Swallowing x-Ray

Please click below to view the video that helps our physicians evaluate swallowing function

Esophageal Motility Tracing (Manometry) 

This is a specialized test to study the coordination or lack of activity of the esophageal muscle. It checks the pressure of the waves generated by the muscles in your food pipe. It also looks for disease that result in the sphincter muscles in esophagus relaxing too little (Achalasia) or being too weak (scleroderma). It can also diagnoses spastic conditions of the esophagus that sometimes result in chest pain and mimic heart attacks.

Please click below to view the motility tracing

Study

Endoscopic Ultrasound

eusEndoscopic Ultrasound (EUS) combines endoscopy and ultrasound in order to obtain images and information about the digestive tract and the surrounding tissue and organs. Endoscopy refers to the procedure of inserting a long flexible tube via the mouth or the rectum to visualize the digestive tract (for further information, please visit the Colonoscopy and Flexible Sigmoidoscopy articles), whereas ultrasound uses high-frequency sound waves to produce images of the organs and structures inside the body such as esophagus, mediastinum, stomach, liver, gallbladder, pancreas, spleen aorta, rectum etc. 

Traditional ultrasound sends sound waves to the organ(s) and back with a transducer placed on the skin overlying the organ(s) of interest, images obtained by traditional ultrasound are not always of high quality. In EUS a small ultrasound transducer is installed on the tip of the endoscope. By inserting the endoscope into the upper or the lower digestive tract one can obtain high quality ultrasound images of the organs inside the body. Tissue samples can also be obtained from these organs by fine needle aspiration technique. Similar technique can be used to deliver medications into or aspirate fluid from cysts. 

What is the preparation for EUS? 

We will want to know about your health status especially if you have any allergies, other significant health problems such as heart disease, lung disease, diabetes mellitus, or bleeding disorders etc. You will need to have an empty stomach that means no oral intake for 6 or more hours. In case of a rectal EUS you will probably need to take some enemas or laxatives. In either case, full instructions will be given to you.

ERCP

Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to identify and remove stones, tumors, or bypass the narrowing in the bile ducts. The procedure is done through an endoscope. Abnormal results may indicate stones or narrowing of the ducts, presence of tumors, cancer, and cysts (abnormal cavity filled with fluid or semi-solid substances).

ercp

Barrax - Radiofrequency Ablation

Radiofrequency ablation (RFA) therapy has been shown to be safe and effective for treating Barrett’s esophagus.  Radiofrequency energy (radio waves) is delivered via a catheter to the esophagus to remove diseased tissue while minimizing injury to healthy esophagus tissue. This is called ablation, which means the removal or destruction of abnormal tissue.

While you are sedated, a device is inserted through the mouth into the esophagus and used to deliver a controlled level of energy and power to remove a thin layer of diseased tissue. Less than one second of energy removes tissue to a depth of about one millimeter. The ability to provide a controlled amount of heat to diseased tissue is one mechanism by which this therapy has a lower rate of complications than other forms of ablation therapy.