The wired probe PH monitor is inserted by the GI doc's office--usually by a nurse. If they don't have measurements from an endoscopy, they'll have to do a manometry so they'll know where to place the probe. There is one other option that some docs use...it's called a BRAVO, and it is a little wireless capsule that is attached to the esophagus during an endoscopy. It becomes detached and falls out on its own usually around the second day. Still, most people can feel that, too, when they swallow. There's no perfect answer.
I had the wired probe, and I've had it done 3 times. Really, it's irritating to have the (very thin) wire down your throat for 24 hours, but it is really very bearable. Just remember that it's for a good cause! You just tough it out, deal with the annoyance of that darn wire. You can feel it whenever you swallow, but you'll be fine.
Your surgeon sound perfect. A great surgeon who has done many, many Nissens is exactly who you want.
All the tests: barium swallow, endoscopy, 24 hr PH monitor, manometry, and sometimes stomach emptying, provide important information for your surgeon. They are important to determine whether or not you are a good candidate for a Nissen, and what type of Nissen would be best for you (ex. full wrap, or partial wrap if your swallowing reflex is weak). A highly qualified Nissen surgeon will always want these tests...sorry to break the news to you! I'll be surprised if you can talk them out of it! Good luck!
Hang in there!
Nissen Fundoplication 2/09
Allergy/Asthma"Whatever you fight, you strengthen, and what you resist, persists.”
“Worry pretends to be necessary but serves no useful purpose”
“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”