Doctor Yasser Saloum showing patient picture.

AdventHealth Digestive Institute Tampa Is One of the Region’s Only Centers Offering HRA Advanced Screening for Anal Cancer

High resolution anoscopy (HRA) is a way for Dr. Allen Chudzinski, Dr. Haane Massarotti and Dr. Gavin Sigle, the AdventHealth Digestive Institute Tampa's colon and rectal surgeons, to screen for anal cancer. While colonoscopy and flexible sigmoidoscopy can be used to look for colon and rectal cancers, neither of them provide a good view of the anus the same way HRA does.

HRA is recommended for people who have an increased chance of getting anal cancer including:

  • People who have had abnormal results on an anal Pap smear
  • People with human immunodeficiency virus (HIV)
  • Patients who have received an organ transplant
  • Men who have sex with other men
  • Women with a history of cervical cancer or pre-cancer

What HRA Involves

The test does not require special preparation from the patient. However, certain medications may need to be paused, and abstaining from anal sex for at least 24 hours before the procedure is necessary. A mildly acidic solution is placed in the anal canal. This solution will help the doctor spot any abnormal tissues during the HRA. The doctor will gently insert the anoscope, a small tube, into the anus to open it up. Then he or she will use a colposcope to light and magnify the area being examined on a high-resolution monitor. Any abnormal cells will appear white. If they are present, the doctor will numb the area with local anesthesia and remove a sample of the cells for a biopsy.

After the HRA, it is normal to experience slight bleeding for a day or two. Your care team will let you know what to do to help the anus heal quickly after the procedure.

If you are in need of anal cancer screening or biopsy, call us for a high resolution anoscopy appointment at Call813-615-7557.

Endoscopy Services

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  • Upper Endoscopy / Esophagogastroduodenoscopy (EGD)

    An upper endoscopy helps doctors look at the esophagus, stomach and first part of the small intestine and can help diagnose a range of conditions.

  • Capsule Endoscopy and Deep Enteroscopy

    A capsule endoscopy allows doctors to see into the small intestine, which can be important in diagnosis gastrointestinal bleeding, polyps and cancer.

  • Colonoscopy / Flexible Sigmoidoscopy

     A colonoscopy or sigmoidoscopy is a way for doctors to see inside the colon and rectum to identify issues and perform biopsies.

  • Endoscopic Retrograde Cholangiopancreatography (ERCP)

    Doctors at AdventHealth Digestive Institute Tampa Use ERCP for Pancreas, Gallbladder and Bile Duct Imaging and Advanced Endoscopic Treatment.

  • Endoscopic Ultrasound (EUS)

    Endoscopic Ultrasound. Comprehensive health services are offered at AdventHealth Digestive Institute Tampa. We are invested in your long-term health goals.

  • High Resolution Anoscopy (HRA)

    Colorectal Surgeons at AdventHealth Digestive Institute Tampa Are HRA Providers (High Resolution Anoscopy) for Anal Cancer Screening.

  • Acid Reflux Measuring Tests

    Doctors at AdventHealth Digestive Institute Tampa Mickle Center for Reflux and Esophageal Conditions use outpatient tests to measure Acid Reflux. 

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Faster Recoveries. Better Outcomes.

Minimally Invasive and Robotic Surgery

All the surgeons at the Digestive Health Institute (DHI) at AdventHealth Tampa have a large depth of experience in offering minimally invasive surgery. 

Meet The Experts

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Angelo Fernandes



Michael Harris



Yasser Saloum



Arthi Sanjeevi

MD, Epi, MS


Marian Hanhan


Physician Assistant

Christina Hill


Physician Assistant

Justin R. Lawandales


Nurse Practitioner

Dr. Cory O'Brien checking patient's throat at AdventHealth Digestive Health Institute Tampa.

Surgical Consultations For Digestive Cancer Without The Wait

Appointments Within 5 Days for Patients with Cancer

At AdventHealth Digestive Institute Tampa, we know that after being diagnosed with cancer, patients want and often need to begin treatment quickly. So we make it a priority to offer appointments for cancer surgery consultations within 5 business days, and often earlier. 

Patients who are newly diagnosed with cancer, or have just found out they have cancer recurrence, qualify for this priority access. Our surgeons will make themselves available to see you right away, even for a second opinion. We want to help you start your treatment as soon as possible.

If you have been diagnosed with a cancer of the digestive system, don’t wait. 
Call the Digestive Health Institute at Call813-615-7557.

News and Info

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Dr. Iswanto Sucandy Presents at International Laparoscopic HPB Surgery Conference

Iswanto Sucandy, MD, FACS, was invited to present at the 3rd Annual Association of Southeast Asian Nations (ASEAN) Laparoscopic Hepatopancreatobiliary (HPB) Surgery Conference in August 2020.

Digestive Institute Expert Presents to International Group of Surgeons About Robotic Bile Duct Surgery

Iswanto Sucandy, MD, FACS, advanced HPB surgeon at the AdventHealth Digestive Institute Tampa (DI), described an alternative solution to to treating a blocked common bile duct at the Society for Robotic & Digital Surgery’s virtual World Robotics Symposium in August 2020.

Robotic Surgery, Part I: Digestive Institute Tampa Surgeons Share Expertise

Five surgeons from the AdventHealth Digestive Institute Tampa (DI) participated in the virtual World Robotic Symposium 2020, the annual professional meeting of the Society of Robotic & Digital Surgery.