Gastroenterology and Hepatology

GI and Liver Screening, Diagnosis and Treatment…

Our Gastroenterology and Hepatology Department specializes in screening, diagnosing and treating diseases and disorders of the digestive tract and liver. We are the first line of defense through testing for colon cancer, leaky gut or leaky bowel syndrome, food allergies, malabsorption in the small intestine, small intestinal bacteria overgrowth (SIBO) and a wide range of bowel allergies. In the liver we screen for and in some cases treat, among other conditions, celiac disease, fatty liver disease, cirrhosis and Hepatitis C.


For the health of your stomach and intestines…

Our board certified Gastroenterologist is here not only to test for multiple gastrointestinal (GI) conditions and concerns, but where we can’t provide treatment, we accurately diagnose and refer to a specialist who can. We test for numerous diseases and disorders of the internal organs that process what we eat and drink, including efficient absorption of nutrients and elimination of waste from the body.

Colon or Colorectal Cancer:Colon cancer is the third leading cause of cancer deaths in the United States, with age being one of the biggest risk factors. It starts small with a cancerous polyp. If you are over 50, you have a one in three chance of a malignant polyp. If you are 70 or older, the odds increase to one in two. Most are initially benign, but as they grow they may become cancerous, and that’s why colon cancer screening and subsequent removal are so important. We provide Cologuard, an at-home, FDA-approved testing of a stool sample, in the office.

Then at the lab they perform DNA testing of the sample to check for cancerous polyp cells. This is covered by most health insurance plans and by Medicare. It’s a safe and less invasive alternative to a colonoscopy.

Leaky Gut or Leaky Bowel Syndrome: The symptoms include nondescript bloating, belching, constipation, diarrhea and food allergies. This is also known as increased intestinal permeability where bacteria and toxins are able to “leak” through the intestinal wall. We can test for this in the office. This is essentially a breathalyzer test for various food allergies as well as intolerance to various foods. We do SIBO Testing (Small Intestinal Bacterial Overgrowth) a two-and-a-half hour breathalyzer test. It is basically allergy testing for the gut. Leaky gut may lead to obesity and malabsorption, improper processing or lack of processing of nutrients. The main role of your small intestine is to absorb nutrients from the food you eat into your bloodstream.


—“We can identify, for the lack of a better word, gut allergies.” — Dr. Alexander Salerno, Administrative Head of the Salerno Medical Group.


Other Screening and Testing:We do screening for celiac disease, a gluten allergy affecting five or more percent of the population as well as a broad spectrum of bowel allergies and digestive disorders. Fatty Liver Disease affects some 55 million Americans, and for about 10 percent diagnosed in can evolve into cirrhosis. We are one of the few clinical practices in Northern New Jersey with a FibroScan, an FDA-approved ultrasound for the liver that measures scarring and fatty change. It also helps to screen for end-stage cirrhosis. Formerly the only recourse was to rely on a painful liver biopsy. This procedure is much less invasive, because many blood vessels in the liver represent a potential for serious bleeding via biopsy. It is basically a 15-minute picture. Another testing tool is abdominal ultrasound, which is an imaging system allowing us to take a closer look at organs in the abdomen, including the liver, spleen, pancreas, kidneys and gallbladder.

Screening and Treatment for Hep C:  Hep C is a viral infection of the liver affecting millions of Americans and we do screenings and treatment, namely prescribing medications like Harvoni.  Harvoni can conquer Hep C with negligible side effects and an efficiency rate between 94 and 99 percent.


Call us at (973)672-8573 or make an appointment online.