General Practitioners

• Sinusitis
• Medical Weight Loss
  These are just a few conditions that need appropriate and expert evaluation and treatment.  There may be many more other conditions that need to be considered.  To get an individualized evaluation with Dr. Simoni, please click below...
• Colonoscopy
  EHL: Also known as Endoscopic Hemorrhoidal Ligation (or Band Ligation) is a procedure that can be performed in the office without a need for sedation, but can also be done during a colonoscopy under sedation.  This procedure is performed for patients who have recurrent rectal bleeding that is due to internal hemorrhoids.  It simply places a very small rubber band over the ano-rectal vessels that supply blood to the hemorrhoids, cutting off the blood supply to them.  It is one of the least invasive but most effective treatments for hemorrhoidal bleeding.  (EHL is not for treatment of external hemorrhoids or non-bleeding hemorrhoids)
• Constipation
• Diarrhea

Internists

• Internal Medicine
• Gastroenterology
  We are proud to have Fernanda Monteon Ibarra, MSN,RN, AGACNP-­‐BC as our nurse practitioner as she brings more than a decade of patient-care and clinical experience to our practice. She joined Advanced Gastroenterology, Inc. in October of 2020. She has been an excellent addition to our team as she not only has the knowledge of clinical practice of medicine, but she also brings in a wealth of knowledge and experience in a patient-centric manner. She adheres to the same principals as Dr. Simoni and AGI’s Mission which is to build patient trust and to be the catalyst for a healthier lifestyle through prevention, early detection and our innovative approach to GI care. In addition to above qualities, she has an amazing bedside manner, is open to all means of communication with patients, and is extremely responsiveness to the needs of our patients.
• Colon Cancer
  Colonoscopy: A procedure by which Dr. Simoni is able to look into the large intestine (aka colon) and often times the very last part of the small intestine (terminal ileum). During this process a thin and flexible tube (but longer than the EGD scope that also has a high definition but tiny camera lens attached to its tip) is utilized under sedation to evaluate the lower digestive tract.  The tube also has a small channel through which samples of lining of the colon can be obtained and through which polyps can be removed.  Generally colonoscopy takes less than 20 minutes and it also has a very high yield and not only many different disorders can be diagnosed or ruled out, it has been an essential tool in reduction of colon cancer.
• Endoscopy
  TNE: Which stands for Transnasal Endoscopy is a specialized miniature scope with very thin (the size of a ink reservoir of a ballpoint pen) tube which can be passed through a nostril into the esophagus and the upper part of the stomach.  This procedure is often performed in the office without sedation (although the nose and throat are locally anesthetized).  The advantage of TNE over EGD is that it can easily be performed without sedation or anesthesia, patient does not need a ride, and therefore less expensive than an EGD.  The shortfall of TNE is that it is short and is often used to evaluate the back of the throat and the esophagus only.

Radiologist

• Ultrasound
• Computed Tomography
  To Dr. Simoni, Tunesha, and all the staff for your efficient, thorough and fast response yesterday to my situation. It was amazing that in just a few hours you had arranged for me to have blood work done, and a CT Scan at the hospital. I appreciate so much the care you showed and the speed at which you got things done for me. Dr. Simoni – receiving your calls so quickly and explaining everything to me was wonderful. And recommending a surgeon and actually getting me in to see her so quickly, well, I am just very grateful. I feel positive that all will all work out well. Thank you again, and I will be in touch, as I am sure you will be.