Screenings can detect esophageal problems.
High resolution esophageal and three-dimensional anorectal manometry uses color topography to see and measure the areas of the esophagus as they contract, Moshiree said. We are able to see complete muscles from the upper esophagus into the lower part of the esophagus. We can see if the abnormalities are higher up or in the lower part. If acid in the stomach is coming into the esophagus, Impedance pH technology, using a probe, measures the acidity in the esophagus and how many times a patient has episodes and how long the acidity is in the esophagus.
With Impedance pH testing, a patient wears a catheter for 24 hours and returns to the doctors office the following day for assessment.
The Bravo capsule is another increasingly popular pH monitor, especially for younger patients who might have trouble adequately telling a parent or physician how often they are suffering pain, said Dr. Jesse Reeves-Garcia, director of the division of gastroenterology at Miami Childrens Hospital and clinical professor for pediatrics at the Florida International University Herbert Wertheim College of Medicine.
The Bravo sensor measures the frequency and duration of acid washing into the esophagus from the stomach over a two-day period. The capsule, which looks like a pencil eraser, is lowered into the esophagus through the mouth and attaches to the esophagus wall. A sensor transmits information via radio frequency to a computer for a doctor to analyze. The capsule simply passes through the GI tract and is eliminated within 48 hours.
Adults can swallow the capsule; children are generally anesthetized for about 10 minutes for insertion, Reeves-Garcia said.
Now the mother doesnt feel shes crazy, the mother was correct. Her kid had symptoms and we can associate these symptoms, he said. Now, we can be more specific.
Keith Tyler would not seem a candidate for GERD. At 68, the Homestead sales and marketing professional has stayed in shape from 40 years of tennis play and considers himself a pretty tough guy.
But Tyler had to undergo surgery in May at Baptist Hospital in Miami to repair a hiatal hernia and to treat his acid reflux. A hiatal hernia happens when the diaphragm separates from the chest allowing the stomach to move above the diaphragm and into the chest. The resulting displacement allows stomach acids to reflux, or erupt over the banks akin to storm water over a levee, into the esophageal area. This condition can also lead to a rise in blood pressure because the incorrect positioning puts pressure on the internal organs the case for Tyler.
I noticed my stomach had become terribly distended to the point where I was doing a good impression of a woman in her third trimester. If I accidently bumped into something, like a sharp object, as Inspector Clouseau used to say, I would blow up, Tyler said, chuckling.
But it was no laughing matter.
I didnt know what it was. I thought it was gas but I had high blood pressure and terrible acid reflux to the point where I could not lay down. I would be on the computer at 4 a.m. because going horizontal was not an option.
No matter what Tyler ate, hed suffer the burn.
Doctors determined that surgery was required.
One means of surgery, done through laparoscopy, sews the upper part of the stomach around the lower part of the esophagus to shore up the sphincter muscle. Dr. Anthony Gonzalez, chief of surgery at Baptist Hospital, was able to perform surgery on Tyler using one of the newer advancements robotic 3D visualization with a 360-degree field of vision.