Manometry Results
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From: christine.l.ayoub on 30 Apr 2007 16:06 Howard, I received my manometry results, and I understand why the surgeon wants them repeated. It shoes a normal LES of 24, but then it says "Incomplete esophageal sphincter relaxation"; the mean LES pressure was 10.5 and the mean percentage of relaxation was 34.8. It also shows Peristaltic Hypotensive 50% and Peristaltic normal 30%. Mean UES resting pressure was 86.1. So, am I still a candidate for surgery? Is this achylasia? The surgeon wants me to repeat the test at a different facility with the impedance test. The nurse at his office told me that he doesn't like where I had it done, but if it is accurate, I don't want a surgery that may make the condition worse. Anyway, I was just wondering what you thought. I don't how to read these results, but here are the other numbers state; I hope I picked out the right ones: Amplitude Pressures: Mid Proximal2: #1 42.1 #2: 48.6 #3 46.2 #4 59.5 #5 48.9 #6 Dropped #7 13.7 Mid Distal3:: 22.7 20.2 48.9 16.5 34.4 16.8 Distal 4: 96.9 71.3 60.1 43.9 40.6 19.5 #8 34.6 #9 36.7 #10 Dropped 29.7 43.7 60.8 31.3
From: Salmon Egg on 30 Apr 2007 16:36 On 4/30/07 1:06 PM, in article 1177963587.327646.150500(a)l77g2000hsb.googlegroups.com, "christine.l.ayoub(a)intel.com" <christine.l.ayoub(a)intel.com> wrote: > Howard, > > I received my manometry results, and I understand why the surgeon > wants them repeated. It shoes a normal LES of 24, but then it says > "Incomplete esophageal sphincter relaxation"; the mean LES pressure > was 10.5 and the mean percentage of relaxation was 34.8. It also shows > Peristaltic Hypotensive 50% and Peristaltic normal 30%. Mean UES > resting pressure was 86.1. So, am I still a candidate for surgery? Is > this achylasia? The surgeon wants me to repeat the test at a different > facility with the impedance test. The nurse at his office told me that > he doesn't like where I had it done, but if it is accurate, I don't > want a surgery that may make the condition worse. Anyway, I was just > wondering what you thought. > > I don't how to read these results, but here are the other numbers > state; I hope I picked out the right ones: > > Amplitude Pressures: > Mid Proximal2: #1 42.1 #2: 48.6 #3 46.2 #4 59.5 > #5 48.9 #6 Dropped #7 13.7 > Mid Distal3:: 22.7 20.2 48.9 > 16.5 34.4 16.8 > Distal 4: 96.9 71.3 60.1 > 43.9 40.6 19.5 > > > #8 34.6 #9 36.7 #10 Dropped > 29.7 43.7 > 60.8 31.3 > Why I am certainly not an expert or MD, your post makes no sense. Please define your acronyms. Add units to your values. It would also help to know just what is being measured. While it may take technical knowledge to understand your post, undefined technical jargon does not help communication. Bill -- Fermez le Bush--about two years to go.
From: christine.l.ayoub on 30 Apr 2007 17:55 You're right. When I typed out the numbers, I had them in neat rows, but when it posted, it became unorganized. I'm not sure if I can fix it. #8 and #9 are the only 2 which came out the way I intended. I'll see what I can figure out... Salmon Egg wrote: > On 4/30/07 1:06 PM, in article > 1177963587.327646.150500(a)l77g2000hsb.googlegroups.com, > "christine.l.ayoub(a)intel.com" <christine.l.ayoub(a)intel.com> wrote: > > > Why I am certainly not an expert or MD, your post makes no sense. Please > define your acronyms. Add units to your values. It would also help to know > just what is being measured. > > While it may take technical knowledge to understand your post, undefined > technical jargon does not help communication. > > Bill > -- Fermez le Bush--about two years to go.
From: christine.l.ayoub on 30 Apr 2007 18:40 OK, let me try this: Here are the Mean Amplitude Pressures: Mid Proximal 37.9, Mid Distal 25.2, Distal 53.1 The Mean LES Relaxation pressure is 10.5 LES resting pressure is 24.3 If this doesn't make sense, nevermind! I have to repeat the test anyway; hopefully, I'll get better results. > You're right. When I typed out the numbers, I had them in neat rows, > but when it posted, it became unorganized. I'm not sure if I can fix > it. #8 and #9 are the only 2 which came out the way I intended. I'll > see what I can figure out... > > > Salmon Egg wrote: > > On 4/30/07 1:06 PM, in article > > 1177963587.327646.150500(a)l77g2000hsb.googlegroups.com, > > "christine.l.ayoub(a)intel.com" <christine.l.ayoub(a)intel.com> wrote: > > > > > Why I am certainly not an expert or MD, your post makes no sense. Please > > define your acronyms. Add units to your values. It would also help to know > > just what is being measured. > > > > While it may take technical knowledge to understand your post, undefined > > technical jargon does not help communication. > > > > Bill > > -- Fermez le Bush--about two years to go.
From: Howard McCollister on 30 Apr 2007 22:59
"Salmon Egg" <salmonegg(a)sbcglobal.net> wrote in message news:C25BA173.73679%salmonegg(a)sbcglobal.net... > On 4/30/07 1:06 PM, in article > 1177963587.327646.150500(a)l77g2000hsb.googlegroups.com, > "christine.l.ayoub(a)intel.com" <christine.l.ayoub(a)intel.com> wrote: > >> Howard, >> >> I received my manometry results, and I understand why the surgeon >> wants them repeated. It shoes a normal LES of 24, but then it says >> "Incomplete esophageal sphincter relaxation"; the mean LES pressure >> was 10.5 and the mean percentage of relaxation was 34.8. It also shows >> Peristaltic Hypotensive 50% and Peristaltic normal 30%. Mean UES >> resting pressure was 86.1. So, am I still a candidate for surgery? Is >> this achylasia? The surgeon wants me to repeat the test at a different >> facility with the impedance test. The nurse at his office told me that >> he doesn't like where I had it done, but if it is accurate, I don't >> want a surgery that may make the condition worse. Anyway, I was just >> wondering what you thought. >> >> I don't how to read these results, but here are the other numbers >> state; I hope I picked out the right ones: >> >> Amplitude Pressures: >> Mid Proximal2: #1 42.1 #2: 48.6 #3 46.2 #4 59.5 >> #5 48.9 #6 Dropped #7 13.7 >> Mid Distal3:: 22.7 20.2 48.9 >> 16.5 34.4 16.8 >> Distal 4: 96.9 71.3 60.1 >> 43.9 40.6 19.5 >> >> >> #8 34.6 #9 36.7 #10 Dropped >> 29.7 43.7 >> 60.8 31.3 >> > Why I am certainly not an expert or MD, your post makes no sense. Please > define your acronyms. Add units to your values. It would also help to know > just what is being measured. > > While it may take technical knowledge to understand your post, undefined > technical jargon does not help communication. > Those numbers are indeed a little worrisome. It's true that incomplete LES relaxation with impaired body peristalsis means that achalasia is something that will have to be considered. Achalasia would mean that fundoplication isn't possible. I agree that impedance manometry is the next best step. It would be helpful in re-looking at body pressures and LES relaxation, as well as evaluating bolus transit. Don't jump to conclusions. It's too early to make that diagnosis. Let's look at the impedance values when that test gets done. HMc |