TY - JOUR
T1 - Esophageal manometry and 24-hour pH testing in the management of gastroesophageal reflux patients
AU - Perdikis, Galen
AU - Lund, Richard J.
AU - Hinder, Ronald A.
AU - McGinn, Thomas R.
AU - Filipi, Charles J.
AU - Katada, Natsuya
AU - Cina, Robert
AU - Hinder, Paul R.
AU - Lanspa, Stephen J.
PY - 1997/12/1
Y1 - 1997/12/1
N2 - 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
AB - 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
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U2 - 10.1016/S0002-9610(97)00181-5
DO - 10.1016/S0002-9610(97)00181-5
M3 - Article
C2 - 9409588
AN - SCOPUS:0031442591
SN - 0002-9610
VL - 174
SP - 634
EP - 638
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 6
ER -