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From: christine.l.ayoub on 11 Apr 2007 20:00
Howard,

Once again, I am confused. As I've mentioned before, I'm seeing 2
surgeons and both say that my manometry results are not typical for
someone who has GERD. One surgeon wants me to redo the manometry then
do 24 hour ph and impedence testing. The other one says she wants me
to do a 24 hour ph study and she will reduce my PPI's to once/day and
no H2 blockers for the test. Which one should I do? I tend to think
that the test with impedence will show more, but I'm not sure. I was
told that I could stay on all of my meds with impedence testing.
What do you suggest?

Thanks..again!

Christine

From: Howard McCollister on 12 Apr 2007 07:44

<christine.l.ayoub(a)intel.com> wrote in message
news:1176336007.414357.306000(a)l77g2000hsb.googlegroups.com...
> Howard,
>
> Once again, I am confused. As I've mentioned before, I'm seeing 2
> surgeons and both say that my manometry results are not typical for
> someone who has GERD. One surgeon wants me to redo the manometry then
> do 24 hour ph and impedence testing. The other one says she wants me
> to do a 24 hour ph study and she will reduce my PPI's to once/day and
> no H2 blockers for the test. Which one should I do? I tend to think
> that the test with impedence will show more, but I'm not sure. I was
> told that I could stay on all of my meds with impedence testing.
> What do you suggest?
>
> Thanks..again!
>

Impedance testing provides substantially more information, IMHO.

HMc



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