Primary Office Location: St. Mary’s Medical Office Building, 5855 Bremo Road, Suite 706, Richmond, VA 23226
Primary Hospital: St. Mary’s Hospital
Certifications: Board Certified in Gastroenterology, 2012, and Internal Medicine, 2009
Dr. Talreja is originally from Virginia Beach, VA. In 2002, he completed a Bachelor of Arts with distinction in Biology at the University of Virginia. In 2006, he attained his Doctor of Medicine at the Medical College of Virginia/VCU School of Medicine. He then went on to complete his Internship, Internal Medicine Residency, and Gastroenterology Fellowship at the University of Virginia. During his fellowship, he was selected as the 2010 Department of Medicine Fellow of the Year. In 2011, he was the recipient of the UVA McPherson Award for Excellence in Clinical Research and the international recipient of the Yang K. Chen Fellowship Program. He was selected as the 2011-2012 Chief Fellow and was the recipient of the Carl L. Berg Most Valuable Player Award in 2012.
Following his training at UVA, he was selected for an Advanced Endoscopy Fellowship at the Massachusetts General Hospital and Brigham & Women’s Hospital of Harvard Medical School , which he completed in June 2013.
Dr. Talreja’s areas of interest include gastro-esophageal reflux disease (GERD), Barrett’s esophagus, peptic ulcer disease, GI bleeding, difficulty swallowing, inflammatory bowel disease (ulcerative colitis and Crohn’s disease), irritable bowel syndrome, changes in bowel habits, GI motility disorders, gastrointestinal polyps, disorders of the biliary tract and pancreas, liver diseases, and endoscopic management of GI cancers. He has expertise in the following general and advanced endoscopic procedures:
Primary hospital: Bon Secours St. Francis Hospital
Outpatient services: Virginia Endoscopy Group (Northside, Staples Mill Rd), and (Southside, Midlothian Plaza), St. Francis Hospital, St. Francis outpatient Johnston-Willis Hospital, Johnston-Willis outpatient, Chippenham Hospital, Chippenham outpatient
Certifications: Board Certified in Gastroenterology, 2008
Dr. Diego Baltodano has been with GSI since 2013. He received his Doctor of Medicine in 1999 from the Universidad de Costa Rica. He completed his internship and residency in internal medicine in 2003 at SUNY Upstate Medical University.
In 2008, he completed his fellowship in gastroenterology at SUNY Upstate Medical University, and since then he has practiced gastroenterology at the Hunter Holmes McGuire VA Medical Center in Richmond, Va. He is also an assistant professor of internal medicine and gastroenterology at VCU School of Medicine.
Outpatient services: Virginia Endoscopy Group (Northside, Staples Mill Road), and (Southside, Midlothian Plaza), St. Mary’s Hospital, St. Mary’s outpatient
Certifications: Board Certified in Gastroenterology, 2001
Dr. Souheil Abou-Assi has been with GSI since 2006. A native of Abadieh, Lebanon, Souheil received his Bachelor of Science degree from College la Sagesse there. He attended Saint Joseph University in Beirut from 1988 to 1995, attaining his Doctor of Medicine degree. He then travelled to America and did his Internship in Internal Medicine at Robert Wood Johnson Medical School in Camden, New Jersey. He went on to complete his Residency there in 1998.
From 1998 to 2001, Dr. Abou-Assi trained at the Medical College of Virginia as a Fellow in Gastroenterology and Hepatology. He practiced at MCV and at McGuire Veteran’s Administration Medical Center as an assistant professor of medicine in Gastroenterology and Hepatology until the end of 2005. During his tenure at the VA, Dr. Abou-Assi served on the steering committee of the Advanced Clinic Access and also as the Director of GI/Hepatology outpatient services.
Dr. Abou-Assi became busy very quickly upon joining GSI in 2006; he has developed a loyal following of patients and a steady stream of new patient referrals. He is known for his boundless energy as well as his commitment to getting the most out of each day.
Dr. Abou-Assi’s areas of interest are general gastrointestinal disorders including endoscopy and colonoscopy, irritable bowel syndrome and inflammatory bowel diseases (Crohn’s disease and ulcerative colitis), nutrition, liver diseases, endoscopic treatments of Barrett’s esophagus, endoscopic management of gastrointestinal cancers, endoscopic ultrasound, endoscopic retrograde cholangiopancreatogram (ERCP), pancreatic diseases (pancreas cysts, pancreas cancer, pancreatitis, and pseudocysts), bile duct strictures and stones and endoscopic removal of large polyps and early cancers.
Dr. Abou-Assi is an active member of the Medical Executive Committee and the Physician Excellence Committee of Saint Mary’s hospital.
Dr. Abou-Assi is fluent in three languages, English, Arabic and French. His hobbies and interests include biking, playing tennis, reading, traveling and fishing.
Outpatient services: Virginia Endoscopy Group (Southside, Midlothian Plaza), Johnston-Willis Hospital, Johnston-Willis outpatient
Certifications: Board Certified in Gastroenterology, 1981
Dr. Stephen Clement was born in Danville, Va., and received his B.A. at Washington and Lee University in 1971, graduating Summa Cum Laude. He received his M.D. from the University of Virginia in 1975. He completed both his Internship and Residency at Emory University Hospitals in Atlanta, and did a Fellowship in Gastroenterology at George Washington University Hospitals in Washington, DC, finishing in 1980.
Dr. Clement joined our group in 1996, following eight years of private practice in Richmond, primarily at Johnston-Willis. He is known for his fast pace and his high energy. Dr. Clement and his wife Joan are active in the community.
Primary hospital: Memorial Regional Medical Center
Outpatient services: Virginia Endoscopy Group Northside (Staples Mill Road), Memorial Regional Medical Center, Memorial ASC
Certifications: Board Certified in Gastroenterology, 1991; recertified 2001
Dr. Fred Duckworth is a native Virginian, hailing from Lynchburg. As a John Motley Morehead Scholar, he received his Bachelor of Arts from the University of North Carolina at Chapel Hill in 1980. He returned to Virginia and was awarded his M.D. in 1984 from the University of Virginia.
While at UVA, Dr. Duckworth was named as a finalist for the Bowman Scholarship for outstanding achievement in the clinical years. He was given the Outstanding Intern award while completing his Internship at The Medical College of Virginia, where he also completed his Residency in 1987.
He then served as a Chief Resident in Internal Medicine in 1988. Dr. Duckworth stayed at the Medical College of Virginia completing his Fellowship in Gastroenterology in 1990. He served as Chief Fellow in Gastroenterology in 1991 and then stayed on the faculty as an Assistant Professor of Medicine for a year before joining Gastrointestinal Specialists, Inc in July 1992.
Dr. Duckworth has served as the Chief of Endoscopy at Bon Secours Memorial Regional Medical Center from 1994 to the present. He has also done committee work with the hospital – laser, clinical practice, and physicians advisory. In addition, Dr. Duckworth has been very active in the Virginia Gastroenterology Society serving as the annual Course Co-Director in 2002, Secretary 2003-2005, Treasurer 2005-2007, President 2007-2009, Past President 2009-2011 and still serves on the Board of Directors.
Dr. Duckworth and his wife Kathy have three children. Kathy and Dr. Duckworth are very active in community life at their church, Christ Church Episcopal and he has previously served as an Assistant Scoutmaster in Troop 747 at Gayton Baptist Church. He enjoys fishing and woodworking in his spare time.
Outpatient services: Virginia Endoscopy Group (Northside, Staples Mill Road), St. Mary’s Hospital, St. Mary’s outpatient
Certifications: Board Certified in Gastroenterology, 1981
Dr. Irvin Seeman, a native of Savannah, Ga., received his Bachelor of Science from the University of Georgia in 1971, achieving the status of a member of the Phi Kappa Phi Honor Society. He then went on to attend the Medical College of Georgia, where his academic excellence allowed him entry into Alpha Omega Alpha Honor Society. He attained his M.D. there in 1975. From Georgia, he travelled to Texas, where he completed his internship and his residency in internal medicine at Parkland Memorial Hospital in Dallas, finishing in 1978. He also completed his fellowship in gastroenterology there in 1980.
Dr. Seeman joined GSI in 1980, the first physician hired by the group’s founder, Louis Gelrud. As time went on, Dr. Seeman’s business acumen led him to take the role of physician manager of the group. Through his tenure, Dr. Seeman’s contributions in this role have been vital to the success of the group. In addition, his leadership role in the Virginia Endoscopy Group has ensured the success of that venture. Although the management responsibilities take a considerable amount of time, Dr. Seeman has simultaneously maintained a thriving practice at St. Mary’s.
Dr. Seeman lives with his wife, Linda, in Richmond.
Hemorrhoids are lumps formed by swollen veins in the lower rectum. These painful lumps can be removed by a procedure called hemorrhoid banding (also known as rubber band ligation). This procedure is non-invasive and highly successful at removing internal hemorrhoids.
Hemorrhoids typically form in three separate sites and only one site is usually treated at a time. Abnormally large hemorrhoids may require more than three treatments to shrink up completely.
What preparation is required?
Prior to your procedure, you will need to have a physical exam first with a doctor to confirm that your hemorrhoids must be removed with rubber band ligation. Usually, it’s recommended that patients try home remedies for hemorrhoids before scheduling a hemorrhoid banding. In many extreme cases however, a hemorrhoid banding will be prescribed for those suffering from Grade 3 or Grade 4 hemorrhoids.
Once it is determined that hemorrhoid banding is necessary to remove the lumps, your doctor will educate you on possible complications and preparations to consider before the procedure. There aren’t many precautions to keep in mind leading up to the procedure. It is recommended to stay away from a diet that causes straining during bowel movements. Stool softeners might be prescribed to reduce the amount of pressure on the veins in your lower rectum. It is also important to inform your doctor of any medications you are prescribed well before the procedure date.
What should you expect?
The procedure from start to finish is fairly short and will not require you to stay for recovery time. Most patients have reported only slight discomfort during and after the procedure.
During this procedure, a tiny rubber band is tied around the base of the hemorrhoids to cut off the blood supply. You should expect the hemorrhoid to shrink and fall off on its own within one to five days. Before and a few days after the hemorrhoids fall off, you may experience some pain or bleeding where the hemorrhoids are tied. When the hemorrhoids and bands fall off, most patients do not even notice them.
What happens after the procedure?
You can leave immediately after the procedure with no rest time. The areas will take around two weeks to fully heal. While the hemorrhoids are banded, it is recommended to refrain from heavy lifting or strenuous activity for at least 3-4 days.
Long-term recurrence rate is very low after hemorrhoid banding. It is not unlikely however, for some patients to see a few hemorrhoids return after five years. You can take preventative measures such as, diet changes, increased physical activity, lessened straining during bowel movements, and keeping the areas clean.
Are there any risks or complications?
There are rarely any complications associated with hemorrhoid banding. However, a small percentage of treated patients have experienced one or more of the following:
Recurrence of hemorrhoids
Pain from remaining hemorrhoids
Be sure to ask your doctor to explain all the possible risks and complications of the procedure to you before scheduling your hemorrhoid banding.
Who can treat me?
At Gastrointestinal Specialists, Inc., we have six accredited, experienced gastroenterologists that can effectively perform a hemorrhoid banding procedure.