- 2-week motility rotation occurs in both the first and third year of fellowship.
- Fellows will participate in esophageal pH, esophageal manometry, anorectal manometry, balloon expulsion testing and pelvic floor biofeedback procedures.
- GI Motility Lab is currently under the co-supervision of Dr. Sonia S. Yoon and Dr. Asad Ullah, clinical faculty members in the Division of Gastroenterology.
- GI motility lab team is comprised of a technician as well as dedicated nurse specialists and Advanced Practice Providers who handle patient preparation, scheduling, probe placement, performance of procedures and initial analysis of procedures.
- Fellows will participate in performance of motility procedures (including placement of catheters) and interpretation of studies where applicable.
Principal Teaching/Learning Activities
- Fellows will learn the indications/contra-indications, patient preparations and protocols involved in each GI Motility procedure performed in the laboratory:
- pH impedance
- Wireless pH testing
- Esophageal manometry
- Anorectal manometry with balloon expulsion
- Pelvic floor biofeedback
- Fellows will observe and participate in all aspects of patient preparation and placement of catheters.
- Dedicated time will be devoted to interpretation and analysis of the various motility tests as described above.
- Online learning modules pertaining to pH impedance and esophageal manometry are expected to be completed prior to the end of the rotation.
Problem Mix/Patient Characteristics/Types of Encounters
The experience is an outpatient experience with patients referred for a variety of general gastroenterology complaints related to acid-peptic issues, dysphagia, non-cardiac chest pain, constipation and fecal incontinence.