Symptoms & Treatment for Motility Disorders

Part One:

Esophageal Manometry

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Esophageal manometry, a study used to measure pressures and function of the esophagus, is a tool used to evaluate the ability of the esophageal muscles to transport liquid and food from your mouth to your stomach.

Esophageal manometry can help your doctor to detect problems that result in difficulty swallowing, also known as dysphagia.  Certain disorders, such as achalasia or esophageal spasming, can be identified based on the results of an esophageal manometry study.

Additionally, esophageal manometry may be useful when used on patients with gastroesophageal reflux disease (GERD) as well as to diagnose an incompetent lower esophageal sphincter (LES).

Esophageal manometry is often used during a pre-operative assessment for patients who are considering having anti-reflux surgery or another GERD-related procedure, including LINX, trans-oral incisionless fundoplication/TIF, or nissan fundoplication). It is also used to evaluate patients with achalasia prior to certain surgeries.

At Gotham Medical Associates, we use state-of-the-art manometry technology, which includes high resolution manometry (HRM) as well as impedance that traces fluid movement with ionic sensing.

The test, which takes only about 15 minutes to perform, can be done at our midtown office location. Patients do not need to be sedated during the test and can continue daily activities once it is complete. The testing involves placing a small, flexible catheter through the patient’s esophagus and into the stomach. Once it is in place, the patient is asked to swallow salty water 10 times to allow an accurate measurement to be taken. Once the swallowing is done, the catheter is removed and the testing is complete.

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Part Two:

Esophageal 24 hr pH-Impedance Study & Bravo 48 HR pH Study

An esophageal 24 hr pH-impedance (pH-Z) study is a medical test that analyzes and records stomach contents as they move up into the esophagus. It can detects if the content of the reflux is acidic or non-acidic.

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Esophageal pH-impedance monitoring is used for patients who are considering endoscopic surgery for reflux repair. It may also be used to diagnose or evaluate those who suspect they may be suffering from laryngo-pharyngeal reflux (LPR).

During the procedure, your physician will insert a single-use, thin catheter through your esophagus.  This catheter has a small portable recorder at the end. The catheter remains in place for 24 hours, during which data is collected through the recording device and submitted to your physician’s computer for analysis.

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A similar study, called the bravo 48 hr pH test, is another type of esophageal test that gives your doctor the ability to detect whether acid is present in the esophagus. During the procedure, a small capsule is put into the distal esophagus and transfers data through a portable recording device to be analyzed by your physician. This type of testing is not able to diagnose non-acid or low-acid reflux problems.

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Part Three:

Anorectal Manometry

Anorectal manometry is a commonly used test that provides comprehensive information about anorectal functioning.  The test can give feedback about the anal sphincter and its function, anorectal reflex, continence and defecation mechanisms, rectal sensation, and rectal compliance.

Some of the common reasons for undergoing anorectal manometry include:

  • To evaluate fecal incontinence or refractory constipation
  • To evaluate pelvic floor dyssynergia
  • To diagnose Hirschprung’s disease
  • To diagnose anatomic anal sphincter defects

At Gotham Medical Associates, we use the latest technology, high resolution 3D anorectal manometry.

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Anorectal manometry is a simple and well-tolerated test that is commonly used. Patients will not need to be sedated and the test takes just minutes to complete in our outpatient center. During the procedure, a thin and flexible catheter is inserted rectally and measures pressures of the external and internal sphincters using a small sensor.

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Locate Us

Downtown

123 William Street, 15th Floor
New York, NY 10038

212.227.3688

Midtown – 5th Ave.

535 Fifth Avenue, Suite 611
New York, NY 10017

212.227.3688

Midtown – 56th St.

60 East 56th Street, 7th Floor
New York, NY 10022

646.329.7259