Diagnosing GERD

Enjoy Your Favorite Foods

Our GERD treatment options, including diagnosis, noninvasive methods and TIF with EsophyX will help you manage your GERD so you can enjoy eating your favorite foods again.

Endoscopy/Gastro Intestinal Lab

Evangelical Community Hospital was one of the area's first hospitals to introduce the new Bravo system to diagnose Gastro Esophageal Reflux Disease (GERD).

GERD is a relatively new term for recognized conditions commonly called acid indigestion, heartburn, acid reflux, reflux esophagitis, and hiatal hernia. Doctors started using the term "GERD" because it better describes the real problem - reflux of irritating stomach contents into the esophagus.

The Bravo System

The past system placed a catheter down the nose into the esophagus and was worn for 24 hours. Many patients complained about nasal discomfort or were embarrassed to go in public with a catheter in their nose. Most importantly, the traditional system did not give accurate results.

The Bravo system is a more patient-friendly pH test for diagnosing GERD. This test is the first catheter free pH monitoring system. It allows patients to maintain their regular diet and activities without the embarrassment and discomfort associated with the traditional pH catheter system.

How it Works

The Bravo system uses a gel cap sized pH capsule that contains a radio transmitter. The Bravo capsule is introduced orally, or trans-nasally into the esophagus via a delivery system during an upper endoscopy exam. A thin pin attaches the capsule to the wall of the esophagus that the patient does not feel. The delivery system is then withdrawn.

The capsule is left in place to begin the pH recording, transmitting reflux information to a pager worn on the patient’s belt. After 24-48 hours the information is uploaded from the pager to a computer to provide a comprehensive report to assist the physician in making the diagnosis of GERD.

The capsule stays attached for an average of five to seven days and spontaneously detaches, passing through the gastro-intestinal tract in one to three.

What if I am Diagnosed?

If you are diagnosed with GERD, your doctor will provide treatment options potentially including both non-invasive treatments as well as the TIF with EsophyX procedure for severe GERD cases.