Colonoscopy:  A procedure in which a flexible tube with a high definition camera is passed through the large intestine (colon) while under sedation. During the procedure a number of abnormalities can be detected, such as colon polyps, diverticulae,  colitis or vascular abnormalities.  The main purpose of a screening colonoscopy is to detect the presence of colon polyps. Removal of polyps is recommended to prevent progression of the polyp to cancer.  Removal of a polyp is performed by a forcep or snare device. Risks of the procedure that rarely occur include perforation or bleeding. A more detailed list is available if requested. Most patients are performed under conscious sedation. This typically assures a comfortable procedure with no  discomfort. For more information, view the following video:


Upper Endoscopy:  A procedure in which a flexible tube with a high definition camera is passed through the upper intestinal tract including the esophagus, stomach and duodenum. During an upper endoscopy the main purpose is to look for diseases that involve the upper gastrointestinal tract.  This may include ulcers, esophageal inflammation from acid reflux, damage to esophagus known as Barrett's esophagus or even celiac disease. If interested view the following video:


Flexible Sigmoidoscopy:  A procedure in which a flexible tube with high definition camera is passed through the left side of the colon which includes the rectum, sigmoid and descending colon. Typically this procedure is performed without sedation but can be performed with sedation is requested. This procedure is not as extensive as a colonoscopy. It does not involve a oral bowel preparation but rather a simple enema preparation.  Flexible sigmoidoscopy has an important role in certain situations.





Barrx treatment:  This is a treatment for Barrett's esophagus.  The treatment utilizes radio frequency ablation applied by a device mounted on the endoscope to deliver heat energy to the diseased lining of the esophagus. Studies have demonstrated the procedure is very safe and over a 90% eradication rate of Barrett's esophagus.  Please see for more information.



Solesta injection:  The is a treatment for patient's with fecal incontinence or accidental leakage of fecal material from the anal canal.  Solesta is a gel composed of naturally made materials called dextranomer and sodium hyaluronate.  The gel is given through 4 injections into the anal wall in an outpatient setting. Patient usual have no pain or only minor discomfort.  The injections bulk up the tissue surrounding the anal canal decreasing the chance of fecal incontinence.  Please see for more information.