Premier Gastroenterology

Services

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Industry-Leading Care

We make sure all our new patients feel welcome and safe. During your first visit, a clinician will review your medical history. From there, the doctor will explain any issues and help you choose options for treatment. We proceed with consideration to your convenience and safety.

To schedule a visit, give us a call at (352) 597-4000, and we’ll set you up promptly with an appointment. For new patients, complete this form and bring it with you!

You’re in great hands!


Accepted Insurance:

Is your insurer not listed? Give us a call at (352) 597-4000 and we’ll check for you!

  • Aetna

  • Blue Cross Blue Shield – PPO

  • Champ VA

  • Cigna

  • First Health (Coventry Health Care)

  • Freedom Medicare HMO

  • GHI Emblem Health

  • Humana Commercial

  • Medicare

  • Meritain Health

  • Optimum Medicare HMO

  • Regence Group (Bs-Wa, Bs-Id, Bcbs-Ut, Bcbs-Or)

  • Tricare

  • Ultimate

  • UMR

  • United Healthcare

  • United Medical Resources

  • VA - Community Care Network

  • WellCare - Medicare

 

Types of Procedures

We believe in ensuring our patients are well-educated and confident with respect to their own medical care, and so we have provided below brief descriptions of some of the our more common procedures.

 
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Lower Endoscopy

 
 

Anoscopy

This is a type of examination of the anus and rectum, using a small rigid instrument called an anoscope. Anoscopies are commonly used to diagnose hemorrhoids, anal fissures, and some cancers.

Proctoscopy

This is a type of examination of the anal cavity, rectum, and the lower part of the large intestine, using a rigid instrument called a proctoscope, or a longer one called a rectoscope. Proctosopies are used to inspect for hemorrhoids or rectal polyps.

 

Sigmoidoscopy

This is a type of examination of the rectum and the lower part of the large intestine, called the sigmoid colon, using a flexible instrument called an endoscope. Sigmoidoscopies are used for diagnosing issues related to diarrhea, abdominal pain, intestinal bleeding, inflammation, or constipation. In addition, they're used for identifying and, if necessary, removing benign and malignant polyps.

Colonoscopy

This is a type of examination of the large intestine and the lower part of the small intestine, using a long, flexible tube called an endoscope. Colonoscopies are useful for visually diagnosing ulcerations and polyps, and can remove polyps smaller than one millimeter. Unlike a sigmoidoscopy which is limited to the the last 20 inches of the colon, a colonoscopy is used to examine the entire colon (50-60 inches).

 

Endoscope

 

Upper Endoscopy

 
 

Endoscope in the stomach

Esophagogastroduodenoscopy (EGD)

This is a type of examination of the upper GI tract, including the esophagus, stomach, and upper small intestine. This procedure uses a long flexible instrument called an endoscope. EGDs are useful for a variety of different medial purposes, most commonly for diagnosis and surveillance of damaged tissue, removal of tissue, dilating pathways, or injection therapy.

 

Gastrointestinal Stent Placement

This procedure involves placing a stent in the esophagus or duodenum to prevent blockages. This procedure uses a specialized tool to place and position a deflated stent, which is then inflated to give support to the muscles lining the esophagus or duodenum. A stent is used to alleviate any number of diseases that partially or totally block parts of the upper gastrointestinal tract, including scarring, inflammation, and gastric cancers.

Stent in the Esophagus

Nutrients can be placed directly in the stomach via a feeding tube

Gastrostomy (Feeding Tube Placement)

This is a procedure in which a feeding tube is passed from the interior of the stomach to the abdomen, passing through the stomach wall and skin. Once in place, nutrients can be passed from outside of the body directly into the stomach, without having to pass through the mouth, throat, or esophagus. This can be very useful if the patient has excessive difficulty eating or swallowing, or otherwise cannot safely pass food through the mouth and esophagus.

 
 

Advanced and Interventional Endoscopy

 
 

Figure showing scope in ERCP

 

Endoscopic Retrograde CholangioPancreatography (ERCP)

This is a type of procedure used for examining the pancreas and bile ducts, using a long, flexible tube called an endoscope, and a specialized x-ray machine. The endoscope is passed through the mouth and stomach into the duodenum (the first part of the small intestine), and a special dye is injected to add contrast as x-rays are taken of the pancreas and liver. An ERCP is commonly used to diagnose and treat conditions of the pancreas and bile ducts, including for removing stones and treating tumors.

 

Endoscopic Ultrasound (EUS)

This is a type of procedure used to examine and assess gastrointestinal diseases using high-frequency sound waves. A special endoscope uses these waves to produce detailed images of the linings of the digestive tract and nearby organs such as the pancreas and liver. EUS is used for diagnosing abdominal and chest pain, evaluate findings from a CT scan or MRI, and detecting diseases such as lymphoma, pancreatic cysts, and bile stones.

Endoscopic Ultrasound compatible endoscope.