No manometry or PH testing

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Regular Member

Date Joined Jul 2012
Total Posts : 35
   Posted 10/17/2012 8:43 AM (GMT -6)   
I have been to 2 surgeons and they both told me I did not need the manometry test nor the 24 hour PH test because I have a type 4 paraesophageal hernia with 100% of my stomach in the chest. Does this sound right to you? I know everyone says you must have the testing to make sure you are a good candidate for the wrap. Your thoughts?


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Date Joined Feb 2009
Total Posts : 7188
   Posted 10/17/2012 1:34 PM (GMT -6)   
Hi Deb,
I suspect they think the tests are unnecessary to determine whether or not you need surgery, since you obviously do.  The PH test certainly could be done without, but I'm wondering about the manometry...only as a measure of your swallowing abilities.  Perhaps with the large hernia you can't be measured in that way.  The manometry is helpful because it lets the surgeon know whether or not you have swallowing issues, thus determining if he/she'll do a full or partial (for swallowing issues) wrap.
Good luck with everything!
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“Worry pretends to be necessary but serves no useful purpose”

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Date Joined Apr 2007
Total Posts : 32602
   Posted 10/17/2012 2:53 PM (GMT -6)   
Esophageal Acid Testing - This testing is called “gold standard” for diagnosing GERD. The quantity of acid in an individual suffering from GERD is compared to a normal person's level of acid. The Esophagus contains acid most of the time in patients of GERD; this can be determined by a test called the 24-hour esophageal ph test. A small tube called a catheter, with an acid sensor at its tip, is inserted through the nose and positioned in the esophagus. The other end travels down to the waist after exiting from the nose and then attaching to a recorder. The recorder records every reflux episode in the esophagus and a 24 hour frame of data is analyzed.

You might want to ask the surgeons why they do not feel you need any other testing ?

I agree with Denise re the manometry testing - Motility testing of the esophagus determines the working of muscles of the esophagus by passing a catheter through a nostril down the throat into the esophagus. The catheter contains a sensor to detect pressure inside the esophagus and the other end is attached to a recorder. The patient is then permitted to swallow sips of water to record and evaluate the esophageal contraction movements. Motility disorders can be rectified sometimes through a surgery.

Good luck,


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Post Edited (stkitt) : 10/17/2012 2:04:00 PM (GMT-6)

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