When should someone see a neurogastroenterologist?

A neurogastroenterology consultation may be helpful for persistent symptoms such as chronic constipation, difficulty evacuating stool, unclear reflux, swallowing difficulty, bloating, abdominal pain, gastroparesis or fecal incontinence, especially when prior evaluation has not provided a clear answer.

Which digestive motility tests are available?

Common tests include esophageal manometry, anorectal manometry, pH monitoring, BRAVO capsule pH monitoring, EndoFLIP interpretation, gastric emptying scan, Sitzmark colon transit capsule and breath tests for lactose intolerance, fructose intolerance and SIBO.

Specialist in Gastroenterology and Digestive Motility

Advanced evaluation and treatment of complex digestive disorders, combining specialist expertise, clinical experience and a personal approach.

Personal care Appointment coordination Timely appointments High availability Rich clinical experience Israel and abroad

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Head of functional and motility disorders serviceWolfson Medical Center Senior physician and consultantMaccabi Healthcare Services Graduate of fellowship trainingMcMaster University, Canada Lecturer and clinical instructorFaculty of Medicine, Tel Aviv University

Areas of expertise

Expertise in conditions that are not always easy to diagnose.

The clinic is intended for adults who need consultation, evaluation and treatment for digestive conditions, especially when symptoms are persistent, complex or have not received a clear answer.

Neurogastroenterology

Functional and motility disorders, the gut-brain axis, and disorders of the esophagus, stomach, bowel and pelvic floor.

Learn more about neurogastroenterology

General gastroenterology

Reflux, abdominal pain, chronic diarrhea, constipation, inflammatory bowel disease, EoE and persistent digestive symptoms.

Advanced testing

Selection of functional and motility tests, interpretation of results and a clear, personalized treatment plan.

Personal and timely care

Personal attention, high accessibility and clinical thinking that connects the story, the tests and the treatment plan.

Common conditions

Evaluation and treatment of common symptoms and complex conditions.

View all medical conditions

Search by symptom

Even without a clear diagnosis, evaluation can start from the symptom pattern.

Many patients seek help after a long period of constipation that does not improve, bloating and gas, heartburn or reflux, chronic diarrhea, swallowing difficulty, incomplete evacuation, symptoms after meals or fecal leakage. In these situations, the goal is to understand whether the symptoms are related to a functional disorder, a motility disorder, inflammatory bowel disease or another condition that requires focused testing.

Chronic constipation Difficulty evacuating Reflux and heartburn Bloating and gas Chronic diarrhea Swallowing difficulty Gastroparesis Fecal incontinence SIBO

Tests and procedures

Advanced tests designed to support a more precise diagnosis.

Choosing the right test helps define how the digestive system is functioning and supports a personalized treatment plan.

Esophageal manometry Anorectal manometry pH monitoring BRAVO capsule Gastroscopy Colonoscopy EndoFLIP interpretation Gastric emptying scan Sitzmark colon transit capsule Breath tests: lactose, fructose and SIBO

View all tests and explanations

Medical illustration of the esophagus and stomach

Clinical approach

Understanding the pattern, not only the symptom.

In functional and motility disorders of the digestive system, precise evaluation is especially important: the source may be the esophagus, stomach, bowel, pelvic floor or a combination of several systems.

About the physician

Dr. Hen Kayless

Specialist in internal medicine, gastroenterology and neurogastroenterology. After completing residency in internal medicine at Rabin Medical Center and residency in gastroenterology at Meir Medical Center, Dr. Kayless completed an advanced fellowship at McMaster University in Ontario, Canada. He currently serves as Head of the Service for Functional and Motility Disorders of the Digestive System at Wolfson Medical Center.

Head of the service for functional and motility disordersWolfson Medical Center

Senior physician and consultantMaccabi Healthcare Services

Lecturer and clinical instructorFaculty of Medicine, Tel Aviv University

Fellowship in neurogastroenterologyMcMaster University, Ontario, Canada

Gastroenterology residencyMeir Medical Center

Internal medicine residencyBeilinson Hospital, Rabin Medical Center

Member of the Israeli Society of Internal Medicine Member of the Israeli Association for Gastroenterology and Liver Diseases Member of the European Society of Neurogastroenterology and Motility (ESNM) Member of the American Neurogastroenterology and Motility Society (ANMS)

Appointments

Private, accessible and focused consultation.

You may leave details to coordinate a private consultation. Maccabi patients should arrive with a referral from a family physician or another referring physician and may book through the Maccabi app or the physician page.