Central Coast Gastroenterology Associates Inc. 
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Procedures We Offer

Comprehensive endoscopy and advanced therapeutic options—close to home in Santa Cruz.

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General Endoscopy

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Upper Endoscopy (EGD)

Evaluates the esophagus, stomach & duodenum.

  • Biopsies
  • Esophageal dilation (strictures, rings, webs)
  • Variceal band ligation
  • Control of GI bleeding (clips, cautery, injections)
  • Barrett’s esophagus evaluation
  • Treatment of ulcers
  • Foreign body removal
  • Gastric outlet obstruction therapy
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Colonoscopy

Screening, diagnosis & treatment of colon conditions.

  • Polypectomy (all polyps, including large/complex)
  • Advanced polypectomy (EMR)
  • Biopsies
  • Treatment of bleeding
  • Tattooing for surgery
  • Stricture dilation
  • Decompression for volvulus

Advanced Pancreatic & Biliary Endoscopy

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ERCP

Therapeutic treatment of bile duct & pancreatic duct conditions.

  • Bile duct stone removal
  • Biliary & pancreatic duct stent placement
  • Sphincterotomy
  • Biliary dilation
  • Management of bile leaks
  • Treatment of cholangitis
  • Therapy for post-surgical anatomy
  • Radiation-free ERCP in pregnancy (county’s first)
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Cholangioscopy

Real-time, high-resolution imaging inside the bile ducts.

  • Evaluation of indeterminate strictures
  • Targeted biopsies
  • Stone fragmentation (lithotripsy)
  • Precision therapy in complex biliary disease

Endoscopic Ultrasound (EUS)

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Diagnostic EUS

  • Evaluation of pancreatic masses & cysts
  • Fine-needle biopsy (FNA/FNB)
  • Lymph node sampling
  • Subepithelial lesion evaluation
  • GI cancer staging
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Therapeutic EUS

  • EUS-guided cyst gastrostomy
  • EUS-guided gastrojejunostomy (GJ)
  • EUS-guided liver biopsy
  • Celiac plexus block for pain
  • Biliary drainage when ERCP is not possible

Advanced Luminal Procedures

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POEM & Zenker’s Septotomy

  • Minimally invasive endoscopic treatment for achalasia and spastic motility disorders
  • Flexible endoscopic treatment for Zenker’s diverticulum
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Endoscopic Stent Placement

  • Esophageal stents
  • Gastric/duodenal stents
  • Colonic stents
  • Biliary stents
  • Pancreatic duct stents
  • Lumen-apposing metal stents (LAMS)

Small Bowel Procedures

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Double Balloon Enteroscopy (DBE)

  • Small bowel biopsies
  • Treatment of bleeding lesions
  • Tattooing of lesions
  • Removal of polyps or abnormal tissue