All GI Services

Emphasizing endoscopy excellence, we give our patients the comfort of clarity.

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All Services

Diagnostic and Therapeutic

Upper GI endoscopy is a procedure that uses a lighted, flexible endoscope to see inside the upper GI tract. The upper GI tract includes the esophagus, stomach, and duodenum—the first part of the small intestine.
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Endoscopic Variceal Banding Ligation

Endoscopic band ligation is the use of elastic bands to PDF treat the varices. It is done as part of an upper gastrointestinal (GI) endoscopy.
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PEG Placement

Percutaneous endoscopic gastrostomy (PEG) is a surgical procedure for placing a tube for feeding without having to perform an open operation on the abdomen (laparotomy). It is used in patients who will be unable to take in food by mouth for
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Screening and Therapeutic Colonoscopy

Colonoscopy is a test that allows your doctor to look at the inner lining of your large intestine (rectum and colon). He or she uses a thin, flexible tube called a colonoscope to look at the colon. A colonoscopy helps find ulcers, colon polyps, tumors, and areas of inflammation or bleeding.
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Push Enteroscopy

Push endoscopy (also referred to as push enteroscopy) is a procedure that allows diagnosis and treatment of diseases in the upper small intestine. Push endoscopy reaches further into the small intestine than the standard upper gastrointestinal endoscopy (also known as esophagogastroduodenoscopy, EGD)
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Diverticular Disease

Diverticular disease and diverticulitis are related digestive conditions that affect the large intestine (colon). In diverticular disease, small bulges or pockets (diverticula) develop in the lining of the intestine. Diverticulitis is when these pockets become inflamed or infected.
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Endoscopic Mucosal Resection (EMR)

Gastrointestinal endoscopic mucosal resection (EMR) is a procedure to remove early-stage cancer and precancerous growths from the lining of the digestive tract. Endoscopic mucosal resection is performed with a long, narrow tube equipped with a light and video camera. During EMR of the upper digestive tract, the doctor passes this tube (endoscope) down your throat into your esophagus, stomach or upper part of the small intestine (duodenum).
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Argon Plasma Canon (APC)

Argon plasma coagulation (APC) is a form of
electrosurgery used to treat tumors of the esophagus,
among others. It is also a non-invasive way to alleviate
symptoms of cancer, such as:

• Ablation of various lesions including arteriole
venous malformations (AVM’s)
• Ablation of various mucosal lesions
• Gastric Antral Vascular Ectasia (GAVE)
• Radiation Proctitis

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Halo Radiofrequency Ablation System (A new modality with excellent published results and an outstanding safety profile.)

Radiofrequency ablation (RFA) has become the first choice for treatment of dysplastic Barrett’s. RFA is indicated for flat high-grade dysplasia and for eradication of residual Barrett’s after endoscopic resection of any visible lesion containing high-grade dysplasia or an early mucosal cancer. RFA has a high success rate for eradication of dysplasia in 95% of patients. Eradication of intestinal metaplasia can be obtained in approximately 80% of patients.
• Ablation of Barrett’s Esophagus, whether non-dysplastic,
low-grade dysplasia, or high-grade dysplasia
• Ablation of Radiation Proctitis
• Ablation of Gastric Antral Vascular Ectasia (GAVE)
To view an educational video complete with Barrett’s
Esophagus Facts click here.
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Endoscopic Retrograde Cholangiopancreatography (ERCP)

An endoscopic retrograde cholangiopancreatogram (ERCP)
is a test that combines the use of a flexible, lighted scope
(endoscope) with X-ray pictures to examine the tubes that
drain the liver, gallbladder, and pancreas.
• Bile or pancreatic duct stones removal
• Dilation and stent placement or replacement
(removable or permanent) for obstructive jaundice
(benign or malignant strictures)
• Obtaining bile duct tissue sample for diagnosis
• Cholangioscopy (direct endoscopic visualization of
the bile ducts) ability to obtain direct tissue biopsy vs
laser or mechanical lithotripsy of large stones
• ERCP for Liver Transplant Patients

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Enternal Stent Placement

A stent is a hollow tube made from metal or plastic that is placed in a bodily orifi ce to keep it open. Stents are commonly used in gastroenterology as support structures to keep the esophagus or bile ducts open. They also may be placed within the stomach, small bowel or colon. In most cases, placement of a stent is performed as a minimally invasive, endoscopic outpatient procedure with an overnight hospital stay. For most patients with esophageal or swallowing diffi culties, for example, stent placement offers immediate and long lasting relief.
• Palliation
• Bridge to surgery (such as Colon CA)
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Endoscopic Ultrasound (EUS)

Endoscopic ultrasound (EUS) is a procedure that allows
a doctorto obtain images and information about the
digestive tract and the surrounding tissue and organs,
including the lungs. Ultrasound testing uses sound waves
to make a picture of internal organs.
• Staging and fi ne needle aspiration (FNA) of masses in
the mediastinum, upper abdomen, and colon cancer
• Staging and FNA of mucosal lesions
• Fiducial placement for stereotactic radiation
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Esophageal Manometry

Esophageal manometry is a procedure for determining how well the muscle of the esophagus works when diseases
of the muscle are suspected by measuring pressures
(manometry) generated by
the esophageal muscles
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BRAVO® pH Monitoring Instructions

Instructions Below

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GI Excellence, Inc. positions itself in the minds of its market as the most skilled and technologically advanced gastroenterology medical practice in Southwest Riverside County capable of providing its patients with the clarity and trust they deserve.