The Center for Neurointestinal Health at Massachusetts General Hospital provides world-class clinical care for patients with neurointestinal disorders.

Meet the staff of the Center for Neurointestinal Health at Massachusetts General Hospital

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

  • Bariaum swallow: Tablet and acalasia 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)
  • Beavhorial 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