FOR NEW PATIENT'S VISITING OUR CLINIC:
We recommend that you review and fill out applicable forms below, especially the Patient Information Form (PIF). If you fill out the paper version of the PIF,
please bring it with you on your first visit to our clinic. This form allows us to enter basic information about your health history and will expedite your visit.
back to top
GI EXCELLENCE, INC. PROCEDURES PROVIDED (See interactive diagram below)
GI Excellence, Inc. provides a full range of gastroenterological services and procedures including new technological advances in diagnostic and therapeutic endoscopy and video capsule endoscopy. We provide same-day emergency consultative services and one-week scheduling for non-emergent consultative services. Our staff is composed of the best gastroenterologists, clinical nurse practitioners, and patient advocates. We encourage direct referral (GI consultation not required) for screening upper and lower endoscopies.
BASIC GASTROENTEROLOGY PROCEDURES
Diagnostic and Therapeutice
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.
Endoscopic Vericeal 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.
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
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.
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)
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.
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).
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
Halo Radiofrequency Ablation System (A new modality with excellent published results and an outstanding safety profi le.)
Radiofrequency ablation (RFA) has become the first choice for treatment of dysplastic Barrett’s. RFA is indicated for fl at 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
Endoscopic Retrograde Cholangiopancreatography (ERCP)
An endoscopic retrograde cholangiopancreatogram (ERCP)
is a test that combines the use of a fl exible, 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
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.
• Bridge to surgery (such as Colon CA)
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
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
Rectal (Anorectal) Monometry
Anorectal manometry is a test that evaluates the function of anal sphincter and pelvic muscles in patients with constipation or stool leakage. It is done on an outpatient basis with mild discomfort.
BRAVO® pH Monitoring
A small capsule, about the size of a gel cap, is
temporarily attached to the wall of the esophagus
during an upper endoscopy. The capsule measures pH
levels in the esophagus and transmits readings by radio
telecommunications to a receiver (about the size of a
pager) worn on your belt or waistband.
BRAVO® pH Monitoring Instructions
back to top
HOW TO USE THE INTERACTIVE DIAGRAM BELOW
back to top
The following procedure preparations are to be taken ONLY when you have a scheduled procedure appointment. Please do not perform any of the below
preparations for a consultation clinic visit.
IF YOU ARE HAVING AN UPPER ENDOSCOPY
AND/OR ENDOSCOPIC ULTRASOUND
IF YOU ARE HAVING A COLONOSCOPY AND / OR RECTAL EUS:
Over the counter colonoscopy preparation instructions preferred:
IF YOU ARE HAVING A VIDEO CAPSULE ENDOSCOPY:
back to top
PATIENT CONSENT FORMS:
All patients must review and sign the consent to their respective procedure. The consent for EGD, EUS, Colonoscopy and Rectal EUS is on the same form
and outlines the risks of the procedure. The consent for ERCP and internal Hemorrhoid Therapy are on separate forms. Please review the appropriate
consent form for your procedure prior to arriving to your a scheduled procedure.
If you are having the following procedure:
INFRARED COAGULATION (IRC) / BAND LIGATION / I&D OF THROMBOSED HEMORRHOID
GASTROINTESTINAL ENDOSCOPY PROCEDURES:
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAM (ERCP):
VIDEO CAPSULE ENDOSCOPY:
(en Español) la Capsula Endoscopica:
back to top
GI Excellence physicians are available to authorize prescription renewals for our patients when appropriate. If you need a
prescription refi ll call: (951) 652-2252.
If you have been recommended a special diet due to your condition, please download the appropriate diet guideline for your review.
GI Excellence is a participating provider in most health insurance plans. If you have any questions about coverage, please call our office or
your insurance company for information. Please contact your insurance and see if our healthcare providers are covered.
MANAGED CARE PLANS ACCEPTED:
GI Excellence participates in most health insurance plans. We also accept Medicare and Cash paying patients.
GI Excellence, Inc. | Milan S. Chakrabarty | Indraneel Chakrabarty | Sandra Del Valle | Gastroenterology | Internal Hemorrhoid Ablation |
Push Enteroscopy | Endoscopicmucosal Resection (EMR) | Argon Plasma Canon (APC) | Halo Radiofrequency Ablation System |
Endoscopic Retrograde Cholangiopancreatography (ERCP) | Endoscopic Ultrasound (EUS) | Rancho Springs Medical Center | Inland Valley Medical Center |
Hemet Valley Medical Center | Loma Linda University Medical Center, Murrieta | Temecula Valley Hospital | American College of Gastroenterology (ACG)
American Gastroenterological Association (AGA) | American Society of Gastrointestinal Endoscopy (ASGE)