The doctors and staff of Tri-State Gastroenterology Associates in Crestview Hills are dedicated to helping their patients cope with the fear of testing and treatment for colon cancer, which claims more Kentuckians than any other cancer.

Specializing in gastroenterology and associated digestive diseases, Tri-State Gastroenterology Associates is a multi-physician group practice and accredited ambulatory surgery center founded in 1976.

Serving patients across Northern Kentucky, greater Cincinnati and southeastern Indiana, its mission is “to provide compassionate, high quality, cost-effective care to patients with gastrointestinal related problems.” In addition, the doctors and staff are engaged in a number of activities supporting local community cancer awareness and other health-related concerns.

Tri-State’s seven physicians, including Doctors Daniel G. Fagel, president; Chadwick W. Hatfield; Michael E. Jones; Scott C. Leverage; Ross McHenry, ambulatory surgical center medical director; Karlina M. Patton; and Gregory L. Salzman are consistently selected by their peers among Greater Cincinnati’s “Top Doctors.”

The practice was the first in Northern Kentucky to offer endoscopic ultrasound (EUS) and the CRH O-Regan System for non-surgical hemorrid removal.

“Our EUS technology and our offering of a non-surgical hemorrhoid removal procedure are just two of the enhanced treatment options we’ve added recently to better serve our growing practice in Northern Kentucky. We have dedicated ourselves to high standards and are committed to constant self-evaluation and continuous improvements to help our patients,” Fagel says.

EUS technology can be used to evaluate a lump or lesion seen during a previous endoscopy or on an x-ray, such as computer tomography. It can also diagnose disease of the gall bladder, bile duct, and pancreas where other imaging tests are inconclusive.

It is often used in the evaluation of chronic abdominal pain, thought to originate from the pancreas. In certain cancers of the digestive tract, EUS can determine the depth of invasion, involvement of local lymph nodes, and impact on adjacent vital structures, such as major blood vessels.

In selected patients, EUS can be used to perform a needle biopsy of a lesion to help determine the appropriate treatment.

The innovative CRH O’Regan System for non-surgical hemorrhoid removal requires no pain medication before or after the procedure. The average procedure time is less than a minute and the average time off work is a day or less. Many patients with office jobs can return to work following the appointment.

Unlike other banding techniques that use a metal clamp to grasp the hemorrhoid, the CRH O’Regan System uses a smaller, gentler, single-use and disposable suction device to minimize discomfort and complications.

The physician places a tiny rubber band around the internal hemorrhoid to cut off its blood supply. It then shrinks and falls off within a day or so, usually without the patient even noticing. Once the hemorrhoid is gone, so are the symptoms – no more creams, ointments or suppositories.

In 2012, Tri-State Gastroenterology, located at 425 Centre View Blvd., was awarded a three-year term of accreditation by the Accreditation Association for Ambulatory Health Care, Inc. For more information go to or call 859-341-3575