I've heard a lot about Botox treatment for lower esophageal sphincter problems. Does it work? Who do I contact to get this treatment?

J.

Botox, or botulinum toxin, is a relatively new treatment for esophageal disorders. It is used principally to treat achalasia, a swallowing disorder in which the lower sphincter muscle of the esophagus fails to open (relax) appropriately, preventing food from passing effectively into the stomach. Botox is injected through a small needle into the sphincter during an endoscopic procedure (in which a flexible tube is passed down your throat).

The initial success rate is about 70 percent; however, most patients will relapse and require a repeat injection in six months to one year. Since long-term success is unusual, most experts use this treatment only when a patient is not a candidate for more definitive and effective treatment of achalasia. Except in unusual circumstances, Botox is not used to treat any other esophageal sphincter disorder. Because I don't know what condition you may have, I cannot make recommendations for your case; please see a gastroenterologist for specialized advice.