Treatments Offered at the GUARD Center

Using an efficient team approach where our team members collaborate regarding your child’s unique issue, we provide comprehensive, individualized care while reducing the need for repeat tests and procedures at the Pediatric Gastroesophageal, Upper Airway, and Respiratory Diseases Center, known as the GUARD Center.

Doctors at the Pediatric Gastroesophageal, Upper Airway, and Respiratory Diseases Center, part of Hassenfeld Children's Hospital of New York at NYU Langone, understand that a child should not have any more tests and anesthesia than is absolutely necessary. We use the most advanced techniques to make an accurate diagnosis and select the best treatment for your child, including:

  • digital endoscopic video, a technique that uses a high-definition camera to look at internal organs, such as the throat or stomach, to help diagnose upper airway and voice disorders
  • esophageal impedance monitoring, a minimally invasive technique that uses a special recorder to measure the amount of acid in your child’s esophagus and then uploads that information to a computer to diagnose gastroesophageal reflux disease (GERD) and assess the role of reflux in a particular condition
  • laryngoscopy and bronchoscopy techniques, in which modern fiberoptic cameras are used to visualize the upper and lower airways
  • pediatric imaging, including chest CT scans and MRIs
  • pulmonary function testing in a state-of-the-art laboratory, where we perform painless endoscopic-assisted and exercise-induced lung function tests in children with respiratory diseases
  • swallowing evaluation, in which an experienced team of speech and swallowing specialists performs clinical assessments and studies by having a child swallow barium dye in order to determine the cause of the problem
  • sleep disorders testing, an inpatient sleep study, known as polysomnography, for children with obstructed breathing to determine the best possible treatment of noisy breathing, snoring, or sleep apnea
  • triple endoscopy, a test performed in the operating room under general anesthesia by a pediatric ear, nose, and throat surgeon, a pediatric pulmonologist, and a pediatric gastroenterologist to determine if your child requires treatment for obstructive sleep apnea

After all necessary diagnostic procedures and testing have been performed, GUARD Center experts come together to decide on a comprehensive plan of care, which includes sharing diagnostic reports, images, and recommendations with both your family and the referring pediatrician.

For children who need surgery, we offer a range of options, such as laser surgery, cartilage and mucosal grafting, and minimally invasive endoscopic surgery.