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About Hudson County Gastroenterology

Hudson County Gastroenterology is a premier gastroenterology group composed of Dr. Zapiach, Advanced Practice Provider Tania Carchi, and highly trained staff who work together to offer our patients the highest care possible.

We combine state-of-the-art medicine with cutting-edge technology (typically seen at elite hospitals). We provide some of the highest-level care for gastrointestinal, liver disease and colorectal cancer prevention, detection and screening in the Hudson County area. At the same time, we stay committed to providing professional, personal and compassionate care while obtaining complete patient satisfaction and comfort during the patient’s visit with Hudson County Gastroenterology.

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Capsule Endoscopy

Capsule endoscopy is a procedure designed to help your physician see what is happening inside parts of your gastrointestinal (GI) tract. The GI tract is the tube that extends from the mouth to the anus in which the movement of muscles digests food.

Colonoscopy

A colonoscopy is now the gold standard used to detect or prevent individuals from getting colon cancer. Adults starting at age 45 years are strongly recommended to have a colonoscopy or some other test to screen for colon cancer.

Flexible Sigmoidoscopy

A sigmoidoscopy is an internal exam of the lower part of the large intestine (colon) using a short, thin, flexible, lighted tube with a camera at the tip. This procedure helps determine the cause of abdominal pain, rectal bleeding, changes in bowel habits, chronic diarrhea, and other intestinal problems.

Luminal Stent

A stent is a device used to keep a passageway (such as a duct or vessel) open when it becomes narrowed or blocked. A luminal stent refers to a stent placed within the lumen, or hollow interior, of a bodily structure.

Percutaneous Endoscopic Gastrostomy (PEG)

Percutaneous Endoscopic Gastrostomy (PEG) is a procedure where physicians use an endoscope to insert a plastic flexible feeding tube through the upper abdominal wall directly into the stomach.

Upper Endoscopy

An endoscopy is a very common and safe procedure that is used to examine the esophagus, stomach, and upper part of the small intestine, known as the duodenum, to get a closer look at what may be causing symptoms.

Celiac Disease

Celiac disease is an autoimmune disease where a patient’s immune system abnormally responds to the ingestion of gluten. It is estimated that 1 in 100 people worldwide is affected by celiac disease. However, up to 2.5 million people in the United States may have celiac disease and not know it, as the symptoms range from mild to severe.

Constipation

Constipation is defined as having a bowel movement fewer than three times per week. With constipation, stools are usually hard, dry, small in size, and difficult to eliminate. Some people who are constipated find it painful to have a bowel movement and often experience straining, bloating, and the sensation of a full bowel.

GERD

Gastroesophageal reflux disease (GERD) is a more serious form of gastroesophageal reflux (GER) which is common. GER occurs when the lower esophageal sphincter (LES) opens spontaneously, for varying periods of time, or does not close properly, and stomach contents rise up into the esophagus.

Hemorrhoids

Hemorrhoids are swollen veins in the anal canal. This common problem can be painful and can be caused by too much pressure on the veins in the pelvic rectal area. Normally, tissue inside the anus fills with blood to help control bowel movements, but if you strain or sit on the toilet a long time to move stool, the increased pressure causes the veins in this tissue to swell and stretch.

Inflammatory Bowel Disease + Crohn's Disease & Ulcerative Colitis

Inflammatory bowel disease (IBD) encompasses a set of gastrointestinal diseases where parts of the digestive tract are chronically inflamed by a dysfunctional interaction immune system. Hereditary factors and an abnormal interaction between microorganisms and the immune system are felt to play a role.

Irritable Bowel Syndrome

It is estimated that 10 to 15 percent of Americans have Irritable Bowel Syndrome (IBS). IBS is a functional GI disorder that refers to a group of symptoms that affect the digestive tract, often resulting in abdominal pain, bloating, or cramping. However, some people with IBS have no symptoms at all.

What Our Patients Say About Us

My experience with Dr Zapiach has always been great. He is very caring, patient, thorough and professional. His experience is evident when you speak with him. He takes the time to evaluate your situation, breaks things down in layman terms and ensures that you fully understand the diagnosis and next steps. I'm grateful for Dr Zapiach, he took the time to send me for additional testing to ensure we got to the root of the problem. In addition, his office staff is pleasant and efficient. I highly recommend Dr Zapiach and would give him a higher rating if I could. Thank you Dr Zapiach!
Miriam
Patient Testimonials
It was a very nice experience. The staff was welcoming and attentive. I came in 15 minutes early for my appointment and was seen a few minutes prior to my appointment time. The doctor was a wonderful listener. Asked the right questions. Looked over my recent bloodwork. Appeared concerned about my well being. After reviewing my medical background, test results, etc. an appointment for an endoscopy and colonoscopy were made. The doctor explained the procedures and the prep to me as did his staff on the way out. The office provided alerts and reminders via texts of upcoming appointments. I would definitely recommend him to my friends.
Isabel
Patient Testimonial Image
I'm so glad I found Dr. Mauricio Zapiach. He helped me to be healthy again and continue with a normal life.
Seb
Patient Testimonials

Blogs

ADH-Can-IBS-Cause-Fatigue
Fatigue

Can IBS Cause Fatigue?

Fatigue is not just a minor complaint for those with IBS; it’s a major, pervasive issue. This isn’t just feeling a little tired; it’s a profound sense of exhaustion that

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December 4, 2025

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