Motility and Neurogastroenterology Disorders

Advanced Care for Motility Disorders

The Center for Motility and Neurogastroenterology Disorders at Lahey Clinic provides comprehensive, patient-centered care for both upper and lower GI motility and functional GI concerns. Our multidisciplinary team consists of doctors, nurses and advanced practice providers. We are also supported by our surgical colleagues, dieticians, speech pathologists, radiologists and mental health professionals.

Services We Offer

Motility refers to muscle movement in the digestive tract. Disorders of the gut-brain interaction (functional) often occur with motility disorders. Diagnosing and treating these conditions often requires a specialized approach.

Each year we perform over 500 patient-testing encounters. Our office consultations are provided by caring and attentive staff, and complex cases are reviewed at our monthly multidisciplinary Foregut Collaborative Case Conference. If needed, our team will work with your referring provider to determine the best plan for longitudinal care.

Our service offerings include:

• Esophageal manometry: Measures how well the muscles of the esophagus work when you swallow. Helps diagnose swallowing problems and reflux.
• Reflux testing, including ambulatory PH testing and Bravo pH monitoring: Tracks acid reflux over time to determine whether symptoms are caused by gastroesophageal reflux disease (GERD).
• Hydrogen breath testing: A non-invasive breath test used to diagnose lactose intolerance and bacterial overgrowth in the digestive tract.
• Anorectal manometry: Evaluates muscle and nerve function involved in bowel movements to assess constipation or bowel control issues.
• Functional luminal imaging planimetry (Endoflip): Advanced imaging performed during endoscopy to assess the size and flexibility of the esophagus and guide treatment.

Prepare for Your Visit

We are happy to help you prepare for your upcoming testing. Please see the links below to review your specific patient instructions. A member of our team will also contact you to review preparation needs or questions you may have over the phone.

• Preparing for Esophageal Motility Study
• Preparing for Esophageal Motility and 24-Hour pH Study
• Preparing for Your Esophageal Motility and 24-Hour pH Impedance Study – Off PPI
• Preparing for Your Esophageal Motility and 24-Hour pH Impedance Study – On PPI

To schedule a manometry or pH study, please call 781-744-2637.

To schedule a Bravo or FLIP please call endoscopy scheduling at 781-744-8690.