Endoscopic Retrograde Cholangiopancreatography (ERCP)

A combination of endoscopy and fluoroscopy, ERCP is used as a diagnostic and treatment measure by our gastroenterologist team for: SpyGlass cholangioscopy Difficult bile-duct stones Altered anatomy (Billroth II, gastric bypass) Pancreatitis (recurrent, acute and chronic) Pancreatic stenting Failed ERCP Ampullectomy Sphincter of Oddi manometry Complex endoscopy procedures in infants and children

Endoscopic Ultrasound (EUS)

A low-risk diagnostic procedure, endoscopic ultrasound (EUS) is a combination of endoscopy and ultrasound that uses sound waves to create detailed images of the inside of the body. We use EUS for: Fine-needle aspiration and biopsy (FNA/FNB) Pseudocyst drainage Pancreatic necrosis management Celiac plexus block/neurolysis Biliary and pancreatic drainage Fiducial placement Abdominal and pelvic abscess drainage Pancreatic cyst ablation Radiofrequency ablation EUS-liver biopsy EUS-guided creation of gastrojejunal anastomosis for gastric/duodenal obstruction

In a tissue resection procedure, some or all of a tissue is surgically removed. Our team takes an endoscopic approach to tissue resection for: Resection of large polyps (precancerous and cancerous) Endoscopic mucosal resection (EMR) Endoscopic submucosal dissection (ESD) Barrett’s ablation and endoscopic resection Endoscopic full-thickness resection (EFTR)

Luminal stenting involves placing stents through endoscopy. We are able to perform esophageal, gastroduodenal and colon luminal stenting.

Double Balloon Enteroscopy (DBE)

Double balloon enteroscopy is an endoscopic diagnostic technique that helps us visualize the inside of the esophagus, stomach and small intestine. We use DBE for stricture management and to identify and control internal bleeding.

Endoscopic Clipping and Suturing

Our expert surgeons can perform clipping and suturing endoscopically for fistulas and perforations.

Endoscopic Management of Bleeding

Our experienced team uses endoscopic approaches to manage acute and chronic bleeding.

Endoscopic Management of Bariatric Complications

Sometimes, complications arise from bariatric (weight-loss) surgery. We use endoscopic procedures to manage: Stomal reduction Pouch reduction Fistula management

Endoscopy for Inflammatory Bowel Disease (IBD)

To help manage IBD, we use endoscopic approaches, including: Chromoendoscopy Management of strictures and fistulas Pouchoscopy Management of leaks

Additional Endoscopic Interventions

Our team also performs: Percutaneous endoscopic transgastric jejunostomy (PEG-J), or gastrostomy/jejunostomy feeding tube Endoscopic Zenker’s diverticulum treatment Endoscopic Duopa™ implant placement

Center for Interventional Endoscopy

Where You’re in Experienced Hands

At our Center for Interventional Endoscopy (CIE), we believe you deserve care from a world-class team of skilled interventional gastroenterologists. That’s why we offer the latest advances in diagnostic and therapeutic modalities to manage a wide range of diseases, from swallowing disorders to pancreatic cancer.

Patients from around the world are referred to us for leading-edge endoscopy treatments and clinical trials that may not be widely available at other centers. With proven approaches, an experienced and compassionate team and two locations in Orlando and Celebration, we'll help you heal in body, mind and spirit.

Mustafa Arain, MD

Gastroenterology
Natalie Cosgrove, MD

Gastroenterology
Muhammad Khalid Hasan, MD

Medical Director

Gastroenterology
Maham Hayat, MD

Gastroenterology
Deepanshu Jain, MD

Gastroenterology
Kambiz S Kadkhodayan, MD

Gastroenterology, Bariatric Surgery
Dennis Yang, MD

Gastroenterology

Older couple riding bikes outdoors together,

As part of the Center for Interventional Endoscopy, our Pancreas Center provides comprehensive, multidisciplinary care for pancreatic diseases and disorders. We treat the whole you — body, mind and spirit — and focus on delivering the best possible outcomes for your better quality of life.

Learn More

A surgeon's hands holding Endoscopy Equipment

Third space endoscopy is an expanding field within endoscopic therapeutics and a minimally invasive alternative to treat various illnesses that were previously only treated with conventional surgery.

Learn More

Two women taking a morning walk in the park.

Endobariatric care combines gastroenterology with bariatric, or weight-loss, surgery. By using endoscopic approaches in bariatric procedures, we can help you achieve meaningful weight-loss results with less invasive surgeries, fewer complications and a shorter recovery period.

Learn More About Endoscopic Weight Loss

Our CIE Monthly Grand Rounds Live Webinars are an opportunity for physicians to hear from leading interventional endoscopists as they highlight the cutting-edge techniques and the latest technology will be demonstrated live in a practical manner to enable participants to incorporate this experience into their daily clinical practice.

To join our monthly Grand Rounds Live Webinars, please email CIEevents@adventhealth.com to be added to our email distribution list.

Endoscopic Management of Gastric Outlet – October 12, 2022

Gastric Peroral Endoscopy Myotomy (GPOEM) - July 13, 2022

Esophageal Peroral Endoscopic Myotomy (EPOEM) - June 8, 2022

ERCP: Cholangioscopy and Pancreatoscopy - April 13, 2022

Endoscopic Management of Barrett’s Esophagus - March 9, 2022

Talking to the Papilla: Basic Cannulation Techniques - February 9, 2022

Endoscopic Evaluation and Resection of Large Colon Polyps - January 12, 2022

EUS FNA / FNB Best Practices - November 17, 2021

EUS - Cytology - December 9, 2021

Diagnostic Upper EUS Evaluation - Linear and Radial - October 6, 2021

Your healing is our priority. That’s why our multidisciplinary team performs many advanced interventional endoscopy procedures to treat complex conditions efficiently. We’ll work with you to understand your diagnosis and create a treatment plan that best meets your needs.

Endoscopic Retrograde Cholangiopancreatography (ERCP): A combination of endoscopy and fluoroscopy, ERCP is used as a diagnostic and treatment measure by our gastroenterologist team for:

SpyGlass cholangioscopy

Difficult bile-duct stones

Altered anatomy (Billroth II, gastric bypass)

Pancreatitis (recurrent, acute and chronic)

Pancreatic stenting

Failed ERCP

Ampullectomy

Sphincter of Oddi manometry

Complex endoscopy procedures in infants and children
Endoscopic Ultrasound (EUS): A low-risk diagnostic procedure, endoscopic ultrasound (EUS) is a combination of endoscopy and ultrasound that uses sound waves to create detailed images of the inside of the body.

We use EUS for:

Fine-needle aspiration and biopsy (FNA/FNB)

Pseudocyst drainage

Pancreatic necrosis management

Celiac plexus block/neurolysis

Biliary and pancreatic drainage

Fiducial placement

Abdominal and pelvic abscess drainage

Pancreatic cyst ablation

Radiofrequency ablation

EUS-liver biopsy

EUS-guided creation of gastrojejunal anastomosis for gastric/duodenal obstruction
Tissue Resection: In a tissue resection procedure, some or all of a tissue is surgically removed. Our team takes an endoscopic approach to tissue resection for:

Resection of large polyps (precancerous and cancerous)

Endoscopic mucosal resection (EMR)

Endoscopic submucosal dissection (ESD)

Barrett’s ablation and endoscopic resection

Endoscopic full-thickness resection (EFTR)
Luminal Stenting: Luminal stenting involves placing stents through endoscopy. We are able to perform esophageal, gastroduodenal and colon luminal stenting.
Double Balloon Enteroscopy (DBE): Double balloon enteroscopy is an endoscopic diagnostic technique that helps us visualize the inside of the esophagus, stomach and small intestine. We use DBE for stricture management and to identify and control internal bleeding.
Endoscopic Clipping and Suturing: Our expert surgeons can perform clipping and suturing endoscopically for fistulas and perforations.
Endoscopic Management of Bleeding: Our experienced team uses endoscopic approaches to manage acute and chronic bleeding.
Endoscopic Management of Bariatric Complications: Sometimes, complications arise from bariatric (weight-loss) surgery. We use endoscopic procedures to manage:

Stomal reduction

Pouch reduction

Fistula management
Endoscopy for Inflammatory Bowel Disease (IBD): To help manage IBD, we use endoscopic approaches, including:

Chromoendoscopy

Management of strictures and fistulas

Pouchoscopy

Management of leaks
Third Space Endoscopy: In endoscopic procedures, the third space refers to the potential area inside the wall of the gastrointestinal tract — a submucosal layer of the organ wall. Some of the most common third space endoscopy procedures our team performs are:

Peroral endoscopic myotomy (POEM)

Gastric peroral endoscopic myotomy (G-POEM)

Submucosal tunneling endoscopic resection (STER)
Additional Endoscopic Interventions: Our team also performs:

Percutaneous endoscopic transgastric jejunostomy (PEG-J), or gastrostomy/jejunostomy feeding tube

Endoscopic Zenker’s diverticulum treatment

Endoscopic Duopa™ implant placement

AdventHealth Center for Interventional Endoscopy

Where You’re in Experienced Hands

Meet Your CIE Team

Mustafa Arain, MD

Natalie Cosgrove, MD

Muhammad Khalid Hasan, MD

Maham Hayat, MD

Deepanshu Jain, MD

Kambiz S Kadkhodayan, MD

Dennis Yang, MD

Find Specialized Care at Our Pancreas Center

Expertise in Third Space Endoscopy

Reach Your Goals With Endobariatric Care