Oesophageal Diagnostic Services - St Vincents Clinic

Our Services

Oesophageal Diagnostic Services is an open-access service to all clinicians providing physiological studies for the investigation of:

Indications for ambulatory pH monitoring:

For the definitive diagnosis of gastro-oesophageal reflux in patients sufficiently symptomatic to have warranted endoscopy but in whom endoscopy is normal or equivocal
To investigate the possibility of acid reflux as a cause of atypical symptoms such as angina-like chest pain, respiratory and laryngeal symptoms in whom the relevant investigations have been inconclusive and to correlate such symptoms with reflux episodes
When established gastro-oesophageal reflux responds poorly to optimal medical therapy and particularly when surgical treatment is contemplated
In the assessment of patients with complex oesophageal disorders

Indications for oesophageal manometry:

To establish the diagnosis and categorise suspected oesophageal motility disorders such as achalasia and diffuse spasm in patients with dysphagia or chest pain in whom other investigations are negative or equivocal
To ascertain the pressure of the lower sphincter zone and presence of hiatal herniation
For the accurate placement of pH electrodes for 24 hour pH monitoring
Before surgical treatment for reflux, particularly in those patients undergoing surgery or if there is diagnostic uncertainty
In the assessment of patients with complex oesophageal disorders

Ian Adams is a Medical Physiologist with almost 45 years experience of over 100,000 patient cases in both the United Kingdom and Australia.

	Specialist	Surname	Tel	Fax
stvincentsclinic Telephone 02 9553 1120 Stvincentsclinic Fax 02 9553 7526 stvincentsclinic first name Michael stvincentsclinic surname Talbot stvincentsclinic title Professor	A/Prof Michael Talbot
stvincentsclinic Telephone 1300 301 231 stvincentsclinic first name Ian stvincentsclinic surname Adams stvincentsclinic title Doctor	Dr Ian Adams