Dr. Cobean and Dr. Sahagian use flexible upper GI endoscopy (esophagus, stomach, first part of the small intestine) extensively in taking care of their patients. Both use it as part of the evaluation for weight-loss surgery. Dr. Cobean also uses it during complex upper GI tract surgery, including doing some operations entirely endoscopically so that incisions aren’t necessary. Dr. Cobean regularly does upper endoscopy outside the operating room to evaluate gastroesophageal reflux disease (GERD), hiatal hernias, Barrett’s esophagus, swallowing problems, and to place temporary (or permanent) feeding tubes. When it makes life easier for our patients, they work together with our colorectal surgeons to do simultaneous colonoscopy and upper endoscopy during the same anesthetic. They do colonoscopy for their own patients, too.