Children with functional gastrointestinal disorders are influenced by numerous factors including genetic predispositions, unique biological and psychological characteristics, family and caregivers, as well as external systems including school, friends, community and social situations.
The Lustgarten Center for GI Motility provides an integrated approach to diagnosis and treatment which recognizes the child as the center of these interacting systems.
One of the great strengths of the Lustgarten Center for GI Motility lies in the cutting-edge diagnostic services provided at the new, state-of-the-art GI Motility Lab. These diagnostic resources, the full spectrum of which is unavailable at most children’s hospitals, include:
Using flexible catheters positioned at different levels of the upper gut, clinicians can monitor and record the contractions of the intestinal muscles, characterizing their strength and coordination.
One-day pH-impedance monitoring — considered a "gold standard" diagnostic test — involves passing flexible catheters through the child's nose to determine whether a patient has pathological gastroesophageal reflux at various heights in the esophagus.
Continuous wireless pH monitoring can be performed in older children for 48 hours. The device is clipped to the lining of the esophagus, so a tube through the child's nose to the esophagus is unnecessary.
Breath hydrogen testing is used to screen children for intestinal bacterial overgrowth and confounding variables such as lactose or fructose intolerance.
At the Lustgarten Center’s Motility Disorders Clinic, afflicted children and their families find a unique multidisciplinary, patient-centered approach that integrates medical, physiological and psychological expertise in evaluation and treatment that is tailored to their individual diagnoses.
The Clinic serves as a leading tertiary referral site for children with difficult-to-diagnose or treatment-resistant illnesses. Other therapeutic services we provide to our patients include:
The Lustgarten Motility Center is a unique multidisciplinary program that works to provide support for patients and their families. As a member of the Lustgarten Motility Center team, the psychologists meet with patients and families to address stressors that may exacerbate GI symptoms.
The psychologist also helps patients address GI symptoms that impact quality of life. For example, school attendance, extracurricular activities and social activities. Components of this treatment include relaxation and pain management strategies to promote improvement in overall functioning.
The Lustgarten Center for GI Motility includes a social worker who is an integral member of the interdisciplinary team. The social worker provides psychosocial evaluation, assessment of understanding of motility issues and counseling to patients and their families.
The social worker collaborates with the medical team, patient and family to formulate, update and periodically assess patients' progress, family stress and ongoing needs and connects them with appropriate resources as needed. The social worker educates patients and their families about living with chronic illness and collaborates with the psychologist to help patients and families develop positive strategies to impact quality of life.
For information about specific GI motility disorders, see conditions we treat.
To make an appointment with the Lustgarten Center for GI Motility, please call 215-590-1678.
Updated: October 2012