Upper GI Motility
The London Clinic is pleased to announce the expansion of its Endoscopy offering with a cutting-edge, in-house Motility Service—designed to deliver faster, more accurate diagnoses for complex digestive disorders.
This new service completes our gastrointestinal care pathway, placing us at the forefront of patient-centred innovation in GI health.
Conditions We Diagnose
Our Motility Service specialises in diagnosing a wide range of upper GI disorders, including motility disorders of the oesophagus, gastro-oesophageal reflux disease (GORD) and functional disorders of the upper GI tract. We evaluate conditions such as dysphagia (difficulty swallowing), achalasia, diffuse oesophageal spasm, hypercontractile (jackhammer) oesophagus, ineffective oesophageal motility, and other complex motility problems.
Same-Day Diagnostic Package
Experience the convenience of our premium same-day diagnostic package, designed to deliver a complete evaluation in just one visit. Where clinically appropriate, we combine multiple state-of-the-art tests into a single, seamless appointment. This streamlined approach provides rapid, comprehensive results, and accelerates the start of your personalised treatment plan.
Diagnostic Tests We Use
To determine the cause of your symptoms, we offer advanced investigations, to provide a thorough and efficient evaluation.
- Endoscopy (OGD): to directly visualize the oesophagus, stomach, and duodenum to rule out structural abnormalities and guide further motility testing.
- High-resolution oesophageal manometry (HRM): to assess the pattern and strength of muscle contractions and how well the lower oesophageal sphincter relaxes.
- Ambulatory pH impedance and wireless pH/Bravo™ monitoring: to measure acid exposure, detect non-acid reflux, and correlate reflux episodes with symptoms.
- EndoFLIP™: to provide additional information if your endoscopy or manometry are inconclusive, if manometry is not tolerated, or to assess the swallowing function during endoscopy.
- EsoFLIP™: used with the EndoFLIP™ system to dilate the gastro-oesophageal junction (the valve between your oesophagus and stomach) in achalasia and to dilate strictures caused by previous surgery, reflux disease, or radiotherapy.
- Additional imaging and swallow studies: may also be used when structural or anatomical issues are suspected.
Our Expert Team and Interpretation
All test interpretation and treatment planning are carried out by a multi-disciplinary team led by consultant gastroenterologists with special expertise in motility disorders, reflux, and therapeutic endoscopy. Radiologists, speech & language therapists, dietitians, specialist nurses, and endoscopy experts collaborate to ensure precise diagnosis and individualised care.
Treatment Pathway
Once the diagnosis is established, your treatment plan is personalised and may include:
- Dietary and lifestyle interventions
- Medications
- Cognitive behavioral therapy (CBT)
- Speech therapy
- Techniques such as diaphragmatic breathing
- Endoscopic therapies (such as pneumatic dilation, Botox injection, or per-oral endoscopic myotomy [POEM])
Complex cases will be discussed in multi-disciplinary meetings with oesophageal experts at The Northwestern Medicine Kenneth C. Griffin Esophageal Center to ensure the most advanced and tailored care.
Information for Referring Doctors
We welcome referrals from GPs, gastroenterologists, surgeons, ENT specialists, and other clinicians seeking specialist input for patients with suspected or confirmed motility disorders. Our Motility Service offers:
- Comprehensive evaluation of complex swallowing, reflux, and motility symptoms using state-of-the-art diagnostic testing.
- Rapid access to high-resolution manometry, pH-impedance and wireless pH monitoring (Bravo™), EndoFLIP™, EsoFLIP™, and endoscopy in a coordinated pathway, often on the same day.
- Expert interpretation by consultant gastroenterologists with sub-specialty expertise in motility disorders, reflux, functional disorders and therapeutic endoscopy.
- Multi-disciplinary team approach—including dietitians, speech & language therapists, radiologists, and specialist nurses—ensuring holistic care.
- Tailored treatment recommendations, ranging from medical management to advanced endoscopic and surgical interventions.
By referring patients to our dedicated motility clinic, doctors can be confident their patients will receive a thorough, accurate diagnosis and access to the latest treatment options, delivered in a timely and coordinated manner.