Esophageal manometry and 24-hour pH testing in the management of gastroesophageal reflux patients

Galen Perdikis, Richard J. Lund, Ronald A. Hinder, Thomas R. McGinn, Charles Filipi, Natsuya Katada, Robert Cina, Paul R. Hinder, Stephen J. Lanspa

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Abstract

BACKGROUND: With rising interest in gastroesophageal reflux disease, an evaluation of the importance of manometry (M) and 24-hour pH testing (pH) for decisions regarding these patients is appropriate. METHODS: Two gastroenterologists and two surgeons were presented with history and physical examination, endoscopy, histology, and esophagram data ('DATA') from 100 patients and asked to make a treatment decision. After some time, either pH or M was added to DATA, and a further decision requested. Finally, DATA plus pH plus M was presented, and a decision was requested. Decisions were evaluated for changes in medical therapy, changes between medical and surgical therapy, and changes in type of surgery offered. RESULTS: Overall, 43% (173 of 400) of decisions were altered by the addition of both M and pH to DATA, with 28.5% (114 of 400) of decisions changed from medical therapy to surgery or vice versa by the addition of both tests to DATA. The addition of M alone changed decisions more often than pH alone especially with regard to the type of surgery offered (P

Original languageEnglish
Pages (from-to)634-638
Number of pages5
JournalAmerican Journal of Surgery
Volume174
Issue number6
DOIs
StatePublished - Dec 1997

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All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Perdikis, G., Lund, R. J., Hinder, R. A., McGinn, T. R., Filipi, C., Katada, N., Cina, R., Hinder, P. R., & Lanspa, S. J. (1997). Esophageal manometry and 24-hour pH testing in the management of gastroesophageal reflux patients. American Journal of Surgery, 174(6), 634-638. https://doi.org/10.1016/S0002-9610(97)00181-5