Learn More Know Your Procedure

Know Your Procedure

Hemorrhoid Treatments

During hemorrhoidal banding, your physician will place a small rubber band around the tissue just above the hemorrhoid where there are few pain sensitive nerve endings. The banding procedure works by cutting off the blood supply to the hemorrhoid, thereby causing the hemorrhoid to shrink and fall off. Most patients will require 2-3 sessions of treatment to achieve optimal results.
Patients are often sedated by an anesthesiologist for the procedure, but this is not mandatory. After the procedure, you may feel a sensation of fullness or a dull ache in the rectum. This can typically be relieved by an over the counter pain medication and usually subsides completely in 6-12 hours. Many patients are pain free after the procedure.Read More…


A colonoscopy is an exam that views the inside of the colon (large intestine) and rectum, using a tool called a colonoscope. The colonoscope has a small camera attached to a flexible tube that can reach the length of the colon.
How the Test is Performed ?
You will usually be given medicine into a vein to help you relax. You should not feel any discomfort. You will be awake during the test and may even be able to speak, but you probably will not remember anything.You will lie on your left side with your knees drawn up toward your chest. The colonoscope is inserted through the anus. It is gently moved into the beginning of the large bowel and slowly advanced as far as the lowest part of the small intestine.Read More…

EGD / Upper Endoscopy

Upper endoscopy lets your doctor examine the lining of the upper part of your gastrointestinal tract, which includes the esophagus, stomach and duodenum (first portion of the small intestine). Your doctor will use a thin, flexible tube called an endoscope, which has its own lens and light source, and will view the images on a video monitor. You might hear your doctor or other medical staff refer to upper endoscopy as upper GI endoscopy, esophagogastroduodenoscopy (EGD) or panendoscopy.
Why is upper endoscopy done?
Upper endoscopy helps your doctor evaluate symptoms of persistent upper abdominal pain, nausea, vomiting or difficulty swallowing. It’s the best test for finding the cause of bleeding from the upper gastrointestinal tract. It’s also more accurate than X-ray films for detecting inflammation, ulcers and tumors of the esophagus, stomach and duodenum.Read More…


Endoscopic retrograde cholangiopancreatography, or ERCP, is a study of the ducts that drain the liver and pancreas. Ducts are drainage routes into the bowel. The ones that drain the liver and gallbladder are called bile or biliary ducts. The one that drains the pancreas is called the pancreatic duct. The bile and pancreatic ducts join together just before they drain into the upper bowel, about 3 inches from the stomach. The drainage opening is called the papilla. The papilla is surrounded by a circular muscle, called the sphincter of Oddi.Diagnostic ERCP is when X-ray contrast dye is injected into the bile duct, the pancreatic duct, or both. This contrast dye is squirted through a small tube called a catheter that fits through the ERCP endoscope. X-rays are taken during ERCP to get pictures of these ducts.Read More…

Halo Barretts Ablation

HALO Barrett’s “ablation” is a technique where tissue is heated until it is no longer viable or alive. Physicians have used various forms of ablation for nearly a century to treat a number of cancerous and precancerous conditions, as well as to control bleeding. The HALO ablation technology is a very specific type of ablation, in which heat energy is delivered in a precise and highly-controlled manner.Barrett’s esophagus tissue is very thin and is therefore a good candidate for removal with ablative engery. Delivery of ablative energy with the HALO ablation technology is therefore capable of achieving complete removal of the diseased tissue without damage to the normal underlying structures.
Clinical studies have demonstrated the Barrett’s tissue can be completely eliminated with the HALO ablation technology in 98.4% of patients.Read More…

Bravo Reflux Test

Bravo pH monitoring is a patient-friendly test for identifying the cause of heartburn. This test allows your doctor to evaluate your heartburn symptoms to determine the frequency and duration of acid coming up into your esophagus and to confirm if your condition may be Reflux Disease.
The test involves a minature pH capsule, approximately the size of a gelcap, that is attached to your esophagus. Through-out the test period, the Bravo pH capsule measure the pH in the esophagus and transmits this information to a small receiver worn on your belt or waistband just like a pager or mobile phone.Read More…

Capsule Endoscopy

A procedure that lets your doctor examine the lining of the middle part of your gastrointestinal tract, which includes the three protions of the small intestine (duodenum, jejunum, ileum). Your doctor will use a pill sized video capsule (which has its own lens and light source) that will view the images on a video monitor. You might hear your doctor or other medical staff refer to capsule endoscopy as small bowel endoscopy, capsule entereoscopy, or wireless endoscopy. These images are transmitted to a Data Recorder wich saves them. The Data Recorder is worn around your waist (size of a walkman). Approximately 8 hours after, you will return to our office and get the recorder removed. The capsule is disposable and will naturally excrete within your bowel movement. Read More…

Breath Tests

We utilize breath testing with the Quintron SC- Breathalyzer to test for:
What is Hydrogen Breath Testing?
Hydrogen breath testing is used to diagnose three primary conditions. First, hydrogen breath testing detects sugars like lactose that are not properly digested and metabolized. Secondly, hydrogen breath testing detects sugars like fructose that are not absorbed in sufficient levels. Thirdly, hydrogen breath testing is used to diagnose bacterial overgrowth of the small bowel. Read More…

Liver Biopsy

A liver biopsy is a procedure to remove a small piece of the liver so it can be examined with a microscope for signs of damage or disease. The three main types of liver biopsy are percutaneous, transvenous, and laparoscopic.
When is a liver biopsy performed?
A liver biopsy is performed when a liver problem is difficult to diagnose with blood tests or imaging techniques, such as ultrasound and x ray. More often, a liver biopsy is performed to estimate the degree of liver damage—a process called staging. Staging helps guide treatment.
Drawing of the digestive tract with the esophagus, stomach, liver, small intestine, and large intestine labeled.Read More…