abdominal pain, and altered bowel habits.

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

• 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.
• 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.
• 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.
• 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).
• Colonoscopy (Screening, Diagnostic, Surveillance) & Polypectomy: Comprehensive examination of the entire colon (large intestine) using a colonoscope to detect and remove precancerous polyps, screen for and diagnose colorectal cancer, evaluate symptoms, and diagnose other colonic conditions like colitis or diverticular disease.
• Management of Functional Dyspepsia & Functional Abdominal Pain Syndrome: Diagnosis and management of chronic upper abdominal pain or discomfort (dyspepsia) or generalized abdominal pain without an identifiable structural cause, often involving lifestyle, dietary, and neuromodulator therapies.

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

Located within a reputable gastroenterology clinic in Surrey’s vibrant Guildford and Fraser Heights neighborhoods, Dr. Mitchell’s practice is easily accessible for patients throughout the region. The facility is situated close to the Langley Border, facilitating convenient access for residents in surrounding communities. Public transit options are plentiful, with TransLink’s SkyTrain Expo Line and local bus routes providing direct connections. The practice location is fully wheelchair accessible, ensuring ease of access for all patients. Metered street parking and nearby parking lots are available, providing flexible options for those arriving by car. The environment is designed to be welcoming and patient-friendly, with amenities to support a comfortable experience during your visits.

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

Medically necessary consultations with a licensed Gastroenterologist like Dr. Mitchell, 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. Mitchell'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. Mitchell, 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. Mitchell 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. Mitchell approach the management of Inflammatory Bowel Disease (IBD)?

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

How does Dr. Mitchell 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. Mitchell 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. Mitchell'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. Mitchell?

Referral to a Gastroenterologist like Dr. Mitchell 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.

704-9639 137A St
Surrey, BC V3T 0M1

Phone: (604) 498-6884 | Fax: (604) 588-2771

The facility is wheelchair accessible.

Dr. Mitchell 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. Mitchell 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/344121/Mitchell%2CRobert