• 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)

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