Specialty
Digestive Motility
Advanced evaluation of esophageal and intestinal disorders with integrated high-resolution manometry, pH monitoring and impedance — one of the most specialized centers in Belo Horizonte.
Digestive motility evaluation is one of the most advanced and rare specialties available in Belo Horizonte. NU.V.E.M uses latest-generation equipment to precisely map disorders of the esophagus and gastrointestinal tract.
Our detailed reports follow the Chicago Classification v4.0, the international reference standard for esophageal motor disorders, allowing a definitive diagnosis of conditions that often go unnoticed in conventional investigations.
When to seek Digestive Motility
You may benefit from this specialty if you experience one or more of the symptoms below:
What we treat in Digestive Motility
Achalasia and Esophageal Motor Disorders
Definitive diagnosis via high-resolution esophageal manometry (HRM) with complete classification per Chicago Classification v4.0, decisive for treatment choice (dilation, POEM or surgery).
Refractory Gastroesophageal Reflux
Advanced investigation via pH monitoring and impedance for cases unresponsive to conventional treatment, differentiating acid, non-acid and alkaline reflux.
Dysphagia
Complete swallowing evaluation with high-resolution manometry to precisely identify the functional or obstructive cause, essential before any interventional procedure.
Defecatory Dysfunction
High-resolution anorectal manometry to differentiate slow-transit constipation, pelvic floor dyssynergia and other defecatory disorders, each with distinct therapeutic implications.
Barrett’s Esophagus and Surveillance
Functional investigation complementary to endoscopy in patients with Barrett’s esophagus, assessing lower esophageal sphincter pressure and reflux pattern.
Pre- and Post-Operative Evaluation
Esophageal motility study required before anti-reflux surgery (fundoplication) and essential for evaluating unsatisfactory post-operative results.
Why NU.V.E.M
What sets us apart in Digestive Motility
- High-resolution manometry (HRM) with Chicago Classification v4.0 analysis, the international standard
- One of the few centers in Belo Horizonte with combined pH monitoring + impedance
- Dr. Gabriel de Souza Fernandes Filho, gastroenterologist specialized in digestive motility
- Reports with complete tracings and individualized treatment recommendations
- ISO 9001 certification: standardization and traceability of every exam
For referring physicians
Indicated for investigating dysphagia, non-cardiac chest pain, refractory GERD, achalasia and defecatory disorders. Our reports follow the Chicago Classification v4.0 and the DeMeester protocol for pH monitoring, providing a solid technical basis for treatment decisions.
- Complete report with high-resolution tracings and specialist analysis
- Chicago Classification v4.0 systematically applied to every HRM report
- Results with clinical interpretation available immediately after the exam
- Integration with pelvic physical therapy for defecatory dysfunction cases
- Second-opinion support for high-complexity cases
Frequently asked questions
What does a digestive motility evaluation assess?+
It assesses the muscular function of the esophagus and intestine, identifying disorders such as achalasia, dysphagia and reflux refractory to conventional treatment.
What exams are part of this evaluation?+
High-resolution esophageal and anorectal manometry, pH monitoring and impedance, all with reports based on the Chicago Classification v4.0.
When is this evaluation indicated?+
In cases of dysphagia, chest pain with no cardiac cause, reflux refractory to treatment, and before anti-reflux surgery or to investigate unsatisfactory post-operative results.
Do these exams replace endoscopy?+
No. They’re complementary exams: endoscopy evaluates the structure of the digestive tract, while manometry and pH monitoring evaluate function and motility.
Specialists
Areas of practice
Specialty delivered under an ISO 9001 certified protocol
Learn moreReady to take care of your digestive health?
Book your appointment and experience the ISO 9001 standard of excellence at NU.V.E.M Medicina.
