Meet the Doctors
James Gianfrancisco, MD
Dr. Gianfrancisco is certified by the American Board of Surgery and the American Board of Colon and Rectal Surgery. He is a Fellow of the American Society of Colon and Rectal Surgeons. He belongs to a number of other local and national professional societies. He is an Assistant Professor of Clinical Surgery at the University of Illinois.
Dr. William Kosmala, MD
Dr. William Kosmala, MD is a gastroenterology specialist in Palos Heights, IL and has been practicing for 20 years. He graduated from Rush Medical College Of Rush University in 1999 and specializes in gastroenterology.
Dr. Rick Chadha, MD
Dr. Rick Chadha, MD is a gastroenterology specialist in Palos Heights, IL. He graduated from Wright State University Boonshoft School Of Medicine and specializes in gastroenterology and internal medicine.
More about our Colon and Rectal Surgery Services
Outpatient services range from endoscopies and anorectal surgery, focusing on common clinical problems such as hemorrhoids, fissures and fistulas extending to complicated fistulas and reconstructive anorectal surgery. Inpatient services cover diseases such as diverticulitis and colon cancer with a special interest in laparoscopy and the more complicated surgeries for rectal cancer and inflammatory bowel disease.
Should I have a Colonoscopy?
If you are experiencing any colorectal problems such as pain, bleeding or irregular bowel habits your doctor may suggest that you undergo a colonoscopy. If you are age 50 and over, or over 40 with a family history of colon rectal cancer or polyps, our doctors strongly recommend that you have a colonoscopy and undergo a regular screening program.
What is the difference between a Screening Colonoscopy and a Diagnostic Colonoscopy?
Patient has past or present history of gastrointestinal symptoms or disease, polyps, or cancer. Additionally, if the colonoscopy is performed due to physical symptoms such as rectal bleeding or pain, the procedure will be considered diagnostic.
Also known as a preventative screening colonoscopy. The patient, over the age of 50, will be asymptomatic (no symptoms either past or present), without a personal or family history of gastrointestinal disease, colon polyps, or cancer. Usually, the patient has not undergone a colonoscopy within the last 10 years.
High Risk Screening Colonoscopy:
Patient is asymptomatic (no gastrointestinal symptoms either past or present), but has personal history of gastrointestinal disease, colon polyps, or cancer. Patients in this category are required to undergo colonoscopy surveillance at shortened intervals (e.g. every 2-5 years).