Conditions & Procedures

Conditions Treated

The full breadth of gastroenterology and hepatology — from routine preventive care to complex GI and liver disease. Click any topic for guideline-based information and an option to schedule a consultation.

Colon Cancer & Screening
Colonoscopy
Screening, surveillance, and diagnostic colonoscopy at TDDC Southlake and BSW Grapevine.
Colon Cancer Screening
Risk-stratified screening including colonoscopy, Cologuard, FIT, and CT colonography.
Colon polypsEndoscopic polypectomy and surveillance based on USMSTF guidelines.
Colorectal cancerCoordinated diagnosis and multidisciplinary management.
Lynch syndrome & FAPSurveillance protocols for hereditary colorectal cancer syndromes.
Esophagus, Stomach & Reflux
GERD & Acid Reflux
Per 2022 ACG GERD guideline — endoscopy, pH testing, PPI optimization, anti-reflux procedures.
Dysphagia
Difficulty swallowing — endoscopy, manometry, and personalized treatment.
Esophageal Dilation
Treatment for peptic strictures, Schatzki rings, and EoE-related strictures.
Peptic Ulcer Disease & H. Pylori
Per 2024 ACG guideline — modern eradication therapy and ulcer management.
Barrett's esophagusScreening and surveillance per ACG; endoscopic eradication for dysplasia.
Eosinophilic esophagitis (EoE)PPI, topical steroids, dietary therapy, and dilation when needed.
AchalasiaManometry-confirmed diagnosis; pneumatic dilation, POEM, or Heller myotomy referral.
Hiatal herniaSymptom-based evaluation and management; surgical referral when indicated.
Stomach & Motility
Gastroparesis
Diabetic, idiopathic, post-surgical, and GLP-1–related gastroparesis.
GLP-1 GI Side Effects
Ozempic, Wegovy, Mounjaro, Zepbound — nausea, gastroparesis, procedural safety.
Functional dyspepsiaEvidence-based evaluation and treatment of upper GI symptoms without ulcer.
Cyclic vomiting syndromeTargeted evaluation and prophylactic therapy.
Bleeding & Anemia
GI Bleeding
Upper, lower, and obscure GI bleeding evaluation and endoscopic hemostasis.
Iron-Deficiency Anemia
Bidirectional endoscopy and capsule endoscopy for unexplained IDA.
Diverticular bleedingEndoscopic and angiographic management of significant diverticular hemorrhage.
Hemorrhoids & anal fissuresConservative and procedural management; ruling out more concerning causes.
AngiodysplasiaEndoscopic ablation for symptomatic vascular lesions.
Liver & Hepatology
Fatty Liver Disease (MASLD/MASH)
Risk stratification, FibroScan, lifestyle therapy, and emerging MASH treatments.
Hepatology
Cirrhosis, hepatitis B/C, autoimmune liver disease, HCC surveillance.
Hepatitis CCurative direct-acting antiviral therapy in >95% of patients.
CirrhosisHCC surveillance, variceal screening, and complication management.
Hepatocellular carcinoma surveillanceUltrasound-based surveillance every 6 months per AASLD.
Autoimmune hepatitis & PBCDiagnosis, immunosuppression, and ursodiol therapy.
Hereditary hemochromatosisGenetic evaluation and phlebotomy therapy.
Bowel & IBD
Gut Health & Microbiome
Evidence-based gut health, IBS, SIBO, and food intolerance evaluation.
Irritable bowel syndrome (IBS)Low-FODMAP, fiber optimization, gut-directed therapy, and targeted pharmacotherapy.
Crohn's diseaseDiagnosis, biologic therapy, and surveillance.
Ulcerative colitisMesalamine, biologics, JAK inhibitors, and dysplasia surveillance.
Microscopic colitisDiagnosis via biopsies; budesonide therapy.
SIBOBreath testing and antibiotic therapy for small intestinal bacterial overgrowth.
Celiac diseaseSerology, biopsy confirmation, and gluten-free diet management.
DiverticulitisAcute and chronic management, including stricture and recurrence prevention.
Chronic constipation & chronic diarrheaStructured workup and targeted therapy.
Pancreas & Biliary
Pancreatitis (acute & chronic)Etiology workup, management, and complication monitoring.
Gallstones & biliary colicEvaluation and surgical referral when indicated.
Pancreatic cystsImaging surveillance and EUS-guided evaluation.
CholedocholithiasisERCP coordination for retained bile-duct stones.
Procedures Performed
Colonoscopy
Screening, surveillance, diagnostic, and therapeutic colonoscopy with polypectomy.
Esophageal Dilation
Bougie and TTS balloon dilation for strictures and rings.
Upper endoscopy (EGD)Diagnosis, biopsy, polypectomy, dilation, and hemostasis.
Capsule endoscopyNon-invasive small bowel imaging for obscure bleeding and Crohn's.
Endoscopic hemostasisClips, thermal therapy, and band ligation for active bleeding.
FibroScanNon-invasive liver fibrosis and steatosis assessment.

Don't see your condition listed?

Dr. Ramani sees a broad range of GI and liver conditions. Send a message describing your situation and his team will help direct you appropriately — whether that's a consultation, a procedure, or a referral.

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