Neurogastroenterology and Motility Disorders
Treatments and Services

Finding Answers Together

We’re able to offer children and families the latest advances in treating motility and disorders of the gut-brain interaction.

Our team approach includes specialists with expertise in many areas. Together, we create a comprehensive and coordinated plan of care for your child’s unique needs.

Before your child and you walk through our doors, our team has already reviewed your child’s medical history and test results. Our nurse calls you to learn what can’t be read in a chart including your child’s and your goals, challenges and wants.

Then, when your child arrives at that first appointment, we’re ready to get to work.

Wherever your child is on their journey to finding answers, we’re here for you. We’ll make sure you have the right diagnosis, the right team, the right treatment.

Relief Begins with an Accurate Diagnosis

It can be frustrating to watch your child struggle with a motility disorder or disorder of the gut-brain interaction. That’s why we offer some of the most advanced and cutting edge diagnostic tests in the field. We can get a clear picture – and find answers – of what’s causing your child’s symptoms.

Diagnostic tests include:

  • Anorectal manometry with 3 dimensional capability
  • Antro-Duodenal manometry
  • Biofeedback evaluation
  • Colonic manometry
  • Combined high-resolution esophageal manometry and impedance testing
  • Contrast studies
  • Scintigraphic gastric emptying scan
  • EndoFLIP® (minimally invasive device to evaluate esophageal wall compliance)
  • Esophageal manometry
  • GI transit studies (marker tests and wireless motility capsules, including Smartpill)
  • pH-impedance testing

Treating the Whole Child

We treat all aspects of a child’s health and wellness.

Our collaboration with specialists – from colorectal surgeons, dietitians, psychologists, pharmacists and many others – ensures we find the answers that will help your child.

Together, we’ll find the approach that brings relief, eases pain and improves your child’s quality of life. Whether that’s one of our innovative approaches to treating motility disorders and disorders of the gut-brain interaction or an established treatment method, we’re here for you every step of the way.

Some of our most promising new treatment therapies include:

  • IB-Stim device – This new non-invasive therapy, recently approved by the FDA, is placed behind your child’s ear for up to five days to help ease pain and other symptoms associated with disorders of the gut-brain interaction for four weeks with benefit that often persists even after treatment.
  • Gastric electrical stimulation – A device, implanted in your child’s abdomen, sends mild electrical pulses to the nerves and muscles in the stomach to decrease nausea and vomiting.
  • Sacral nerve stimulation – We are one of the few pediatric medical centers in the country to offer this treatment to help reduce accidents associated with constipation, fecal incontinence and urinary incontinence.

Other treatments and management approaches may be the most effective for some children. Those include:

  • Anal botox injections
  • Antegrade continence enema (ACE) procedures
  • Balloon dilation of the esophagus for strictures and achalasia
  • Pyloric botox injections and balloon dilation
  • Bowel management program (in collaboration with the colorectal surgery team)
  • Dietary management of conditions and symptoms
  • Needle-knife cauterization of esophageal strictures
  • Solesta injections

When Surgery Is Needed, Your Child Is In Good Hands

Non-invasive therapies are typically effective at managing your child’s condition and symptoms. However, when surgery is needed, take comfort in our team’s experience treating the most complex cases of anorectal malformations, Hirschsprung disease and many other conditions.

Our neurogastroenterologists and surgeons work together from the beginning – seeing your child together at appointments. This gives our team the background and insight necessary to make effective recommendations on your child’s treatment path.

We’ll help prepare your child – and you – about what to expect before, during and after surgery. And we’ll be there to answer your child’s questions and make sure everyone is on the same page.