We determine and provide the most effective course of treatment to reach the best possible outcome by using gold-standard motility testing techniques and therapies.
Esophagus:
- High-resolution esophageal manometry – An advanced technique using high-tech, 32-sensor accuracy and precision that measures and evaluates the strength and muscle coordination of the esophagus when you swallow. It is used to diagnose achalasia (a condition that causes food to back up in the stomach).
- BRAVO 48-Hour pH testing – A state-of-the-art test that is performed to learn definitively, whether surgery for an acid reflux condition is warranted or not.
- 24 Hour pH testing – Used to measure and record how often stomach acid flows into the lower esophagus during a 24-hour period.
- 24 Hour pH impedance testing – Definitively diagnoses GERD that occurs on a chronic basis despite treatment by standard methods.
- Radiofrequency ablation of Barrett’s esophagus – A cutting-edge endoscopic procedure requiring advanced training, it burns away precancerous lesions associated with Barrett’s esophagus. Within Suffolk County, it is performed only at Stony Brook.
- Complex stricture dilation – Performed, using stents, to widen the esophagus to ease dysphagia (difficulty swallowing) and facilitate the completion of an endoscopic procedure to remove a benign or malignant obstruction in the esophagus.
Colon:
- High-resolution anorectal manometry – A technique that assesses the function of the anus and the rectum. This technique is utilized to evaluate fecal incontInence and diagnose pelvic floor dyssynergia (a problem with coordinating the rectal and anal muscles). In some cases, this technique is performed in combination with pelvic floor retraining/biofeedback.
- Pelvic floor retraining/biofeedback – Electrical stimulation therapy used to re-train patients to coordinate their rectal muscles to improve defecation and fecal incontinence.
Breath Tests:
- Bacterial overgrowth – Administered to detect the presence of excessive bacterial growth in the small intestine that can be caused by low stomach acid due to slow movement of food into the intestine, or other conditions such as diabetes or Crohn’s disease.
- Lactose intolerance – Used to diagnose a person’s inability to digest lactose, the sugar found in milk. It is also used to determine if abnormal bacteria is present in the colon.
- Helicobacter pylori or H. pylori – Detects the presence of bacteria in the stomach or duodenum (first part of the small intestine) that can cause gastritis or stomach or intestinal ulcers.