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Fresno Bariatric’s Media Center

Use this resource to stay informed of bariatric news and view our archived support group recordings to get medical and dietary advice from licensed social worker, Dr. Michael Roubicek, and Certified Bariatric Nurse, Jennifer Logan.

Esophageal Manometry Test

At the Metabolic and Bariatric Surgery Program in Fresno, CA, we’re committed to matching the right bariatric surgery procedure with the right patient – that’s why our surgeons often order specialized medical tests for weight-loss surgery candidates. One of the tests we use is the esophageal manometry test, also known as a esophageal manometry study. […]

Dr. Kelvin Higa, Bariatric Surgeon, Receives Prestigious International Appointment

Here at the Fresno Heart & Surgical Hospital’s Bariatric & Metabolic Surgery Program, we’re proud of our team of world-class bariatric surgeons, nurses and life coaches who work hard to maintain their advanced medical skills and standing as one of the top five bariatric surgery teams in California. One such surgeon is Dr. Kelvin Higa. […]

Benefits of Yoga after Bariatric Surgery

Facing bariatric surgery is a big hurdle, especially when it comes to your health. Learning how to eat, how to exercise, and how to live after such a major life change can be an uphill battle. As you change your habits and return to a normal lifestyle, the benefits of yoga after bariatric surgery can […]

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Esophageal Manometry Test

At the Metabolic and Bariatric Surgery Program in Fresno, CA, we’re committed to matching the right bariatric surgery procedure with the right patient – that’s why our surgeons often order specialized medical tests for weight-loss surgery candidates. One of the tests we use is the esophageal manometry test, also known as a esophageal manometry study.

This video demonstrates how the esophageal manometry test is performed. Dr. Daniel Swartz, Assistant Clinical Professor of Surgery, at USCSF-Fresno performs the procedures on our own bariatric surgeon, Dr. Kelvin Higa.

Esophageal Manometry Video

What Is Esophageal Manometry Testing?

This non-invasive, non-surgical test allows our doctor to measure the strength of your esophageal sphincter and esophageal muscles, check for abnormal spasms, and check the movement (motility) of food from your mouth down into your stomach.

Your esophagus is a long, muscle-lined tube that runs between your throat and your stomach. In order to swallow and digest your food, the muscles of your esophagus need to create a gentle, wave-like motion; otherwise, you may experience regurgitation and severe gastric reflux. The same issues can occur if your esophageal sphincter is too tight, too loose, or does not contract as it should.

Why Bariatric Surgeons Use Esophageal Testing

Our bariatric surgeons may order an esophageal manometry test to determine if you are a good candidate for sleeve gastrectomy surgery, especially if you have trouble swallowing, experience severe gastric reflux, or have other issues that may indicate a problem with your esophageal sphincter or muscles.

What To Expect During An Esophageal Manometry Test

If you’ve been asked to complete an esophageal manometry test, be sure to tell your bariatric surgeon if you’re currently taking any medications since some drugs can impact the test results.

To prepare, you’ll need to refrain from eating or drinking to prevent vomiting.

During the test, you’ll be given a nasal numbing spray. This helps to reduce sensation in your throat and nose, making the procedure more comfortable. As you can see in the video above, this spray may cause a brief stinging sensation; however, this discomfort quickly passes.

A nurse will then insert a thin, well-lubricated, sterile surgical manometry probe with a series of metallic catheters into one of your nasal passages and down your throat. This probe is connected to a computer that measures pressure inside your esophageal sphincter and muscles.

The testing will take a total of about 10 to 15 minutes. During that time, you’ll be asked to lay as still as possible and refrain from speaking. You will be given one teaspoon of water at a time to swallow – this allows the nurse performing the test to monitor the movement through your esophagus and record the results for analysis.

Once the testing is complete, the nurse will gently remove the catheter. You may feel a slight soreness in your throat for a brief amount of time, otherwise, you can resume eating and drinking in 1 to 2 hours.

Your bariatric surgeon will review the results of your esophageal manometry study, discuss your options, and explain how the results impact your weight-loss journey.

Contact Us

If you have questions about taking an esophageal manometry test here at Fresno Bariatrics, contact us at 866.433.8558.

Dr. Kelvin Higa, Bariatric Surgeon, Receives Prestigious International Appointment

Here at the Fresno Heart & Surgical Hospital’s Bariatric & Metabolic Surgery Program, we’re proud of our team of world-class bariatric surgeons, nurses and life coaches who work hard to maintain their advanced medical skills and standing as one of the top five bariatric surgery teams in California. One such surgeon is Dr. Kelvin Higa.

We’re proud to announce that Dr. Kelvin Higa, medical director of Fresno Bariatrics, was recently elected President of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Dr. Higa previously served as the president of the American Society for Metabolic and Bariatric Surgery (ASMBS) and was appointed to the American College of Surgeons, National Faculty for Bariatric Surgery.

As an experienced bariatric surgeon, Dr. Higa began his medical career in 1983 when he graduated from the Los Angeles School of Medicine at the University of California. Since the early 1990s, Dr. Higa has specialized in difficult and challenging bariatric surgery cases, earning him recognition among his peers as an expert on bariatric revision surgery. Along with his colleague Dr. Keith Boone, Dr. Higa pioneered the latest gastric bypass technique, currently in use throughout the world.

In 2017, Dr. Kelvin Higa will preside over the IFSO World Congress in London, U.K., where bariatric surgeons will gather to collaborate and discuss innovations in treatment options, bariatric surgery procedures, and better access to bariatric surgery for patients based on medical need.

According to Dr. Higa, this is an exciting time to be a bariatric surgeon, with a number of new treatments and scientific discoveries related to bariatric surgery, type 2 diabetes, and obesity. He states that, “through randomized, prospective studies, surgery has emerged as the gold standard for treatment of type 2 diabetes, when also associated with a body mass index (BMI) over 35…..surgery has been shown to decrease the micro-and macrovascular damage brought on by diabetes, whereas traditional lifestyle and diets have not”.

Advocating for Improved Access to Bariatric Surgery

Dr. Kelvin Higa plans to use his position as President of the IFSO to continue working towards improving access to bariatric surgery for patients by changing the long-standing resistance to bariatric surgery among both primary care physicians and insurance companies.

Despite the recent classification of obesity as a disease by the American Medical Association, many members of both the public and the medical profession perceive “obesity as a result of lifestyle choices”, despite the fact that “25 years ago it was clear that obesity was not a conscious choice, but a disease governed by many factors outside our control, such as genetics.”

He expresses that, “Both bariatric surgery and aggressive medical treatment for obesity are not accessible to the vast majority of people. Most insurance won’t pay for the aggressive nutritional counseling and exercise and the preventative efforts it would take, and they require extensive weight loss attempts before approving bariatric surgery, but they will pay for the third coronary bypass surgery or expensive hypertension medications.”

Dr. Kelvin Higa is clearly passionate about his commitment to his patients, and advancing the science of bariatric surgery. According to Dr. Higa, “the treatment of obesity and diabetes needs to be based on science, not ancient misconceptions and prejudice. If you think that racism is a problem today, compare this to society’s disregard for the millions of individuals denied treatment based on their weight. It is time to rise above the rhetoric and act accordingly.”

To learn more about Dr. Kelvin Higa’s work as both President of the IFSO and as medical director of the Fresno Heart & Surgical Hospital’s Bariatric & Metabolic Surgery Program, contact us today online or by calling 877.433.8558.

Benefits of Yoga after Bariatric Surgery

Facing bariatric surgery is a big hurdle, especially when it comes to your health. Learning how to eat, how to exercise, and how to live after such a major life change can be an uphill battle. As you change your habits and return to a normal lifestyle, the benefits of yoga after bariatric surgery can be extremely influential in your quest for a healthier tomorrow.

Healthy Living After Bariatric Surgery

Making the decision to undergo bariatric surgery is life altering, providing a new lease on life that comes with a set of highly important and extremely rigid rules. While many of these policies and practices are designed to facilitate the weight loss process, others are necessary to maintain health, especially after the physiological changes that come with such surgeries.

Once the body has healed sufficiently to continue with a normal standard of living, creating an exercise regimen is critical. While there are many options to consider, from running to Crossfit, low impact options like yoga can be an ideal way to get your fitness program on track.

Yoga After Weight Loss Surgery

For those undergoing the recovery process, finding a comfortable exercise alternative can be a challenge. While low impact opportunities like walking and light weight lifting, can be a benefit, these can be hard to navigate without access to a home gym, especially in the winter. Yoga is an excellent alternative, offering an easy, comfortable option that can be practiced anywhere, from the gym to your living room, with nothing but a mat.

Many patients find the benefits of yoga after bariatric surgery to be highly gratifying. Easy on joints while still providing a whole body workout, yoga can develop muscles, enhance flexibility, and build confidence, helping you achieve the body you’ve always wanted. With the ability to relieve physical pain and mental stress, yoga can relax your mind, body, and spirit with regular practice. Best of all, yoga can be practiced by anyone of any level of physical fitness, making it easy to get started at any experience level.

Getting Started With Yoga

As an exercise alternative that doesn’t require excessive equipment or time commitments, yoga is a great option for bariatric surgery patients from all walks of life. Getting started is as easy as finding a studio in your neighborhood, or downloading web-based video instruction to help you get comfortable with basic poses and moves.

When you’re considering a new exercise routine, the team at Fresno Bariatrics is here to support you. We have the knowledge and expertise to guide you through the process, ensuring you approach yoga in a safe, healthy manner.

Weight loss isn’t easy, even after surgery, but with the right medical support, you can transition into a new lifestyle more easily than ever, doing what it takes to be the best version of yourself you can be. The benefits of yoga after bariatric surgery are numerous, making an exploration into vinyasa and pose series well worth the commitment.

To learn more about the bariatric surgery program at Fresno Bariatrics, from pre-surgery education, guidance and preparation, to post-surgery nutritional instruction, exercise assistance and support groups, give us a call at 866.433.8558.

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About Fresno Bariatrics

Fresno Bariatrics, located in Fresno, California, is one of the most experienced weight loss surgery programs in the country. On both the state and national levels, we are a step above most other weight loss surgery programs. Our superb clinical outcomes have earned HealthGrades' five-star ratings and a Bariatric Excellence Award™ 6 years in a row, putting our program in the top five of all California hospitals.

Our team of bariatric surgeons, nurses, and life coaches are eager to help you through a personalized weight loss surgery program with long-term results. We've helped thousands of people reverse obesity with the assistance of LAP-BAND, Gastric Bypass, Sleeve Gastrectomy (Gastric Sleeve) and Revision Weight-Loss Surgery procedures.

Our world-class bariatric surgeons are board-certified in general surgery by the American Board of Surgery and are members of the American College of Surgeons.

Contact Us

Fresno Heart & Surgical Hospital
15 E Audubon Drive
Fresno, CA, 93720

(866) 433-8558