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Doctor with Files

California Digestive Disease Center

is pleased to offer comprehensive gastroenterology services

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Our practice highlights:

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  • Experienced and well-trained gastroenterologists

  • On-site ambulatory endoscopy center (Fresno Endoscopy Center)

  • Screening colonoscopy offered within 2-4 weeks of receiving the referral

  • Offer advanced endoscopy procedures

  • Evidence based management of wide array of gastrointestinal diseases 

  • Effective and prompt  communication with the primary care provider and/or referring provider.

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Endoscopy Services:

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Our providers perform endoscopy procedures at the Fresno Endoscopy Center and hospital locations. When performing therapeutic/interventional endoscopic procedures at the hospital locations, we work closely with other subspecialists such as surgeons, oncologists and radiologists in a multidisciplinary approach to ensure high quality of medical care. The endoscopy procedures we offer include (but not limited to) the following -

 

Colonoscopy

  • Screening colonoscopy

  • Diagnostic colonoscopy

  • Therapeutic colonoscopy 

    • Endoscopic mucosal resection (large colon polyps), stricture dilation, stent placement (rectal or sigmoid colon cancer)

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Diagnostic upper endoscopy

  • Evaluation of acid reflux​

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Therapeutic endoscopy

  • Stricture dilation, polyp removal, stent placement (esophageal cancer, duodenal cancer), variceal banding, PEG tube placement, PEJ placement, radiofrequency ablation (Barrett’s esophagus with dysplasia), per oral endoscopic myotomy (achalasia), Bravo pH (acid reflux), endoscopic suturing (Apollo Endo Stitch).

 

Video capsule endoscopy 

  • Video capsule endoscopy is offered at our Fresno Endoscopy Center to evaluate the small bowel. 

 

Endoscopic Ultrasound (EUS)

  • Biopsy of lesions of the extraluminal solid organ (such as pancreas, liver, lymph node, spleen, adrenal gland etc)

  • Diagnosis and staging of cancers - pancreas, gastric, esophageal

  • Drainage of pancreatic pseudocyst with lumen-apposing metal stent (LAMS)

  • EUS-guided pancreatic necrosectomy

 

Endoscopic Retrograde Pancreaticocholangiogram (ERCP)

  • Removal of bile duct stones and pancreatic duct stones

  • SpyGlass Cholangioscopy and pancreatoscopy

  • Electrohydraulic lithotripsy (EHL) or mechanical lithotripsy of large bile duct stones

  • Dilation of the biliary duct strictures

  • Stenting of the bile duct strictures (benign or malignant)

 

Motility Testing

  • High resolution esophageal manometry - to asses esophageal motility

  • Anorectal Manometry

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Liver Scan

  • Fibroscan - to assess liver fibrosis and steatosis

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Band Ligation

  • Hemorrhoid band ligation (no sedation)

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Small Bowel Enteroscopy

  • Push Enteroscopy - Evaluate proximal portions of the small intestine

  • Double Balloon Enteroscopy - Evaluate deeper portions of the small intestine for any lesions, ulcers and to evaluate the remnant stomach in patients with Roux-En-Y gastric bypass anatomy.

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