Dr. Domingo Galliano, Board Certified Surgeon

 

 

 

 

 

 

Dr. Domingo E. Galliano Jr.,
MD, FACS, FASCRS

Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties. He has performed over 800 DaVinci Robotic procedures!


General Surgery

Board Certified by
the American Board of Surgery


Colon and Rectal Surgery

Board Certified by the The American Board of Colon and Renal Surgery (ABCRS)


Surgical Critical Care

Board Certified by The American Board of Surgery


HOSPITALS


Murdock Surgical Center


Fawcett Memorial Hospital


Bayfront Health

Dr. Galliano is Medical Director of Bayfront Health's Colorectal Center of Excellence.


Why is it important you choose a Board Certified Surgeon?

A surgeon certified in general surgery by the American Board of Surgery has training, knowledge and experience related to the diagnosis and comprehensive management of surgical conditions.

Read more about Board Certified Surgeons


The SmartPill Wireless Motility Capsule

SmartPill is an ingestible, wireless capsule that measures pressure, pH and temperature as it transits the GI tract.

This information is used to provide gastric emptying time, combined small and large bowel transit time, whole gut transit time, pressure contraction patterns from the antrum and duodenum and motility indices.

Administered in the physician's office, the SmartPill test is completely ambulatory and the patient is free to go about their normal routine during the course of the test.  As the SmartPill Capsule passes through the GI tract, it transmits data to a SmartPill Data Receiver worn by the patient.

Once the single-use capsule has passed from the body, the patient returns the Data Receiver to the Physician who then can download the collected data to a PC. The Physician then uses SmartPill's MotiliGI software to analyze and display the data. Within minutes, the Physician has test results in both graphical and report formats.

The SmartPill Capsule transits the intestines by peristalsis, or the normal rhythmic contraction of the intestinal muscles, and is capable of transmitting data continuously for at least five days. The single-use capsule is excreted naturally from the body, usually within a day or two.


What is Gastroparesis

Gastroparesis, also called delayed gastric emptying, is a disorder in which the stomach takes too long to empty its contents. It often occurs in people with type 1 diabetes or type 2 diabetes.

Gastroparesis happens when nerves to the stomach are damaged or stop working. The vagus nerve controls the movement of food through the digestive tract. If the vagus nerve is damaged, the muscles of the stomach and intestines do not work normally, and the movement of food is slowed or stopped.

Diabetes can damage the vagus nerve if blood glucose levels remain high over a long period of time. High blood glucose causes chemical changes in nerves and damages the blood vessels that carry oxygen and nutrients to the nerves.


Signs and symptoms of gastroparesis are:

  • heartburn
  • nausea
  • vomiting of undigested food
  • an early feeling of fullness when eating
  • weight loss
  • abdominal bloating
  • erratic blood glucose levels
  • lack of appetite
  • gastroesophageal reflux
  • spasms of the stomach wall

These symptoms may be mild or severe,
depending on the person.


Major Causes of Gastroparesis

Gastroparesis is most often caused by:

  • diabetes
  • postviral syndromes
  • anorexia nervosa
  • surgery on the stomach or vagus nerve
  • medications, particularly anticholinergics and narcotics (drugs that slow contractions in the intestine)
  • gastroesophageal reflux disease (rarely)
  • smooth muscle disorders such as amyloidosis and scleroderma
  • nervous system diseases, including abdominal migraine and Parkinson's disease
  • metabolic disorders, including hypothyroidism

Complications of Gastroparesis

If food lingers too long in the stomach, it can cause problems like bacterial overgrowth from the fermentation of food. Also, the food can harden into solid masses called bezoars that may cause nausea, vomiting, and obstruction in the stomach. Bezoars can be dangerous if they block the passage of food into the small intestine.

Gastroparesis can make diabetes worse by adding to the difficulty of controlling blood glucose. When food that has been delayed in the stomach finally enters the small intestine and is absorbed, blood glucose levels rise.

Since gastroparesis makes stomach emptying unpredictable, a person's blood glucose levels can be erratic and difficult to control.

Smartpill Wireless Motility System

It's time to Get Smart.

 

The SmartPill GI Monitoring System is a new, in-office method for assessing gastric motility.

The wireless SmartPill Capsule collects pH, pressure and temperature data from throughout the entire gastrointestinal tract.

SmartPill is indicated for use in evaluating patients with suspected delayed gastric emptying.

The SmartPill GI Monitoring System Brochure
PDF (1.3 MG)


board certified surgeon

 

Bayfront Health North Port

Appointments available in our new location in North Port.


Same day appointments available. Call today!

CLINICS


Uninsured Patients


Surgical Walk-In Clinic


Clinic for Fecal and Urinary Incontinence, Constipation and Pelvic Disorders


Medical Weight Loss Clinic


Psych and Nutrition Center for IBS and IBD


Bariatric Surgery Clinic


IBS Irritable Bowel Syndrome Clinic


Ostomy, Ileostomy and Colostomy Clinic


Wound Care Clinic


Chronic Abdominal Pain Clinic


Heartburn Clinic (GERD)


Painless Hernia Clinic


Hemorrhoid Clinic


Breast Cancer Clinic


STD Clinic


Skin Cancer Clinic


Colorectal Clinic


GI GU Testing Center


Minimally Invasive Procedures

Experience less pain, minimal scarring, faster recovery, and better results.


Robotic Surgery
via Da Vinci


Laparoscopic Surgery


TEM Transanal Endoscopic Microsurgery


Solesta is a sterile gel injected into the anus to treat the symptoms of fecal incontinence.


Esophyx long-term incisionless solution for chronic acid reflux GERD


The LINX System stops acid reflux (GERD) at the source.


The Stretta procedure results in significant GERD symptom control and patient satisfaction.


ENTERRA -- Gastric Electrical Stimulation for Gatroparesis


Barrx - Radiofrequency Ablation in Barrett's Esophagus with Dysplasia


TIF Transoral Incisionless Fundoplication procedure corrects the root cause of GERD


ABS - Artificial Bowel Sphincter


Orbera Gastric Balloon for Weight Loss


SECCA - for incontinence


Sacral Nerve Stimulation


Anorectoplasty for anal incontinence


Pelvic rehabilitation for incontinence and constipation, anal / pelvic pain


Anal Fistula Plug