Our Services

Specialists in Gastroenterology has added services, tests, and therapies to help patients with a variety of conditions. One of the most common procedures we do is screening colonoscopy – this is “open access” meaning that you do not need a referral from a doctor.

 Colonoscopy procedure explained

Colonoscopy

Colonoscopy (koh-luh-NAH-skuh-pee) lets the physician look inside your entire large intestine (another name for the colon), from the lowest part, the rectum, all the way up through the colon to the lower end of the small intestine, the terminal ileum. 

read more about colonoscopy

 

Upper Endoscopy procedure explained

Upper Endoscopy

Upper endoscopy enables the physician to look inside the esophagus, stomach, and duodenum (first part of the small intestine).   Upper endoscopy is also called EGD, which stands for esophagogastroduodenoscopy (eh-SAH-fuh-goh-GAS-troh-doo-AH-duh-NAH-skuh-pee).

read more about upper endoscopy

 

 Capsule Endoscopy procedure explained

Capsule Endoscopy

Capsule endoscopy (en DOS-skuh-pee) enables the physician to look inside the small intestine. The procedure might be used to discover a source of bleeding ...

read more about capsule endoscopy

 

 

 Lactulose Breath Test procedure explained

Lactulose Breath Test

This test is performed using a kit at home. Breath samples are obtained before and after drinking a sugar called lactulose. The test tubes are returned for gas analysis to help determine if there is small intestinal bacterial overgrowth.

Read more about the breath test and see the video that demonstrates how it is performed

 

 Upper Endoscopy procedure explained

 Smart Pill

 After ingestion, the SmartPill Capsule collects measurements of pressure, pH and temperature throughout the entire gastrointestinal tract. The SmartPill Data Receiver, which is worn on a belt clip or on a lanyard around the neck, captures and stores the test data collected by the Capsule.

read more about the Smart Pill

 

Flexible Sigmoidoscopy

Flexible Sigmoidoscopy

Flexible sigmoidoscopy (SIG-moy-DAH-skuh-pee) enables the physician to look at the inside of the large intestine from the rectum through the last part of the colon, called the sigmoid or descending colon. Physicians may use the procedure to find the cause of diarrhea, abdominal pain, or constipation. They also use it to look for early signs of cancer in the descending colon and rectum and to monitor therapy in patients with inflammatory bowel disease including Crohn’s disease and ulcerative colitis.

read more about flexible sigmoidoscopy

 

 Esophageal Manometry

 

 Esophageal Manometry

This procedure is performed to evaluate the way the esophagus contracts or moves. The test is indicated in patients that are having chest pain, a sense of food getting hung up upon swallowing or painful swallowing.

read more about esophageal manometry

 

 

 Anal Manometry

This test examines the function of the anal muscles in patients in who either have difficulty evacuating their rectum or those who have leakage of stool. A very thin tube is placed into the rectum and the pressures of the muscles are analyzed by our Physician Assistants who play an integral role in directing the care to help our patients.

 

 

 Pelvic floor therapy

Our physical therapist will be given the results of the anal manometry test to help patients perform treatments to either help muscles relax to ease passage of stool or to teach strengthening exercises to prevent leakage/incontinence.

 

 

 Sacral Nerve Stimulation

The unintentional loss/leakage of stool is a common problem among men and women of all ages and can significantly impact daily activities. Common causes include a history of childbirth, pelvic or anorectal surgery, and medical conditions resulting in chronic loose stool. Sacral nerve stimulation has been shown to reduce the unintentional loss/leakage of stool by 50% or greater in most people with this condition. A temporary sacral nerve stimulator worn for a week determines if this therapy will be beneficial.

 

 

 Abdominal and pelvic adhesion therapy

Our therapist trained in the Clear Passage method is available to perform deep abdominal physical therapy and manipulation which teases out adhesions. By doing so, data shows a decrease in recurrent small bowel obstructions, chronic abdominal pain, and relapses of small intestinal bacterial overgrowth. See www.ClearPassage.com for an in depth review of this treatment which was developed in Florida. Please view just three examples of what their bowel obstruction patients have to say:

A Crohn's disease patient with adhesions and SIBO



To schedule a telephone consultation and appointments, call 866-222-9437. This is their main office. The treatments are administered by their therapist in our office.

Clear Passage Testimonial:

When my GI specialist suggested I see Clear Passage to help with my SIBO, I had already had 7 abdominal surgeries, was struggling with severe scar tissue and adhesions, and suffering from anxiety and sleep issues.  I was very worried about the pain and discomfort I would feel during the therapy. Michelle, the Clear Passage therapist, was a brilliant match for me physically and emotionally.  She was so masterful with her techniques and mindful specifically to my needs while she was with me.  She was absolutely amazing during our 20 hours of treatment.  Words can truly not express my gratitude for the level of care I received from her.  Right after treatment, I was able to take full breaths of air, move more freely, have less painful bowel movements and eat larger portions.  Within weeks after treatment I was able to get off all my sleep aides and anti-anxiety medications.  I know that having this procedure saved me from having another abdominal surgery for a bowel obstruction.  I believe whole heartedly in this company, the therapists with whom they trust their clients, and the process they use to heal our bodies.

-CB, Indiana
Licensed Professional Counselor, Psychology Instructor, SIBO patient (3 years)

 

Bravo pH Monitoring

The Bravo pH monitoring system test identifies the presence and severity of acid reflux (heart burn). A miniature pH recorder is attached to the middle of the esophagus during endoscopy. The device is a disposable capsule-sized probe which stayed attached for 5 to 7 days and then it falls off. Information is collected over 48 to 96 hours and allows for the evaluation of symptoms by determining the frequency and duration of acid refluxing back up into the esophagus. This test performed at SIG is helpful to confirm if a patient's symptoms are caused by gastroesophageal reflux disease (GERD) or to determine if current medication is adequately suppressing gastric acid production.