ADVANCED ENDOSCOPIC PROCEDURES

In addition to standard upper endoscopy and colonoscopy, Dr. Chiang is trained in performing:

Esophageal, Gastric, Intestinal/Colon:

  • Radiofrequency ablation of Barrett's esophagus

  • Endoscopic mucosal resection (EMR)

  • Variceal banding

  • Luminal stenting

  • Percutaneous gastrostomy/jejunostomy (PEG, PEG-J, PEJ)

  • Balloon-assisted enteroscopy

  • Argon plasma coagulation for GAVE other bleeding lesions

  • Capsule endoscopy

  • Endoscopic gastrojejunostomy

  • Management of refractory strictures

Biliary/Pancreas/Liver

  • Endoscopic retrograde cholangiopancreatography (ERCP)

  • Endoscopic ultrasound (EUS) with fine needle aspiration/biopsy (FNA/FNB)

  • EUS-guided liver biopsy

  • Cholangioscopy using Spyglass DS

  • Biliary and pancreatic stenting (plastic/metal stents)

  • Biliary stone retrieval and lithotripsy (mechanical, electrohydraulic (EHL), Holmium laser)

  • Intraductal ablation

  • Altered anatomy ERCP (EDGE)

  • Endoscopic cystgastrostomy for pseudocyst treatment

  • Endoscopic necrosectomy for necrotizing pancreatitis

  • Pancreatoscopy with EHL, Holmium laser

  • Ampullectomy

  • Endoscopic gallbladder drainage 

Bariatric

  • Endoscopic intragastric balloon placement

  • Endoscopic sleeve gastroplasty

  • Transoral outlet/stoma reduction for post-gastric bypass weight regain

  • Treatment of post-operative sleeve leaks and sleeve stenosis

  • EUS-directed transgastric ERCP (EDGE) via excluded stomach

  • Gastrogastric fistula repair/closure