Neurointestinal Health Treatments and Clinical Care
The Center for Neurointestinal Health at Massachusetts General Hospital provides world-class clinical care for patients with neurointestinal disorders.
The Center for Neurointestinal Disorders at Massachusetts General Hospital is the premier provider of state-of-the art clinical care for patients with neurologic diseases of the gastrointestinal tract. We provide comprehensive testing and treatment for adult and pediatric patients, including:
Testing
GI Motility Laboratory
- Esophageal manometry: high resolution and impedance
- Esophageal catheter pH testing: pH and impedance
- Esophageal pH wireless capsule (Bravo)
- Wireless motility capsule (Smartpill)
- Atroduodenal manometry
- Colonic manometry
- Anorectal manometry: High resolution and 3D
Radiology
- Barium swallow: Tablet and achalasia monitoring
- Gastric emptying scintigraphy 4-hour
- UGI Series/small bowel follow-through
- Barium enema
- Defecography
- Sitz marker colonic transit studies
- G and J tube placement and evaluation
Treatments
Psychological Treatment
- Cognitive behavioral therapy (CBT)
- Behaviorial therapy for fecal incontinence in children
- Diaphragmatic breathing for rumination/belching
Physical Therapy
- Pelvic floor for fecal incontinence and constipation
Stoma Care
Dietary Therapy
- Nutritionist
- FODMAP
- Gluten sensitivity
- Gastroparesis
Surgical Options
- Fundoplication for gastroesophageal reflux disease (GERD)
- Linx procedure for GERD
- Esophagogastric myotomy for esophageal achalasia
- Esophagectomy for non-malignant esophageal disorders
- Intestinal resection
- Intestinal diversion, including ileostomy or colostomy
- Antegrade colonic enemas:
- Cecostomy
- Appendicostomy
- Pull-through procedures for Hirschsprung disease
- Peroral endoscopic myotomy (POEM procedure) for achalasia
- Full thickness GI lumen biopsies
- Pelvic floor repair: rectocele
- Sacral nerve stimulation for fecal incontinence
Endoscopic Therapies
Botox Injections
- To lower esophageal sphincter for esophageal achalasia
- To anal sphincters or pelvic floor for outlet obstruction
Esophageal Dilation
- Pneumatic dilation for achalasia
- Esophageal strictures, rings, webs, eosinophilic esophagitis