Heart Burn Center

Esophageal pH monitoring/BRAVO
     Stomach acid that refluxes into the esophagus can be measured to diagnose GERD and determine it’s severity. A small, wireless chip the size of a pencil eraser is clipped to the lining of the esophagus. This chip sends information to a small receiver for 2 days. The chip then falls off and passes out through the GI tract unknowingly.
Placing the Bravo Chip
Hand holding Bravo Device
 
Esophageal Manometry
     This test measures the pressures in the esophagus upon swallowing. A thin catheter is placed down the nose into the stomach after application of numbing medicine. Water is sipped and the pressures are recorded. Normally, the pressures move down the esophagus is a wave. Abnormalities may include simultaneous and irregular contractions. Sometimes, the esophagus doesn’t relax impeding the normal transit of food into the stomach. These abnormalities may cause difficulty swallowing or chest pain.
Manometry Showing Esophageal Pressures
 

Esophageal Manometry

esophageal manometry

Achalasia

achalasia

Nutcracker Esophagus

nutcracker esophagus

Radiofrequency ablation 
     GERD can damage the lining of the esophagus and lead to changes that increase the risk of cancer. This is called Barrett’s esophagus. Barrett’s esophagus must be surveyed annually with EGD and multiple biopsies to detect progression to cancer. A new treatment that I perform removes the Barrett’s esophagus endoscopically (without surgery). For more information, go to treatbarretts.com
 90 Degree RFA Device
Channel Catheter

360 Degree RFA Device

Barrx_360