General Practitioners

• Medical Weight Loss
  Celiac Disease is an allergy to gliadin, a protein component of gluten, which is found in wheat and other grains. It was originally thought to be a relatively rare disease, primarily of childhood, and in adults presenting with severe diarrhea, weight loss and malnutrition. We now know it to be far more common than previously thought, and is present in 1.3 and 3 million Americans. The symptoms also are not necessarily as obvious as once thought. Although diarrhea is still the most common symptom, patients may present with iron deficiency anemia, abdominal pain, unexplained weight loss or abnormal liver function tests. Celiac disease can be diagnosed with a screening blood test, but biopsy of the small intestine (a simple out-patient procedure) is recommended to confirm the diagnosis. A trial of a Gluten-free diet is not recommended before a firm diagnosis is made, as that diet is very restrictive and expensive, and the response may be subjective. Only when the diagnosis is sure should patients be placed on this difficult diet.
• Colonoscopy
  Colonoscopy is a common and very safe procedure that examines the lining of your lower intestinal tract, known as the colon.  It is a very comfortable exam because it is performed with intravenous sedation, so you are sleeping during the test. Most patients are not even aware that the procedure occurred when they wake up. Your doctor will use a thin flexible tube (“the scope”) with a light and miniature TV camera on the tip to examine the colon.
• Constipation
• Irritable Bowel Syndrome
  We specialize in treating all diseases of the digestive system including irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), Crohn’s disease and ulcerative colitis, liver diseases including hepatitis B and C, cancers of the digestive tract as well as diseases of the pancreas and gallbladder.
• Diarrhea

Gynecologists

• Pregnancy
• Labor and Delivery
  Hepatitis B, the old "serum hepatitis," is spread mostly through   contact with blood or other body fluids. It can, therefore, be spread  sexually  or during childbirth, as well as through needle sticks or  intravenous drugs.  Donated blood is carefully screened for hepatitis B,  so transmission that way  is now extremely rare. The initial symptoms  are quite similar to A, but unlike A,  about 5% of patients develop a  chronic form of the disease, either a chronic  carrier state or ongoing  damage to liver. Long term infection with B may lead  to cirrhosis or  cancer of the liver. There are several treatments available for  chronic  hepatitis B, but more importantly an excellent vaccine exists and it is   recommended all children be vaccinated before starting college.

Internists

• Internal Medicine
  Dr. Pineles earned his medical degree from the NYU School of Medicine.  He completed his internal medicine residency at NYU Medical Center, and subsequently received his gastroenterology training at NYU Medical Center as well.
• Gastroenterology
  The Doctors and staff at Affiliates in Gastroenterology want your experience to be as comfortable and helpful as possible. In the exam room, patients can expect the doctor to discuss your symptoms and medical history. A physical examination will then follow. Based on the doctor’s findings, recommendations about available laboratory tests and procedures will be given to help treat your symptoms.
• Colon Cancer
  Each year nearly 137,000 people are diagnosed with colon cancer in the United States and over 50,000 people die from it annually. This is the second leading cause of cancer death among men and women in the country. The disease, however, is mostly preventable with regular screening.
• Endoscopy
  Presently, he is an attending clinical professor in the Department of Medicine at Morristown Memorial Hospital. He is also a clinical attending physician at Saint Barnabas Medical Center. Dr. Wallach is the Medical Director of the Hanover Endoscopy Center and he sees patients at the Morristown and our Roxbury satellite offices.

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Dr. Siu has a special interest in evaluating and treating patients with gastrointestinal cancers, including pancreatic, biliary, esophageal, gastric and colon cancers. He has expertise in endoscopic ultrasound (EUS), endoscopic retrograde cholangiopancreatography (ERCP), endoscopic mucosal resection (EMR) of early gastrointestinal cancers, therapeutic stenting of gastrointestinal and pancreatobiliary diseases, and radiofrequency ablation (RFA) for Barrett's Esophagus.
• X-Rays

Dermatologists

• Cyst
• Ulcer
  Peptic Ulcer Disease is a common cause of abdominal pain and   gastrointestinal bleeding. Patients may present with burning epigastric   discomfort (that may improve with food), black stool, vomiting blood or  very  dark material or simply iron deficiency anemia. After evaluation  by a  gastroenterologist, an upper endoscopy may be performed to make  the diagnosis.  Under sedation, a flexible endoscope is passed through  the mouth and the  esophagus, stomach and first portion of the small  intestine or duodenum, which  are examined carefully.