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Pediatric Neurogastroenterology and Motility Program

Our multidisciplinary team includes physicians, nurse practitioners, dieticians, psychologists and social workers offering the latest testing modalities that allows the team to guide symptom management with the ultimate goal of improving the quality of life of our patients and their families.

Conditions we treat

Motility Disorders

  • Achalasia and other motor disorders of the esophagus
  • Chronic idiopathic constipation
  • Chronic intestinal pseudo-obstruction
  • Complications secondary to fundoplication
  • Diagnosis and post-operative symptom management of Hirschsprung’s disease
  • Dysphagia
  • Feeding intolerance and uncontrollable vomiting
  • Gastroparesis
  • Intractable gastroesophageal reflux and heartburn
  • Non-retentive fecal incontinence
  • Post-operative symptom management of congenital esophageal atresia

Functional Gastrointestinal Disorders

  • Abdominal migraine
  • Abdominal pain
  • Aerophagia
  • Constipation
  • Cyclical vomiting syndrome
  • Diarrhea
  • Dyspepsia
  • Heartburn
  • Irritable bowel syndrome
  • Nausea
  • Rumination

Diagnostic tests

  • Anorectal manometry (including 3-dimensional capability)
  • Antroduodenal manometry
  • Colon manometry
  • Contrast studies
  • Esophageal manometry (including combined impedance testing)
  • EndoFLIP®
  • Gastrointestinal transit studies (including wireless motility capsules, radiopaque markers)
  • pH-Impedance testing
  • Scintigraphy nuclear medicine scans of esophagus and stomach

Treatments

  • Antegrade continence enema tube placement and management
  • Botox injection to the internal anal sphincter
  • Botox endoscopic injection to esophagus and gastric pylorus
  • Dietary guidance
  • IB-Stim® device
  • Neuromodulators
  • Prokinetics
  • Pneumatic and endoscopic hydraulic balloon dilations