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 1600 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.
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)
Same day appointments available. Call today!
CLINICS
Clinic for Fecal and Urinary Incontinence, Constipation and Pelvic Disorders
Psych and Nutrition Center for IBS and IBD
IBS Irritable Bowel Syndrome Clinic
Ostomy, Ileostomy and Colostomy Clinic
Chronic Abdominal Pain Clinic
Heartburn Clinic (GERD)
Hernia Clinic
Hemorrhoid Clinic
Breast Cancer Clinic
Skin Cancer Clinic
Colorectal Clinic
GI GU Testing Center
Minimally Invasive Procedures
Experience less pain, minimal scarring, faster recovery, and better results.