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CHUM Endoscopic Tracheo-Bronchial and Oesophageal Center (CETOC

Centre d'évaluation trachéo-bronchique et oesophagienne du Centre Hospitalier de l'Université de Montréal (CHUM)  

About

Founded in 2009 by Dr Moishe Liberman MD PhD, the CHUM Endoscopic Tracheo-Bronchial and Oesophageal Center (CETOC) was the first comprehensive endoscopic thoracic center in the world. This idea has been replicated multiple times around the world. With well over 1500 procedures performed annually, CETOC has become a major referral center for complex airway and oesophageal diseases as well as a world-renowned center for training medical professionals.

CETOC is an integral part of the Division of Thoracic Surgery at the University of Montreal; using minimally invasive techniques to diagnose, stage and treat diseases of the trachea, bronchi, lung, oesophagus and mediastinum. These techniques are performed through the patients' natural orifice (airway & oesophagus/stomach), eliminating the need for surgery or incisions.

Comprehensive Endoscopy Services 

Discover the range of endoscopic procedures we offer to diagnose, stage and treat diseases of the trachea, bronchi, lung, oesophagus, stomach and mediastinum, tailored to meet each patient's unique needs.

Our department is equipped with cutting-edge technology to ensure effective and efficient care.

Lung Malignancies 

Lung cancer diagnosis, staging and treatment of lung & airway malignancies.

  • Endobronchial tumor ablation & resection

  • Treatment of tracheo-oesophageal & broncho-pleural fistulae

EBUS/EUS 

Ultrasound guided procedures in the lung, oesophagus, stomach and mediastinum. 

  • Convex & radial EBUS (mini-probe)

  • Convex & radial EUS 

Cryotherapy 

  • Cryobiopsy

  • Cryo-recanalization combines imaging and therapeutic procedures to address lung cancer

Oesophageal Malignancies

Detailed examination of the upper gastro-intestinal tract.

  • Endoscopic mucosal resection (EMR)

  • Endoscopic Submucosal Dissection (ESD)

  • Endo-oesophageal tumor ablation & resection

  • POEM

  • Z-POEM

  • G-POEM

Complex Procedures

  • Tracheo-bronchial & oesophageal stenting

  • Airway, oesophageal & pyloric dilatation

  • Rigid bronchoscopy & oesophagoscopy

  • Percutaneous gastrostomy

  • Pleur-x catheter insertion

Others

  • Cyberknife fiducial insertion

  • Manometry & impedance

  • Oesophageal pH measurement

  • EndoFLIP

Fellowship Opportunities 

CETOC, a section of the Division of Thoracic Surgery at the University of Montréal, is offering a fully-funded clinical and research fellowship in advanced interventional thoracic endoscopy. We evaluate and treat a large volume of patients daily with diseases of the thoraco-bronchial tree, mediastinum, oesophagus and stomach, allowing for significant exposure to complex endoscopic procedures.

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Dr Stephan Soder

CETOC Fellow 2019-2020

Originally from Brazil, Dr. Soder is now a thoracic surgeon and interventional endoscopist at Moinhos de Vento Hospital, specializing in minimally invasive thoracic surgery.

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Dre Omniyah Alashgar

CETOC Fellow 2022-2023

Originally from Saudi Arabia, Dr. Alashgar is now a thoracic surgeon and interventional endoscopist at King Faisal Specialist Hospital.

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Dr Pedro Guimarães Rocha Lima

CETOC Fellow 2022-2024

Originally from Brazil, Dr. Lima is now a thoracic surgeon and interventional endoscopist at Hôpital de Chicoutimi.

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Dr Fawad Chaudry

CETOC Fellow 2017-2018

Originally from the United States, Dr. Chaudry is now Associate Professor in the Division of Pulmonary, Critical Care and Sleep Medicine and Director of the Interventional Pulmonology Program at OU Health – University of Oklahoma Medical Center.

Applying

Interested in completing a fellowship in interventional thoracic endoscopy? Get in touch with us today. Send us an email with your contact information, letter of interest, CV, recommendation letters and we will get in touch with you with next steps.

Your Questions Answered  

Explore our FAQs to find answers to common inquiries procedures, post-procedure care, and what to expect.

What is an oesophago-gastroscopy (EGD)?

EGD is a procedure in which a camera is passed through your mouth down to your oesophagus/stomach, aiding in diagnosis and therapy of oesophageal and gastric diseases. Various procedures such as biopsies and tumor resection may be performed during your EGD.

How to prepare for a procedure?

Our nursing team will be in touch with you prior to your procedure. Preparation includes fasting as of midnight the day before, stopping anticoagulants, and planning for someone to accompany you home after your procedure.

What is a bronchoscopy?

Bronchoscopy is a procedure in which a camera is passed through your mouth down your airway, aiding in diagnosis and therapy of tracheal, bronchi, and lung diseases. Various procedures such as biopsies and ablation may be performed during your bronchoscopy.

How can I refer a patient?

Physicians can refer patients directly though the website by filling out the confidential form below; ensuring timely assessments and coordination with our team.

FAQ

Frequently asked questions answered

Oesophageal Stents

Patients should fast for eight hours and avoid certain medications as advised. It is normal to experience discomfort in the days that follow the procedure. Detailed instructions will be provided before your appointment.

Airway Stents

Care of your tracheal or bronchial stent requires humidity and occasional cleaning. Detailed instructions will be provided before your appointment.

When can I expect results from my procedure?

All pathology results are sent to your referring physician as soon as they become available.

Patient Referral 

Fill out the form below to get in touch with our department.

Referrals are treated promptly by members of our team to ensure proper coordination of care.

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Technology, Innovation & Development (TID) Lab

The TID lab specializes in the development of novel medical devices. With a multidisciplinary team of biomedical engineers, physicians, and researchers, the lab is able to rapidly iterate and innovate to fill gaps in medical technology. 

  • Identifying Gaps

    From clinical practice, physicians are able to identify gaps in available technologies and how these would benefit practice and patient care.

  • Device Development & Testing

    Through prototyping and rapid iteration, the team demonstrates great agility in developing novel devices. Access to state-of-the-art 3D printing facilities, animal labs and first-in-human clinical trials, devices are quickly brought to life.

    In addition, connections with established medical device companies and start-ups help quickly validate and test various devices and ideas.  

  • Clinical Testing & Adoption in Practice

    With access to ex-vivo human organs, expertises in in-vivo animal trials as well as to an expert team in early stage clinical trials, devices developed in the lab can quickly be brought to clinical practice for early-stage testing and confirmation of clinical relevance. 

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    Thoracic Surgery Research Foundation of Montreal

    Promoting excellence in clinical care, in research, and in education in the field of thoracic surgery.

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    "Research in thoracic surgery helps us provide invaluable care to patients suffering from lung or esophageal diseases and give them the hope of overcoming their illness. Our donors and supporters help our researchers make these dreams come true."

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    Dr Pasquale Ferraro

    Chairman of the Board

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