About the Clinic

Overview

The Pediatric Gastrointestinal Motility Program at MassGeneral Hospital for Children evaluates, treats, and follows children with a wide variety of gastrointestinal motility disorders including:

  • Gastroesophageal reflux 
  • Esophageal motility disorders
  • Gastroparesis
  • Chronic idiopathic intestinal pseudo-obstruction
  • Intractable constipation

We provide family-centered care with outstanding support and infrastructure for all aspects of the quality of life of our patients.

Specialized Diagnostic Procedures

Our Pediatric Motility Laboratory performs a large number of specialized diagnostic procedures for the evaluation of gastrointestinal motility disorders, including:

  • Esophageal manometry
  • Antroduodenal manometry
  • Colonic manometry
  • Anorectal manometry
  • PH studies including wireless pH and pH impedance
  • Electrogastrography
  • Breath testing

Our Multidisciplinary Team

In collaboration with the nuclear medicine and radiology departments we perform gastric emptying studies as well as gastrointestinal transit studies, and with pathology department support we go beyond in the analysis of tissue samples, including the role of neurotransmitters and Interstitial Cells of Cajal in gastrointestinal motility disorders in children (including motility disorders caused by Inflammatory Bowel Disease).

We are proud of our strong relationship with the surgical department, a relationship that has enhanced our program, creating a multidisciplinary program for the evaluation of patients with complex gastrointestinal motility disorders designed to restore nutritional status and to improve bowel function in children. This collaborative work allows us to perform a great array of diagnostic and therapeutic procedures including tissue biopsies and novel and specialized surgical procedures for gastrointestinal motility disorders refractory to medical treatment.

We also collaborate with the Pediatric Airway, Swallowing and Voice Center evaluating children suffering with symptoms that affect their ability to eat, breathe or speak.

With greater awareness of gastrointestinal motility disorders in children and new technologies for diagnosing and analyzing such conditions, specialists are gaining in their ability to begin treatment earlier in the course of disease while improving the prognosis for many patients.