Dr. Vojislav Jovanovic – Gastroenterologist | Victoria, BC

Dr. Vojislav Jovanovic 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 Victoria, BC, 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. Dr. Jovanovic adheres to the standards and guidelines established by the College of Physicians and Surgeons of British Columbia (CPSBC) and is committed to delivering high-quality, patient-centered digestive health care in a supportive environment.

He holds a Medical Degree from the University of Alberta (Canada) and is certified as a Gastroenterologist by the Royal College of Physicians and Surgeons of Canada. His training and certification ensure that he is well-equipped with the latest knowledge and skills in digestive health care, including advanced diagnostic and therapeutic procedures pertinent to gastroenterology.

Dr. Jovanovic’s clinical philosophy emphasizes evidence-based practice, thorough patient education on GI conditions and lifestyle modifications, and early, accurate diagnosis facilitated by modern, minimally invasive procedures. He is dedicated to providing personalized management plans tailored to each patient’s unique needs, ensuring optimal outcomes. All care is provided in English, with a focus on compassionate communication and ongoing patient support in Victoria.

Dr. Vojislav Jovanovic 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.
• 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.
• 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.

Liver, Gallbladder, Bile Duct & Pancreatic Disorders

• Gallstone Disease (Cholelithiasis), Cholecystitis & Choledocholithiasis: Formation of hardened deposits (gallstones) in the gallbladder. Cholecystitis is gallbladder inflammation. Choledocholithiasis refers to gallstones in the common bile duct.
• 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).

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.
• 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. Vojislav Jovanovic.

• 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.
• 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.
• 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.
• 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.
• 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.
• 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 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.

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

Dr. Jovanovic practices at a well-equipped gastroenterology clinic located within a hospital or medical facility in Victoria, BC, in an area near central Victoria. The setting is conveniently accessible from the Royal BC Museum and the Inner Harbour Causeway, with public transit options available via the Victoria Regional Transit System (BC Transit). The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available at or near the facility, providing convenient options for patients arriving by car. The clinic is situated in a vibrant neighborhood, making it easy for patients to access quality digestive health care in a comfortable environment.

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

Medically necessary consultations with a licensed Gastroenterologist like Dr. Jovanovic, 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. Jovanovic'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. Jovanovic, 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. Jovanovic 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's the difference between Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD)? Can Dr. Jovanovic diagnose and treat both?

Yes, a Gastroenterologist like Dr. Jovanovic can diagnose and treat both IBS and IBD, but they are very different conditions. IBD, which includes Crohn's disease and ulcerative colitis, is characterized by chronic inflammation and physical damage (like ulcers and strictures) to the digestive tract, visible during endoscopy and on biopsies. It's an autoimmune-related condition. IBS, on the other hand, is a functional gut disorder, meaning the GI tract doesn't work correctly, but there's no visible inflammation or damage on standard tests. IBS causes symptoms like abdominal pain, bloating, and altered bowel habits. While IBS can significantly impact quality of life, it doesn't cause the destructive inflammation seen in IBD. Diagnosis involves different criteria and investigations for each.

How does a Gastroenterologist like Dr. Jovanovic approach the management of Inflammatory Bowel Disease (IBD)?

The management of IBD (Crohn's disease and ulcerative colitis) by a Gastroenterologist like Dr. Jovanovic 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.

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

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. Jovanovic 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 exactly does a Gastroenterologist like Dr. Jovanovic specialize in?

A Gastroenterologist, often called a GI specialist, is a medical doctor who has undergone extensive specialized training beyond medical school and internal medicine residency to diagnose, treat, and manage diseases of the entire digestive or gastrointestinal (GI) system. This includes the esophagus, stomach, small intestine, colon (large intestine), rectum, anus, as well as associated organs like the liver, gallbladder, bile ducts, and pancreas. He is a Gastroenterologist specializing in the comprehensive medical and procedural management of digestive system disorders. Dr. Jovanovic is skilled in performing endoscopic procedures (like gastroscopy and colonoscopy) for both diagnosis and treatment, interpreting complex diagnostic tests, and developing comprehensive management plans for a wide variety of acute and chronic digestive health issues.

230-1590 Cedar Hill Cross Rd
Victoria, BC V8P 2P5

Phone: (250) 412-1864 | Fax: (778) 373-8471

The facility is wheelchair accessible.

Dr. Jovanovic 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. Jovanovic 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/334496/Jovanovic%2CVojislav