We ask our patients to be seen annually for medical review and prescription renewals.

Please complete the following two forms to bring to the office visit and please review the patient information section.
Patient Information, Patient History Form, Patient Assignment of Benefits / Release of Records

* We require 24 hour notice of appointment cancellations or there is an administrative charge to the patient.

Privacy Forms.

Patient Confidentiality, Privacy Notice, Privacy Practices

Procedure Prep Information.
Esophagogastroduodenoscopy (EGD)
Colonoscopy and Flexible Sigmoidoscopy:
Preparation is required and the best prep for the patient will determined at the office visit.  Basically, the colon must be clean for the procedure to be accurate. Your provider will give you detailed instructions regarding the dietary restrictions to be followed and the cleansing routine to be used. In general, preparation consist of either consumption of a volume of special cleansing solution the day prior to the exam, clear liquid diet the day prior and possible enema depending on your prep choices.

Procedure Information.

Colonoscopy
A colonoscopy is an internal examination of the colon (large intestine) using an instrument called a colonoscope. The colonoscope is a small camera attached to a flexible tube which is used to examine the entire length of the colon.

Flexible Sigmoidoscopy
Flexible tube with a camera on the end of it is inserted into the rectum to approximately two feet to evaluate the left side of the colon. It does not visualize the entire colon.  This procedure is used to determine sources of lower colon or rectal  bleeding or inflammation.

Hydrogen Breath Test
A hydrogen breath test provides information about the digestion of certain sugars or carbohydrates, such as milk sugar (lactose) or fruit sugar (fructose). This will help determine if you are intolerant to certain sugars.
One example is the use of this test to detect lactose intolerance, a disorder in which people have symptoms from abnormal processing of lactose, a substance in many foods including milk and ice cream. The test is also used for detecting abnormal growth of bacteria within the small bowel by having the patient ingest lactulose. Bacterial overgrowth can cause a variety of symptoms including diarrhea, bloating, gas and abdominal cramps.

Halo (Barrett’s Esophagus)
The HALO system provides endoscopic ablation of  abnormal Barrett’s tissue found in the esophagus using radiofrequency ablation (RFA). The physician will evaluate the esophageal biopsy and determine if the HALO procedure is an appropriate treatment option for the patient.

Capsule Endoscopy
Capsule endoscopy is a procedure designed to help your physician see what is happening inside parts of your gastrointestinal (GI) tract. The GI tract is the tube which extends from the mouth to the anus in which the movement of muscles digests food. During the procedure the patient swallows a vitamin-sized pill with a camera inside. Transported smoothly and painlessly through the GI tract by the body’s own peristalsis, the PillCam video capsule transmits images of different parts of your body such as the small intestine. Capsule endoscopy is the least invasive and most direct way for doctor’s to see the entire small intestine.
The PillCam video capsule is designed specifically to help your doctor see inside your small bowel (small intestine) to diagnose disorders such as Crohn’s disease, Celiac disease, benign and cancerous tumors, ulcerative colitis as well as other disorders. The small intestine is the part of the gastrointestinal tract that connects the stomach to the large intestine and absorbs nutrients.

Esophagogastroduodenoscopy (EGD)
This procedure enables your physician to examine the lining of the esophagus (throat), stomach and duodenum (the first portion of the small intestine) using a thin flexible tube with a camera on the end of it. The endoscopy is more accurate than an x-ray or scan for detecting inflammation, ulcers and tumors. It provides the ability to obtain a biopsy, small tissue sample, of a suspicious area to determine the difference between something benign or malignant. There is no special preparation for the procedure other than fasting all food, water 6 hours prior.  Anesthetic is used to numb the throat and the endoscope does interfere with breathing. Conscious, light sedation is provided and most people sleep during the procedure.