Bariatric surgery is a surgical treatment for patients who are seriously obese, or obese and have another dangerous medical condition. There are several types of bariatric surgery, each of which makes surgical changes to the stomach and digestive tract that limit how much food can be ingested, and how much nutrition can be absorbed. All types of bariatric surgery are performed to promote weight loss.
Family Practice
Male Infertility
A testicular biopsy is a surgical procedure during which a small amount of tissue is removed from the testicles for microscopic examination. This procedure may be performed for a number of reasons: to help determine the cause of male infertility, to remove sperm to be used for assistive reproductive technology (ART), or to determine whether a testicular lump is malignant or benign. When a testicular biopsy is performed to assist in fertility, tissue containing sperm removed during the biopsy may be used for in vitro fertilization (IVF) or for sperm donation. When there is a question of malignancy, the surgeon's goal is to detect whether any cancerous tissue is present.
High Cholesterol
Colonoscopy
Constipation
Irritable Bowel Syndrome
Electrocardiogram
Coronary artery disease is diagnosed through a physical examination and a review of symptoms. The patient is hooked up to a heart monitor and an electrocardiogram is administered. The following diagnostic tests may also be performed...
For some people, physical therapy that helps to develop healthier and stronger muscles can relieve symptoms. In severe cases, surgery may be recommended to treat underlying causes, such as endometriosis, or to remove scar tissue.
Dr. Arash M. Padidar completed his undergraduate degree at Boston University and graduated medical school from Chicago Medical School. Dr. Padidar continued an internal medicine residency at St. Mary's Hospital, San Francisco and a diagnostic radiology residency at Santa Clara Valley Medical Center, San Jose, California...
Gastroenterology
Endoscopy
Gastrostomy is a procedure during which a plastic feeding tube is inserted directly into the intestinal tract to provide nourishment when normal nutrition is difficult or impossible. Gastrostomy may conducted during an endoscopy, when the surgeon has inserted a tube through the nose down into the stomach, or through an incision in the skin that penetrates the abdominal wall. Patients using a feeding tube are said to be undergoing gavage or enteral feeding.
A carotid artery ultrasound is a diagnostic procedure that uses high-frequency sound waves to generate images of the neck's internal carotid arteries, which supply oxygen-rich blood to the brain. A carotid artery ultrasound is used to evaluate a patient's risk of stroke or other cardiovascular complications by checking for artery-narrowing plaque buildup.
MRI
Various instruments and tests are used to detect the presence of PAD. They include blood-pressure cuffs, Doppler and intravascular ultrasounds, angiograms, magnetic resonance imaging (MRI) scans and venograms.
Radiology
This noninvasive test is usually completed on an outpatient basis within the radiology department of a hospital. The patient will be positioned on an examining table and the physician will inject the patient with the contrast dye through the use of an IV. A series of X-rays will then be taken. The test takes between 30 and 90 minutes to complete. After the procedure, fluids may be run through the IV to remove the contrast material from the veins. Patients are instructed to drink plenty of fluids for the next day to continue to flush the dye from their system.
X-Rays
Nuclear Medicine
In medicine, 3-D imaging is the process used to create images of the human body and its internal organs. This type of procedure requires a patient to lie still while a machine circles the patient to record the images. Different techniques are used depending on the part of the body being examined and what variety of image is needed. If nuclear medicine is being used, a contrast dye is administered to help with visibility of the specified areas.
Mammography
A mammogram is a useful tool in detecting breast cancer because it can show abnormalities, like a tumor, in the breast tissue long before they can be felt. Screening and diagnostic mammography can aid in the detection and diagnosis of breast diseases, lumps, cysts and benign and malignant tumors. They can also detect calcium deposits that may indicate breast cancer.
Computed Tomography
After a diagnosis of PAD, other tests, including CT scans and X-rays, may be necessary to evaluate its severity, and the best method for treating it.
Chemotherapy
Radiation Therapy
Brachytherapy, also called internal radiation to distinguish it from external beam radiation, is an alternative form of radiation therapy to treat malignancies. It delivers X-ray beams directly to the site of a tumor, placing radioactive material inside the body. This allows for a higher total dose of radiation over a shorter time frame than traditional radiation therapy. It also protects normal tissue from unnecessary exposure to radioactive material.
Interventional Radiology
Brief History: The improved ability to see inside the body with radiologic imaging and the development of tools such as balloon catheters, gave rise to interventional radiology (IR) in the mid-1970s. Interventional radiologists pioneered coronary angiography and other minimally invasive procedures that are commonplace in medicine today. In 1992, the American Medical Association officially recognized IR as a medical specialty, and today there are more than 5,000 interventional radiologists in the United States.
Chronic pain can develop from several different conditions. Back pain is an extremely common form of chronic pain, and can result from many causes, including herniated discs, stenosis, scoliosis, compression fractures and sciatica. Back pain can be radicular, meaning it travels down the arms or legs. Other causes of chronic pain that may require serious pain management include the following...
Joint Replacement
For the most severe cases that do not respond to less-invasive treatments, surgery may be an option. Types of pain-relieving surgery include joint replacement, cartilage repair and denervation.
Gangrene
Venous thrombectomy (a type of embolectomy) may be performed on a DVT patient whose symptoms pose a serious risk of pulmonary embolism, or on a patient who already has pulmonary embolism. It may also be performed on patients for whom other common DVT treatments are not appropriate: those who are pregnant, have not responded well to anticoagulation therapy, or cannot tolerate thrombolytics. Venous thrombectomy is also recommended for patients facing limb loss or venous gangrene from a massive DVT, one possibly associated with arterial insufficiency (also known as phlegmasia cerulea dolens).
Vascular Surgery
As a leader in minimally invasive endovascular therapy and vascular surgery, we know all too well that interventional radiology treatments offer less risk, less pain and less recovery time compared to open surgery. Our physicians and staff are committed to providing our patients with the best quality care, and look forward to making lasting relationships with every patient we meet.
Hysterectomy
While fibroids do not always cause symptoms, they may lead to future complications and usually require treatment. Traditional treatment can be done with surgery - either a myomectomy to remove the fibroids, or a hysterectomy to remove the entire uterus. Fibroid embolization is a less invasive procedure that is performed under sedation through a blood vessel in the upper thigh. A catheter is first inserted into the blood vessel. A contrast material is then injected into the catheter providing the physician with a visual field of the blood supply to the fibroid. Particles that cut off the blood flow to the fibroid are injected through the catheter which close off the blood supply to the fibroid.
Injections are one of the most effective treatment options for pain management because they block nerve signals, relieving pain and inflammation. Injections are administered directly into the affected area, and are often composed of corticosteroids, BOTOX® Cosmetic or sclerosing solutions.
Epidural steroid injections can be used alone to provide pain relief, or given as part of a rehabilitation program to help a patient perform physical therapy exercises with less discomfort. Relief from a single injection can last from 1 week up to 1 year; a typical positive response lasts for 1 month. If helpful, injections can be repeated at 2-week intervals, but usually no more than 3 or 4 times per year. ESIs can also be of diagnostic value in pinpointing the source of the pain and determining its severity, which can assist a physician in developing an appropriate treatment plan.