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Reflux and Shallowing tests

PH Study, Impedance and Esophageal Manometry

At Minimally Invasive and Bariatric Surgery we have all the tools to resolve your acid reflux problem. We use specialized equipment to diagnose your problem and offer you a solution. Many of our approaches can still be successful even if you have had a previous surgery performed on your stomach. All of the necessary equipment is available at our office and thus minimizing waiting times, trips, frustrations and cost.

Who is a candidate for a Bravo pH Study?

Nearly all patients who suffer from acid reflux disease are candidates for Bravo pH study to confirm the diagnosis of the disease and understand their symptoms.

How Is the Bravo pH Test Performed?

The test is similar to a routine endoscopy. The physician will place a capsule inside the esophagus a few centimeters above the junction with the stomach. There, this capsule will send information to a receiver that is worn outside of your body. This information is recorded for a period of time and compared with the symptoms you are experiencing during reflux episodes.

What is the typical cost of treatment?
The cost of the procedure varies. Most insurance companies will cover the cost of this diagnostic testing. Contact us for more details.
How long does it take to see results from the test?
Once you have finished the test, return the receiver back to the physician. The doctor will then analyze the information that they received and contact you for action regarding your condition.

What are the risks associated with the Bravo ph Test?
The Bravo pH Test is considered to be a generally safe procedure. Chances of any problem from this test is extremely rare.

What is the typical cost of treatment?
The cost of the procedure varies. Most insurance companies will cover the cost of this diagnostic testing. Contact us for more details.

How long does it take to see results from the test?
Once you have finished the test, return the receiver back to the physician. The doctor will then analyze the information that they received and contact you for action regarding your condition.

What are the risks associated with the Bravo ph Test?
The Bravo pH Test is considered to be a generally safe procedure. Chances of any problem from this test is extremely rare.

 

If you have GERD and are interested in learning more about this procedure, consult our surgeons today.

What are benefits of the TIF Procedure?

There are multiple benefits to this procedure. It is an outpatient procedure, so no hospital stay, it is affordable, long-lasting, no incisions or skin cuts, minimal pain or discomfort, fewer adverse events and faster recovery. The goal of the Transoral Incisionless Fundoplication Procedure is to alleviate reflux and eliminate the need for daily medication intake for acid reflux. The TIF procedure bridges the treatment gap between medication and more invasive surgery.

Will I have pain after the test?
No. This is a virtually painless procedure so there is no need to worry.
How long do I need to wear the Bravo monitor?
The test period typically lasts 48-96 hours. You should be able to perform all normal activities during the testing phase including work.
Do I have to keep the Bravo monitor on at all times?
Whenever possible you should carry the monitor with you. If you need to perform other activities, you may do so, but try to always maintain the monitor within 3 feet of yourself.
How long does the capsule stay in my body?
The capsule will usually be eliminated from your system within 1 week.

Are there any restrictions with this test?
Yes. You should not have a Magnetic Resonance Imaging (MRI) test while having a Bravo Capsule in place. Communicate to your doctor if a MRI is needed within 30 days after you have had the Bravo Test performed. X-ray studies are ok to be performed after a Bravo Study, but NOT MRI.

Esophageal pH Catheter Impedance monitoring 

This is a very accurate procedure to detect acid reflux and episodes related to reflux. It is also very helpful in patients with atypical symptoms of GERD. Esophageal pH and impedance monitoring measures the amount of acid in your esophagus while you do normal things, such as eating and sleeping.

This test is performed in the office. During the test, a thin tube will be passed your nose into your stomach, positioned into your esophagus and taped to your cheek. The end of the tube in your esophagus measures acid reflux episodes coming up your esophagus. The other end of the tube attaches to a monitor outside your body that records the measurements.

The duration of the test is typically 24 hours. You will return to the office to have the tube removed.

 

This procedure is most useful to your doctor if you keep a diary of when, what, and how much food you eat, and your GERD symptoms are after you eat. The doctor can see how your symptoms relate to certain foods, and certain positions. It also helps to show whether acid reflux triggers any respiratory symptoms.

Esophageal manometry
At MIB Surgery we perform High- Resolution Esophageal Manometry with Impedance measurement in the office. This study is the gold standard to diagnose swallowing and muscle problems of the esophagus. During the test, a small tube is passed into the esophagus to measure muscle contractions with each swallow. The information obtained is very valuable specially when considering anti-reflux surgery. Your esophagus will be tested by swallowing liquids while the computer measures the pressure and function of different parts of your esophagus.

 

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