Treatments and solutions designed to bring you relief.
Northwest Institute for Digestive Surgery offers top of the line surgical solutions for GERD. Historically, most patients chose minimally invasive surgical treatments because medications failed to relieve acid reflux symptoms. While this is still a leading cause of seeking a surgical solution, other reasons are becoming more common. These include the inconvenience and cost of taking daily medications, the side effects produced by medications, and the desire to actually stop the reflux (medications only treat the symptoms, not the disease).
Achalasia affects the esophagus. A ring of muscle called the lower esophageal sphincter encircles the esophagus just above the entrance to the stomach. This sphincter muscle is normally contracted to close the esophagus. When the sphincter is closed, the contents of the stomach cannot flow back into the esophagus. Backward flow of stomach contents (reflux) can irritate and inflame the esophagus, causing symptoms such as heartburn. The act of swallowing causes a wave of esophageal contraction called peristalsis. Peristalsis pushes food along the esophagus. Normally, peristalsis causes the esophageal sphincter to relax and allow food into the stomach. In achalasia, which means "failure to relax," the esophageal sphincter remains contracted. Normal peristalsis is interrupted and food cannot enter the stomach.
Esophagogastroduodenoscopy (EGD) is a procedure where a flexible tube with a light and camera at the end, called an endoscope, is used to examine the lining of the esophagus, stomach, and first part of the small intestine.
Esophageal manometry is done to see if the esophagus is contracting and relaxing properly. The test helps diagnose swallowing problems. During the test, the doctor can also check the Lower Esophageal Sphincter to see if it opens and closes properly.
An Esophagram exam is completed in radiology where a contrast liquid is swallowed. We track the liquid through the esophagus and stomach where it can be observed to determine the function of these organs; specifically the ability to move food or fluid through effectively.
Endoflip is an advanced imaging system that provides an internal view of the gastroesophageal (GE) junction during endoscopic and surgical procedures. It captures vital measurements in the esophagus to assist in motility assessment and assists with tailoring surgical procedures to best fit each individual patient.
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