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Our Services

The Care We Provide

Axonics Therapy

Axonics Therapy is an effective solution for treating symptoms of bowel (fecal) incontinence, overactive bladder including urinary urgency incontinence, and urinary retention. Axonics Therapy provides gentle stimulation to the nerves that control the bladder and bowel, which can restore normal control and result in symptom improvement.

Breath Test (H. Pylori)

What is the H. pylori breath test? The H. pylori breath test is a simple and safe test used to detect an active H. pylori infection. What is H. pylori? Helicobacter pylori (abbreviated as H. pylori) is a bacteria that can infect the stomach or duodenum (first part of the small intestine). If left untreated, H. pylori bacteria can cause gastritis (an inflammation or irritation of the stomach lining) and duodenal or gastric ulcers. In addition, infection with H. pylori increases the risk of other diseases and is also a risk factor for gastric cancer. Accurate detection of H. pylori is the first step toward curing stomach and intestinal ulcers, and preventing the development of more serious gastrointestinal problems What happens during the test? During the test, you will be asked to exhale into a balloon-like bag. The air you breathe into this bag is tested to provide a basis for comparison (called a baseline sample). You will then be asked to drink a small amount of a pleasant lemon-flavored solution. Fifteen minutes after drinking the solution, a second breath sample will be taken. The air you breathe into this bag is tested for an increase in carbon dioxide.

Capsule Endoscopy

Capsule endoscopy is a procedure that uses a tiny wireless camera to take pictures of your digestive tract. The camera sits inside a vitamin-sized capsule that you swallow. As the capsule travels through your digestive tract, the camera takes thousands of pictures that are transmitted to a recorder you wear on a belt around your waist or over your shoulder. Capsule endoscopy helps doctors see inside your small intestine — an area that isn’t easily reached with conventional endoscopy. Capsule endoscopy can be used by adults and by children who can swallow the capsule. The procedure is usually started in a doctor’s office.

Colonoscopy

A colonoscopy (koe-lun-OS-kuh-pee) is an exam used to detect changes or abnormalities in the large intestine (colon) and rectum. During a colonoscopy, a long, flexible tube (colonoscope) is inserted into the rectum.

Enteroscopy

Enteroscopy is the procedure of using an enteroscope for the direct visualization of the small bowel. Visualization of the small bowel has posed a challenge to gastroenterologists due to the difficulty of physically reaching more distal regions of the small bowel anatomically.

Hepatitis C Treatment

CV therapy continues to evolve as new medications become available. Lab testing showing HCV infection is generally done by your primary care provider. However, patients presenting to abnormal liver tests without prior HCV testing will be tested for HCV and other causes of liver inflammation.

Flexible Sigmoidoscopy

Flexible sigmoidoscopy is a procedure that allows your doctor to examine the rectum and the lower (sigmoid) colon. The flexible sigmoidoscope is a flexible tube 60 cm long and about the thickness of your little finger. It is inserted gently into the anus and advanced slowly into the rectum and the lower colon.

Hemorrhoid Banding

Hemorrhoid banding, also known as rubber band ligation, is a minimally invasive medical procedure used to treat internal hemorrhoids. During the procedure, a doctor typically uses a specialized instrument to place a small rubber band around the base of the hemorrhoid. This band cuts off the blood supply to the hemorrhoid, causing it to shrink and eventually fall off within a week or so. The procedure is usually performed in an outpatient setting and does not require anesthesia. It is considered a safe and effective method for relieving hemorrhoid symptoms, such as bleeding and discomfort, with minimal recovery time needed. Patients may experience temporary discomfort or a feeling of fullness in the lower abdomen after the procedure, but these symptoms generally subside quickly.

Peg Placement

Percutaneous endoscopic gastrostomy (PEG) is a method of placing a tube into the stomach percutaneously, aided by endoscopy. This technique was first described by Gauderer in 1980.[1] Different variations of the technique include the pull (Ponsky), push (Sachs-Vine), introducer (Russell), and Versa (T-fastener) methods. Of these, the pull method is the most commonly used and is described in this article. PEG tube placement is one of the most common endoscopic procedures performed today, and an estimated 100,000-125,000 are performed annually in the United States.

Upper Endoscopy

Upper Endoscopy (also known as gastroscopy, EGD, or esophagogastroduodenoscopy) is a procedure that enables your surgeon to examine the lining of the esophagus (swallowing tube), stomach and duodenum (first portion of the small intestine).

Endoscopic Ultrasound

To obtain images and information about the digestive tract and the surrounding tissue and organs. Endoscopy refers to the procedure of inserting a long flexible tube via the mouth or the rectum to visualize the digestive tract (for further information, please visit the Colonoscopy and Flexible Sigmoidoscopy articles), whereas ultrasound uses high-frequency sound waves to produce images of the organs and structures inside the body such as ovaries, uterus, liver, gallbladder, pancreas, or aorta. Traditional ultrasound sends sound waves to the organ(s) and back with a transducer placed on the skin overlying the organ(s) of interest. Images obtained by traditional ultrasound are not always of high quality. In EUS a small ultrasound transducer is installed on the tip of the endoscope. By inserting the endoscope into the upper or the lower digestive tract one can obtain high quality ultrasound images of the organs inside the body. Placing the transducer on the tip of an endoscope allows the transducer to get close to the organs inside the body. Because of the proximity of the EUS transducer to the organ(s) of interest, the images obtained are frequently more accurate and more detailed than the ones obtained by traditional ultrasound. The EUS also can obtain information about the layers of the intestinal wall as well as adjacent areas such as lymph nodes and the blood vessels. Other uses of EUS include studying the flow of blood inside blood vessels using Doppler ultrasound, and to obtain tissue samples by passing a special needle, under ultrasound guidance, into enlarged lymph nodes or suspicious tumors. The tissue or cells obtained by the needle can be examined by a pathologist under a microscope. The process of obtaining tissue with a thin needle is called fine needle aspiration.