The 胃肠蠕动, 食管, and Swallowing Disorders Program is a specialized program located within Gastroenterology and Hepatology at Dartmouth Hitchcock Medical Center in 黎巴嫩, 新汉普郡.
The Program is staffed by a team of physicians, advanced practice providers, 护士, allied health professionals, who have specialized training in the evaluation, 诊断, and treatment of patients with motility disorders.
Motility disorders may be defined as disorders of the gastrointestinal tract in which the muscle and nerves do not function correctly. Motility disorders are quite common, affect women and men of all ages, and are diagnosed in people of all ages, 民族, 和种族. Although we have extensive experience in diagnosing and treating all varieties of motility disorders, some of the most common motility disorders referred for evaluation include the following:
- 失弛缓性
- Chronic intestinal pseudo-obstruction
- 便秘
- 腹泻
- Dyspepsia (discomfort in your upper abdomen)
- Dysphagia (difficulty swallowing)
- 大便失禁
- Gastroesophageal reflux disease (GERD)
- 胃轻瘫
- 肠易激综合症
- Pelvic 地板上 dysfunction (also called pelvic 地板上 dyssynergia)
胃肠蠕动 Laboratory
The 胃肠蠕动 Laboratory is equipped to evaluate and diagnose patients with suspected motility disorders using a number of different specialized tests administered by highly trained registered 护士. 这些测试包括：
- Assessment of gastric (stomach) function using gastric emptying scans
- Assessment of pelvic 地板上 function using 3D high-definition anorectal manometry, 气球排出试验, and magnetic resonance defecography
- Assessment of small bowel and colon transit using the Smartpill
- Evaluation for bacterial overgrowth using hydrogen and methane breath tests
- Measurement of esophageal function using esophageal manometry
- Measurement of esophageal pH using the BRAVOpH capsule
- Measurement of esophageal reflux 24-hour combined pH/multichannel intraluminal impedance testing
Referring patients for direct-access motility studies
供应商，请使用我们的 direct-access referral form (PDF) to refer a patient for motility studies in our GI Motility Laboratory.
Meet our interim program director
运动计划组
Our team includes physicians, psychologists and registered dietitians.
- 妮可·米. 卡尔维诺，DNP， APRN
- 卡特里娜年代. 黑客,博士
- 杰西卡一个. Perrone， MPAS, PA-C
- 理查德·罗斯坦医学博士
- 杰西卡·K. Salwen-Deremer博士
- 杰米·桑切斯，MSN， APRN
- 安娜·索伯恩，APRN
其他团队成员
- Catherine Gigure-Rich, RD, LD, CNSC
- 凯瑟琳·克罗斯，RDN
Medical educational opportunities
We are committed to educating medical trainees in the evaluation and management of patients with motility and functional disorders. For gastroenterology fellows wishing to have dedicated training in motility disorders the 胃肠蠕动 Program has a month-long elective rotation and year-long advanced fellowship.
任命 and referrals
请 visit our 任命 and Referrals page for information about making an appointment.