LINX - acid (De Meester) score - manometry

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hopeforabetterlife
New Member


Date Joined Dec 2012
Total Posts : 14
   Posted 6/15/2013 1:30 AM (GMT -6)   
According to the physician, you can't have a linx procedure without a 24 hr Ph test, a manometry and a recent endoscopy. Not the most appealing tests especially if there is no hospital in the neighborhood who offers alternative ways of performing the 1st and 2nd.

Here is a question that is haunting me right now because of what the physician told me:

[quote]The critical thing is to see the tests. Many patients find their DeMeester scores are in the normal range and so are ineligible. Let’s see what the tests show and then we can advise further.[quote]

Anyone experience? what does it mean? If many patients have their DeMeester score in the normal range, why do they have reflux? Or are they mistaking what they experience as reflux is actually something else? If that's possible then what could that be?

To be honest, he got me pretty worried. I thought it was clear what my problem was. After 3 endoscopies I was diagnosed with ulcers, gastritis en GERD every single time. I have all the symptoms of acid reflux. Now my biggest worry is that my DeMeester value will be normal because in my mind that will mean that I'm back at the beginning and with a possible procedure planned the beginning of July, I thought I was finally at the end.

can anyone shed some light on this?

33333
Regular Member


Date Joined Jun 2012
Total Posts : 94
   Posted 6/15/2013 2:54 AM (GMT -6)   
Based on personal experience, one can have reflux even with a normal DeMeester score. Mine was well within normal, but I did have beyond normal non acid reflux.

I think if it's giving you symptoms then it should be "fixed" regardless of the DeMeester score.

I've spoken to a LINX surgeon, he did comment that my DeMeester score was low, but his concern was the esophageal motility. He wanted to make sure there will be sufficient pressure to push food pass the LINX.

hopeforabetterlife
New Member


Date Joined Dec 2012
Total Posts : 14
   Posted 6/15/2013 4:32 AM (GMT -6)   
Thanks for your response 33333.

This ability to push food passed the linx can only be measured with a manometry? It's a deal breaker for me if I have to do it the conventional way. I'll be going for a toupet fundo instead in that case.

33333
Regular Member


Date Joined Jun 2012
Total Posts : 94
   Posted 6/15/2013 4:09 PM (GMT -6)   
They checked my esophageal motility with barium swallow and manometry.

My understanding is that they would probably want you to do those tests even if you opt for a toupet fundo. Having sufficient pressure to push food pass the barrier is key, whether that be LINX or fundo.

hopeforabetterlife
New Member


Date Joined Dec 2012
Total Posts : 14
   Posted 6/15/2013 7:03 PM (GMT -6)   
For the 270 a barium swallow will be sufficient according to the doctor. 360 would be a different matter I guess.

I just asked him if I shouldn't do the ph bravo first. I told him that I wouldn't need manometry if the bravo would suggest that I'm ineligible for LINX. His answer to this will also confirm your earlier statement about getting LINX with normal DeMeester score.
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