Digestive Disease Center

Motility Disorders Program Conditions and Treatments

Conditions Treated

  • Achalasia (tightness in the digestive tract—usually the esophagus--in which the muscles are unable to relax)
  • Barrett’s esophagus (a consequence of acid reflux; the cells of the throat adapt to the acidic environment in ways that raise the risk of esophageal cancer)
  • Chronic gastroesophageal reflux disease (GERD, also know as acid reflux)
  • Esophageal motility disorders (problems with muscle movement in the esophagus)
  • Fecal incontinence (lack of bowel control)
  • Gastroparesis (problems with stomach muscles that slow the movement of food out of the stomach and into the small intestine)
  • Irritable bowel syndrome
  • Chronic constipation
  • Dyssynergic defecation (inability to pass stool due to bowel nerve and muscle problems)
  • Eosinophilic esophagitis, gastroenteritis, and colitis (abnormal inflammation of the esophagus, stomach, small intestines or colon by a specific type of white blood cell known as eosinophils)

Treatment Options

Temple’s experienced team can provide many options for treating your digestive motility disorder. These include:

  • Help with dietary changes and nutritional counseling for GERD, gastroparesis, IBS, constipation
  • Medications and medication management
  • Botox injections for achalasia
  • Nonsurgical endoscopic treatments for achalasia and Barrett’s esophagus, including ablation therapy for Barrett’s esophagus
  • Minimally invasive endoscopic, laparoscopic or robotic surgery for achalasia, GERD, or gastroparesis — including fundoplication (which constricts the opening between the esophagus and the stomach to prevent acid reflux)
  • POEM (peroral endoscopic myotomy) for achalasia
  • Implantable electric stimulators to treat gastroparesis
  • G-POEM for gastroparesis
  • Anorectal manometry and biofeedback (using tests of muscle movement in combination with special exercises to retrain pelvic floor muscles) for treatment of fecal incontinence, chronic constipation or dyssynergic defecation
  • Endoscopic functional luminal imaging probe (EndoFLIP)
  • Sacral nerve stimulation or for treatment of fecal incontinence
  • Solesta injections for treatment of fecal incontinence