Gastrointestinal Care

Gastrointestinal

Specialists in Gastroenterology & Nutrition giimg

We are trusted Specialists in evaluating and managing your Digestive Health. Our Centers provide you with:

  • Experienced Specialists in managing your Stomach, Colon, Liver and Nutritional Health
  • Over 50 years of combined experience in managing Stomach, Colon, Liver and Digestive Health
  • Four convenient locations in the Atlanta metropolitan area – all with free parking
  • A strong focus on Preventive Gastroenterology and Nutrition

Our main goal is to educate our patients regarding the management of their health. We, therefore, spend “time” teaching our patients how to best manage their Digestive System to prevent illness. In addition, we provide our patients with the following Preventive Health Resources:

  • Community education seminars on Cable Television and on the World Wide Web
  • Monthly Newsletters
  • Free monthly Community Lecture series

We remind all our patients about the importance of our Digestive System by noting the following facts:

  • Our Immune System is the part of our body that prevents us from getting Cancer and Disease
  • Most of our Immune System is in our Digestive Tract (our Gut or Gastrointestinal Tract)
  • The foods that we eat (put into our Digestive System) determine the health of our Immune System
  • In other words, the foods we eat help determine whether we develop Cancer and Disease

Our Specialists in Stomach, Colon, Liver and Digestive Health provide a full range of Diagnostic and Treatment services, including:

  • Colon Cancer Screening
  • Reflux Disease and problems with the Esophagus
  • Heartburn or GERD Management
  • Stomach Ulcers and H. Pylori bacteria infection of the Stomach
  • Stomach Cancer Screening
  • Management of Pancreatitis
  • Irritable Bowel Evaluation
  • Treatment of chronic Diarrhea and Constipation
  • Liver Disease Screening and Treatment
  • Evaluation and treatment of problem with Digestion
  • Evaluation and Management of Colitis and Crohn’s Disease
  • Evaluation and Management of Overweight and Obesity
  • Management of Hemorrhoids and Chronic Rectal Pain
  • Capsule Endoscopy or the “Pill Camera”

Here are some of the common reasons that patients come to see our Specialists for help in managing problems of the Esophagus, Stomach, and Small Bowel: Our Specialist will assist you in interpreting your symptoms and will make recommendations for further evaluation and treatment:

  • Pain with swallowing – it hurts to swallow (Always needs to be investigated)
  • Difficulty swallowing or – “food sticks in chest” (Always needs to be investigated)
  • Vomiting blood (Always needs to be investigated)
  • Persistent Nausea and Vomiting
  • Abnormal Stomach X-rays or CAT scan suggesting a lesion in Stomach or Digestive Tract
  • Unresponsive GERD (persistent “heartburn” on Zantac, Prilosec, Nexium or similar medicine)
  • Abnormal Stomach biopsy (cancer, metaplasia, dysplasia on prior biopsy)
  • Barrett’s Esophagus for re-biopsy/ treatment or to evaluate an abnormal biopsy of Esophagus

Therapeutic endoscopy to:

  • Treat Persistent Upper GI bleeding (such as Esophageal Varices, bleeding ulcers, AVM’s, etc.)
  • Dilate Strictures of Esophagus (Esophageal dilation)
  • Remove “Foreign Bodies” from Esophagus and Stomach (food or swallowed objects)
  • Treat Cancers and other neoplasms (to ‘fulgurate’ or burn away Barrett’s mucosa and certain lesions of the Esophagus, Stomach or Small Bowel using coagulation, laser or chemicals)
  • To place capsules for to record tracings of the Esophagus (esophageal manometry)
  • Gastric Bypass patients – preoperative evaluation
  • Gastric Bypass patients – manage post-operative problems
  • Chronic Anemia of uncertain etiology (to look for the source of blood loss)
  • Weight loss of uncertain etiology (to look for hidden cancers)
  • Persistent “feeding difficulty” in senior citizens (investigational)
  • Placement of PEG tubes (“feeding tubes) in the following groups of patients with “feeding difficulty” to maintain adequate nutrition (must give reason as from the list below):
      • Stroke Victims
      • Cancer Patients
      • Post-Op Patients
      • Esophageal Strictures
      • Esophageal Resection
      • Other ‘Feeding Difficulty’

    Here are some of the common reasons that patients come to see our Specialists for help in managing problems of the Colon or Large Intestine and Rectum. Our Specialist will assist you in interpreting your symptoms and will make recommendations for further evaluation and treatment:

    • Change in Bowel Habits (either new loose bowels or new difficulty passing stools)
    • First Colon Cancer screening: any patient over age 50 (male or female)
    • New onset Rectal Bleeding or new findings of Hemoccult positive stool
    • Persistent Rectal Bleeding – on the toilet paper or in the toilet bowl
    • Family History of Colon Cancer – (parent or multiple relatives)
    • Family History of Multiple Colon Polyps
    • Personal History of Colon Cancer with previous treatment
    • ‘Familial Polyposis Syndrome’ (history of several children or adult family members who have had colon cancer or colon resected)
    • Intractable Diarrhea (persistent)
    • Abnormal Barium Enema or abnormal CT scan showing a lesion in the colon
    • Chronic Iron Deficiency Anemia of uncertain cause and screening X-rays negative
    • Ulcerative Colitis – new onset for ‘colon mapping’
    • Crohn’s Disease – new onset for ‘colon mapping’
    • Inflammatory Bowel Disease of greater than 10 years duration – need to do periodic “mapping biopsies” to check for Colon Cancer
    • Therapeutic Colonoscopy to:
      • Locate source of lower GI bleeding (persistent bleeding)
      • Treat persistent lower GI bleeding (AVM’s, varices, colon cancer, IBD-ulcers)
      • Dilate Colon Strictures (anastomotic, diverticular)
      • Remove foreign bodies from rectum

    Here are some of the common reasons that patients come to see our Specialists for help in managing problems of the Gall Bladder, Pancreas, and Liver: Our Specialist will assist you in interpreting your symptoms and will make recommendations for further evaluation and treatment:

    • Jaundice of uncertain etiology (Alkaline Phosphatase is usually elevated in Obstructive jaundice)
    • Gallstone Disease with and elevated Temperature or an elevated WBC
    • Common Bile Duct Stones or stones in the Hepatic Ducts or Cystic Duct on CT scan or imaging studies
    • Strictures of the Bile Ducts, hepatic ducts or pancreatic ducts on CT scan – Initial investigation
    • Mass lesions in the Pancreas, Liver, Gallbladder or area of the porta hepatis
    • Elevated serum Amylase or Lipase with no clear etiology – look for cause
    • Chronic Pancreatitis with unresponsive pain – to look for strictures, cancer, masses
    • Laparoscopic Surgery – Surgeon requests a check for stones in the CBD prior to surgery
    • Biopsy of masses of small bowel
    • Obtain brush Cytology of the Bile Ducts and Pancreatic Ducts
    • Therapeutic ERCP to perform the following:
      • Papillotomy to drain biliary tract and/or remove stones
      • Dilate Strictures of the Bile Ducts or Pancreatic Ducts
      • Place Stents or change Stents in the Bile Ducts or Pancreatic ducts
      • Drain Pseudocysts of the pancreas

Dr. Layne and our Specialists conduct classes in NUTRITION AND WEIGHT CONTROL for Adult patients with MORBID OBESITY and for patients who have had (or are being screened for) GASTRIC BYPASS or “LAP-BAND” surgery.