Barrett’s Esophagus

With Barrett’s esophagus, the lining of the esophagus becomes damaged, usually from repeated exposure to stomach acid. People who have GERD can struggle with Barrett’s esophagus, too, feeling heartburn and chest pain. If you’re facing this condition, our team is here to help. We offer: Endoscopy for screening and surveillance Surveillance care Medical management Radiofrequency ablation (RFA) Cryoablation Argon plasma coagulation (APC) Endoscopic mucosal resection (EMR) Endoscopic submucosal dissection (ESD) From screening to management, you can count on our team to provide you with unparalleled care for Barrett’s esophagus.

Celiac disease is a serious autoimmune disease that causes gluten to damage your small intestine. Left untreated, it can lead to serious and uncomfortable side effects and symptoms which are often different for children and adults. We know that healing begins with an accurate diagnosis. We offer the latest advances in testing, diagnosing and managing celiac disease so you can feel healthy, well and strong.

A type of inflammatory bowel disease (IBD), Crohn’s disease causes inflammation in the digestive tract with painful symptoms like abdominal pain and severe diarrhea. While Crohn’s disease can’t be cured, our multidisciplinary team can help you manage this condition effectively with treatment options that meet your needs and give you back control of your life. We’ll perform evaluations to get you an accurate diagnosis and work with you to create a treatment plan that takes care of your symptoms in the long term.

Diverticulitis and Diverticulosis

Diverticular disease happens as the muscles in the walls of your colon become weaker, something that can happen with age. As they weaken, small pouches sometimes form in the lining of the colon, which leads to diverticulosis. While many people who have diverticulosis don’t always have symptoms, some common diverticulosis symptoms may include: Bloating Constipation Diarrhea Mild abdominal cramping Diverticulitis is often confused with diverticulosis. Diverticulitis is a separate condition that happens when the diverticula in the colon become swollen and inflamed. It can be very painful and sometimes requires hospitalization or colorectal surgery. Managing Diverticular Disease Before we treat your condition, we’ll make sure you have an accurate diagnosis. You may need some of the following tests: Barium enema Blood tests (including liver function tests) Computed tomography (CT) scans Colonoscopy Once your care team has a clear understanding of your diagnosis, we’ll work with you and other gastrointestinal specialists to treat you with: Antibiotics to treat infections Anti-inflammatory medicine Liquid diet and bed rest Lifestyle changes (improved diet and exercise) Pain medicine Surgery If your provider recommends surgery, we’ll discuss all your options. That may include minimally invasive or robotic procedures.

Esophageal Dysfunction and Swallowing Disorders

Our Center for Esophageal and Swallowing Disorders (CESD) is a dedicated center with specialized clinics for Barrett's esophagus and eosinophilic esophagitis (EoE). Our CESD physicians are experts at diagnosing and treating these esophageal dysfunction and swallowing disorders. Using state-of-the-art diagnostic tools, we'll work to create an individualized treatment plan to meet your unique needs. At each step of your care, we strive to deliver exceptional treatments that help you feel your best in body, mind and spirit Learn More About Our CESD

Gastroesophageal Reflux Disease (GERD)

Acid reflux is a common condition for many adults. It can present as GERD or laryngopharyngeal reflux (LPR). Fortunately, it can often be managed with lifestyle changes that include: Avoiding smoking Avoiding “trigger” foods Healthy eating habits Healthy weight management Sitting up for a few hours after eating But, if you can’t find relief at home, we’re here to help. We offer comprehensive diagnostic tools to understand what’s causing your symptoms and ensure there’s no other damage to your esophagus and stomach. Your doctor may recommend any of the following tests: Barium swallow radiograph BRAVO pH study Upper endoscopy Upper gastrointestinal study pH Impedance study Esophageal manometry Then, we’ll develop a plan that’s right for you — one that relieves your symptoms and helps you enjoy the simple pleasure of mealtime. We also treat other, related conditions including, functional esophageal disorders.

Gastrointestinal Bleeding

It can be alarming to find blood in your stool or vomit. But rest assured, our team is here to help you find the cause and treat it effectively. One cause may be bleeding in the gastrointestinal (GI) tract. Symptoms of GI bleeding can include: Black, tarry stool Bloody stool Bloody vomit However, symptoms don’t always include bleeding. Signs that indicate GI bleeding may also be: Abdominal pain Chest pain Difficulty breathing Fainting Lightheadedness Causes of gastrointestinal bleeding can vary as much as symptoms. They may include: Anal fissures Colon polyps Diverticular disease Esophageal lining tears Esophageal varices (enlarged veins in the esophagus) Esophagitis Hemorrhoids Inflammatory bowel disease Peptic ulcer Colitis Tumors Our team will help you get to the bottom of any GI bleeding issues and develop a personalized treatment plan that will work for your needs and goals.

Inflammatory Bowel Disease (IBD)

Like IBS, inflammatory bowel disease isn’t just one condition, but is an umbrella term for several conditions affecting the digestive tract. It refers to ongoing inflammation of all or part of the digestive tract, and includes conditions like: Crohn’s disease Microcytic or lymphocytic colitis Ulcerative colitis Whether you’re facing IBS or IBD symptoms, we’ll help you understand your symptoms, their causes and get you an accurate diagnosis. Our Inflammatory Bowel Disease Center has trusted experts who will be with you at every step. We’ll help you start feeling better faster so that you can focus on the life you love. Learn More About IBD Care

Irritable Bowel Syndrome (IBS)

Irritable bowel syndrome (IBS) affects the colon (or large intestine). It is not one disease, but a syndrome that describes several different issues and symptoms. Common IBS symptoms include: Abdominal pain Alternating bouts of constipation and diarrhea Bloating Changes to bowel movement frequency Changes to stool appearance Constipation Cramping Diarrhea Gas Mucus (white or clear) in stool Urgent or incomplete bowel movements A new term being used for IBS is functional bowel disorders, which can encompass: Functional anorectal disorders Functional esophageal disorders Functional gastric disorders Small intestinal bacterial overgrowth (SIBO) Because there is no clear underlying medical condition for IBS, it can be frustrating to manage the uncomfortable and, sometimes, painful condition. We’ll work with you to find what’s causing your symptoms, and come up with an effective plan to monitor, manage and minimize your IBS.

Your liver is thought to have as many as 500 functions in the body and is especially important for digestion. You can imagine, then, that when your liver isn’t working properly, it can affect your whole health. Our gastroenterologists and hepatologists have specialized training in diagnosing, treating and managing many liver diseases, including: Autoimmune hepatitis Fatty liver disease Hepatitis B Hepatitis C Chronic liver disease Cirrhosis of the liver Primary biliary cholangitis (PBC) Primary sclerosing cholangitis (PSC) We’ll work closely with you to ensure you get an accurate diagnosis with the latest advances in imaging and screening. Then, we’ll develop a treatment plan that addresses your unique condition, symptoms and health goals. We offer many different approaches to liver disease treatment, including: Medication Outpatient procedures Surgery Together, we’ll find the path forward that’s right for you.

Your pancreas is a small gland behind the stomach that has digestive and hormonal purposes. When you’re battling a condition or disease that affects the pancreas, it can interfere with many parts of your daily life. Our gastroenterologists and surgeons have experience treating many benign (non-cancerous) and cancerous pancreatic conditions, including: Pancreatic cancer Chronic pancreatitis Exocrine pancreatitis insufficiency Malabsorption Vitamin insufficiency Pancreatic cysts Pseudocysts Understanding Pancreatitis Pancreatitis, which happens when the pancreas becomes inflamed, can become a very serious condition. We offer treatment and management for pancreatitis, including: Interventional endoscopy Cholecystectomy (gall bladder removal) Pancreatectomy (removal of all or part of the pancreas) Removal of blockage in pancreatic or bile duct Pancreatic surgery Whatever your condition, we’re here to help restore your whole health.

Pelvic Floor Disorders

Pelvic floor disorders affect both men and women, but more women experience them over time as they age and from childbirth. While there are others, some types of pelvic floor disorders and conditions include: Fecal incontinence Pelvic floor dyssynergia Pelvic organ prolapse Urinary incontinence Constipation Our compassionate team can help you heal from pelvic floor disorders with leading-edge treatments like: Anorectal high-resolution manometry Biofeedback therapy Pelvic MRI Sitz marker study We’ll be here to answer your questions, guide your treatment and lift your spirits as you face and heal from pelvic floor disorders.

Ulcers and Ulcer Disease

A gastrointestinal ulcer happens when painful sores or lesions form on the lining of the stomach or part of the small intestine. There are many different causes of ulcers, including: An overproduction of stomach acid Consuming too much caffeine or alcohol Excessive use of painkillers (aspirin or ibuprofen) Helicobacter pylori bacterial infection Smoking Stress Before treating your ulcer, your gastroenterologist will confirm your ulcer diagnosis with one of the following tests: Barium swallow Upper endoscopy Urea breath test (UBT) Depending on the location and cause of your ulcer, your doctor may recommend one (or more) of these treatments: Anti-acid medicines Dietary changes Endoscopy Laparoscopic surgery Lifestyle changes (more exercise, better eating habits) Our team is here to help you find relief from your ulcer pain.

Gastroenterology and Hepatology Care

Smiling Physician wearing a mask — Supporting Your **Gastrointestinal Health**

Sometimes, it’s life’s simplest moments that bring us joy: savoring a homemade meal, communing with family over holiday dinners or catching up with an old friend at a favorite restaurant.

But, if you experience any form of gastrointestinal discomfort from acid reflux, GERD, liver disease or inflammatory bowel disease (IBD) symptoms, it can be hard to find the peace that comes with these moments. That’s where our gastroenterologists and hepatologists can help.

We’re here to offer the latest innovations in diagnosing, treating and managing many gastrointestinal and liver disorders. You can count on our experts to help you feel better and help you feel whole in body, mind and spirit.

Gastrointestinal Care With Innovation

Diagnostic Tools You Can Trust
Advances in medicine have paved the way for new treatments and therapies for gastrointestinal conditions. Our team offers only the highest standard of care to treat gastrointestinal and liver diseases — from diagnosis to treatment and management.

From the moment you call for your first appointment to meeting with your doctor, we’re listening to understand your symptoms and history.

Once we get to know you, we’ll refer you for testing to help pinpoint your condition, including:
- BRAVO pH testing
- Colonoscopy
- Endoscopic ultrasound (EUS)
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Double-balloon enteroscopy
- FLIP topography (EndoFLIP)
- Gastrointestinal motility
- Gastrointestinal screening
- pH impendence test
- Swallow testing
- Volumetric laser endomicroscopy (VLE)
The Best Care for the Best You
Relief shouldn’t be temporary. We’ll create a roadmap to ease your symptoms and manage your condition — today and in the long term.

We offer a wide range of minimally invasive treatments and therapies, which lead to less pain, shorter recovery and better outcomes, including:
- BOTOX® injection therapy
- Functional luminal imaging probe (FLIP) topography
- Gastric emptying study
- Gastric pacemaker
- Gastric peroral endoscopic myotomy (G-POEM)
- Esophageal peroral endoscopic myotomy (E-POEM)
We Also Offer
- Endoscopic mucosal resection (EMR)
- Endoscopic submucosal dissection (ESD)
- Endoscopic full-thickness resection (EFTR)
- OBERA balloon weight-loss therapy
- Esophageal pneumatic balloon dilation
- Pyloric balloon dilation
- Roux-en-Y gastric bypass
- Surgical pyloroplasty
- Zenker’s diverticulectomy
- Per oral endoscopic tunneling for restoration of esophagus (POETRE)
Let’s get started on helping you feel better, together.
Contact Us

We’re here to help you find the right physician or a location that’s convenient for you.

Gastrointestinal and liver disorders can slow down your life, and we believe it is too precious for that.

Our multidisciplinary team is here to help you find healing. We bring together experts from across specialties, including colorectal surgeons, dieticians, gastrointestinal specialists, general surgeons, hepatologists, lifestyle coaches, mental health specialists, social workers and surgical oncologists.

Together, we’ll find the treatment that’s right for you — one that heals your body, eases your mind and lift your spirits.

Barrett’s Esophagus: With Barrett’s esophagus, the lining of the esophagus becomes damaged, usually from repeated exposure to stomach acid. People who have GERD can struggle with Barrett’s esophagus, too, feeling heartburn and chest pain.
If you’re facing this condition, our team is here to help. We offer:
Endoscopy for screening and surveillance
Surveillance care
Medical management
Radiofrequency ablation (RFA)
Cryoablation
Argon plasma coagulation (APC)
Endoscopic mucosal resection (EMR)
Endoscopic submucosal dissection (ESD)

From screening to management, you can count on our team to provide you with unparalleled care for Barrett’s esophagus.
Celiac Disease: Celiac disease is a serious autoimmune disease that causes gluten to damage your small intestine. Left untreated, it can lead to serious and uncomfortable side effects and symptoms which are often different for children and adults.

We know that healing begins with an accurate diagnosis. We offer the latest advances in testing, diagnosing and managing celiac disease so you can feel healthy, well and strong.
Crohn’s Disease: A type of inflammatory bowel disease (IBD), Crohn’s disease causes inflammation in the digestive tract with painful symptoms like abdominal pain and severe diarrhea.

While Crohn’s disease can’t be cured, our multidisciplinary team can help you manage this condition effectively with treatment options that meet your needs and give you back control of your life.

We’ll perform evaluations to get you an accurate diagnosis and work with you to create a treatment plan that takes care of your symptoms in the long term.
Diverticulitis and Diverticulosis: Diverticular disease happens as the muscles in the walls of your colon become weaker, something that can happen with age. As they weaken, small pouches sometimes form in the lining of the colon, which leads to diverticulosis.

While many people who have diverticulosis don’t always have symptoms, some common diverticulosis symptoms may include:

Bloating

Constipation

Diarrhea

Mild abdominal cramping

Diverticulitis is often confused with diverticulosis. Diverticulitis is a separate condition that happens when the diverticula in the colon become swollen and inflamed. It can be very painful and sometimes requires hospitalization or colorectal surgery.

Managing Diverticular Disease

Before we treat your condition, we’ll make sure you have an accurate diagnosis. You may need some of the following tests:

Barium enema

Blood tests (including liver function tests)

Computed tomography (CT) scans

Colonoscopy

Once your care team has a clear understanding of your diagnosis, we’ll work with you and other gastrointestinal specialists to treat you with:

Antibiotics to treat infections

Anti-inflammatory medicine

Liquid diet and bed rest

Lifestyle changes (improved diet and exercise)

Pain medicine

Surgery

If your provider recommends surgery, we’ll discuss all your options. That may include minimally invasive or robotic procedures.
Esophageal Dysfunction and Swallowing Disorders: Our Center for Esophageal and Swallowing Disorders (CESD) is a dedicated center with specialized clinics for Barrett's esophagus and eosinophilic esophagitis (EoE). Our CESD physicians are experts at diagnosing and treating these esophageal dysfunction and swallowing disorders.
Using state-of-the-art diagnostic tools, we'll work to create an individualized treatment plan to meet your unique needs. At each step of your care, we strive to deliver exceptional treatments that help you feel your best in body, mind and spirit
Learn More About Our CESD
Gastroesophageal Reflux Disease (GERD): Acid reflux is a common condition for many adults. It can present as GERD or laryngopharyngeal reflux (LPR).

Fortunately, it can often be managed with lifestyle changes that include:

Avoiding smoking

Avoiding “trigger” foods

Healthy eating habits

Healthy weight management

Sitting up for a few hours after eating

But, if you can’t find relief at home, we’re here to help. We offer comprehensive diagnostic tools to understand what’s causing your symptoms and ensure there’s no other damage to your esophagus and stomach. Your doctor may recommend any of the following tests:

Barium swallow radiograph

BRAVO pH study

Upper endoscopy

Upper gastrointestinal study

pH Impedance study

Esophageal manometry

Then, we’ll develop a plan that’s right for you — one that relieves your symptoms and helps you enjoy the simple pleasure of mealtime.

We also treat other, related conditions including, functional esophageal disorders.
Gastrointestinal Bleeding: It can be alarming to find blood in your stool or vomit. But rest assured, our team is here to help you find the cause and treat it effectively. One cause may be bleeding in the gastrointestinal (GI) tract.

Symptoms of GI bleeding can include:

Black, tarry stool

Bloody stool

Bloody vomit

However, symptoms don’t always include bleeding. Signs that indicate GI bleeding may also be:

Abdominal pain

Chest pain

Difficulty breathing

Fainting

Lightheadedness

Causes of gastrointestinal bleeding can vary as much as symptoms. They may include:

Anal fissures

Colon polyps

Diverticular disease

Esophageal lining tears

Esophageal varices (enlarged veins in the esophagus)

Esophagitis

Hemorrhoids

Inflammatory bowel disease

Peptic ulcer

Colitis

Tumors

Our team will help you get to the bottom of any GI bleeding issues and develop a personalized treatment plan that will work for your needs and goals.
Inflammatory Bowel Disease (IBD): Like IBS, inflammatory bowel disease isn’t just one condition, but is an umbrella term for several conditions affecting the digestive tract. It refers to ongoing inflammation of all or part of the digestive tract, and includes conditions like:

Crohn’s disease

Microcytic or lymphocytic colitis

Ulcerative colitis

Whether you’re facing IBS or IBD symptoms, we’ll help you understand your symptoms, their causes and get you an accurate diagnosis. Our Inflammatory Bowel Disease Center has trusted experts who will be with you at every step. We’ll help you start feeling better faster so that you can focus on the life you love.

Learn More About IBD Care
Irritable Bowel Syndrome (IBS): Irritable bowel syndrome (IBS) affects the colon (or large intestine). It is not one disease, but a syndrome that describes several different issues and symptoms.

Common IBS symptoms include:

Abdominal pain

Alternating bouts of constipation and diarrhea

Bloating

Changes to bowel movement frequency

Changes to stool appearance

Constipation

Cramping

Diarrhea

Gas

Mucus (white or clear) in stool

Urgent or incomplete bowel movements

A new term being used for IBS is functional bowel disorders, which can encompass:

Functional anorectal disorders

Functional esophageal disorders

Functional gastric disorders

Small intestinal bacterial overgrowth (SIBO)

Because there is no clear underlying medical condition for IBS, it can be frustrating to manage the uncomfortable and, sometimes, painful condition. We’ll work with you to find what’s causing your symptoms, and come up with an effective plan to monitor, manage and minimize your IBS.
Liver Disease: Your liver is thought to have as many as 500 functions in the body and is especially important for digestion. You can imagine, then, that when your liver isn’t working properly, it can affect your whole health.

Our gastroenterologists and hepatologists have specialized training in diagnosing, treating and managing many liver diseases, including:

Autoimmune hepatitis

Fatty liver disease

Hepatitis B

Hepatitis C

Chronic liver disease

Cirrhosis of the liver

Primary biliary cholangitis (PBC)

Primary sclerosing cholangitis (PSC)

We’ll work closely with you to ensure you get an accurate diagnosis with the latest advances in imaging and screening. Then, we’ll develop a treatment plan that addresses your unique condition, symptoms and health goals.

We offer many different approaches to liver disease treatment, including:

Medication

Outpatient procedures

Surgery

Together, we’ll find the path forward that’s right for you.
Pancreatic Disease: Your pancreas is a small gland behind the stomach that has digestive and hormonal purposes. When you’re battling a condition or disease that affects the pancreas, it can interfere with many parts of your daily life.

Our gastroenterologists and surgeons have experience treating many benign (non-cancerous) and cancerous pancreatic conditions, including:

Pancreatic cancer

Chronic pancreatitis

Exocrine pancreatitis insufficiency

Malabsorption

Vitamin insufficiency

Pancreatic cysts

Pseudocysts

Understanding Pancreatitis

Pancreatitis, which happens when the pancreas becomes inflamed, can become a very serious condition. We offer treatment and management for pancreatitis, including:

Interventional endoscopy

Cholecystectomy (gall bladder removal)

Pancreatectomy (removal of all or part of the pancreas)

Removal of blockage in pancreatic or bile duct

Pancreatic surgery

Whatever your condition, we’re here to help restore your whole health.
Pelvic Floor Disorders: Pelvic floor disorders affect both men and women, but more women experience them over time as they age and from childbirth.

While there are others, some types of pelvic floor disorders and conditions include:

Fecal incontinence

Pelvic floor dyssynergia

Pelvic organ prolapse

Urinary incontinence

Constipation

Our compassionate team can help you heal from pelvic floor disorders with leading-edge treatments like:

Anorectal high-resolution manometry

Biofeedback therapy

Pelvic MRI

Sitz marker study

We’ll be here to answer your questions, guide your treatment and lift your spirits as you face and heal from pelvic floor disorders.
Ulcers and Ulcer Disease: A gastrointestinal ulcer happens when painful sores or lesions form on the lining of the stomach or part of the small intestine. There are many different causes of ulcers, including:

An overproduction of stomach acid

Consuming too much caffeine or alcohol

Excessive use of painkillers (aspirin or ibuprofen)

Helicobacter pylori bacterial infection

Smoking

Stress

Before treating your ulcer, your gastroenterologist will confirm your ulcer diagnosis with one of the following tests:

Barium swallow

Upper endoscopy

Urea breath test (UBT)

Depending on the location and cause of your ulcer, your doctor may recommend one (or more) of these treatments:

Anti-acid medicines

Dietary changes

Endoscopy

Laparoscopic surgery

Lifestyle changes (more exercise, better eating habits)

Our team is here to help you find relief from your ulcer pain.

Central Florida's Trusted Gastrointestinal Expertise

When it comes to gastrointestinal health, no two conditions are alike. Individuals, even those diagnosed with the same condition, can experience different symptoms and benefit from different therapy. We work with many different patients, and we share our experience to deliver the care you deserve.

Center for Esophageal Swallowing Disorders (CESD)

A swallowing disorder or esophageal disease can significantly impact your quality of life. We’re here to help get you back on track.

Learn More about "Center for Esophageal and Swallowing Disorders"
Center for Interventional Endoscopy

Therapeutic endoscopy is a minimally invasive, proven way to diagnose and treat many digestive health issues. Our Center for Interventional Endoscopy (CIE) provides advanced care.

Learn More about "Center for Interventional Endoscopy"
Colorectal Care

Our colorectal providers have specialized training in conditions and cancers that affect the colon and rectum. From pioneering minimally invasive surgery to offering proven therapies, we’re here for you.

Learn More about "Colorectal Surgery"
Fatty Liver Disease Care

Fatty liver disease is a common disease when caught early and treated appropriately, you can manage the condition and enjoy all life has to offer.

Learn More about "Fatty Liver Disease Care"
Inflammatory Bowel Disease Center

Inflammatory bowel disease (IBD) affects an estimated 3 million people in the U.S. Our IBD Center offers specialized care dedicated to helping you find relief and manage your condition.

Learn More about "Inflammatory Bowel Disease Care"