From: gobionessert on


Having my endoscopy this Monday in Japan, i live in Tokyo. If they
find a hernia, what is the next stage? Is it definitely surgery?
What about GERD, I have already taken zantac with no improvement.
What is the usual treatment for this? I ask these questions, because
I have little trust in Japanese doctors so would like to know the
usual Western procedure. Appreciate any responses.

From: Howard McCollister on
In article <1189129123.870963.315510(a)r34g2000hsd.googlegroups.com>,
"gobionessert(a)yahoo.com" <gobionessert(a)yahoo.com> wrote:

> Having my endoscopy this Monday in Japan, i live in Tokyo. If they
> find a hernia, what is the next stage? Is it definitely surgery?
> What about GERD, I have already taken zantac with no improvement.
> What is the usual treatment for this? I ask these questions, because
> I have little trust in Japanese doctors so would like to know the
> usual Western procedure. Appreciate any responses.



Hiatus hernia may or may not contribute to GERD in any given patient.
Typically, the only time surgery is recommended for GERD is if it can't
be controlled by various combinations of medication, dietary and
lifestyle changes.

HMc
From: christophe on
On Sep 7, 11:38 am, "gobioness...(a)yahoo.com" <gobioness...(a)yahoo.com>
wrote:
> Having my endoscopy this Monday in Japan, i live in Tokyo. If they
> find a hernia, what is the next stage? Is it definitely surgery?
> What about GERD, I have already taken zantac with no improvement.
> What is the usual treatment for this? I ask these questions, because
> I have little trust in Japanese doctors so would like to know the
> usual Western procedure. Appreciate any responses.

The Japanese have done some very important research on GI areas, for
example on helicobacter, gastritis and stomach cancer. If they advise
you to have surgery, I think you should do it. Obviously, they should
also do manometry and ph or impedance testing first. I have visited
Japan 3 times in the last 4 years and my confidence in the Japanese
people (surely the most honest in the world) and their doctors is very
high.

From: gobionessert on

>
> The Japanese have done some very important research on GI areas, for
> example on helicobacter, gastritis and stomach cancer. If they advise
> you to have surgery, I think you should do it. Obviously, they should
> also do manometry and ph or impedance testing first. I have visited
> Japan 3 times in the last 4 years and my confidence in the Japanese
> people (surely the most honest in the world) and their doctors is very
> high.


Clearly you have never lived in Japan and dont know what they are
REALLY like, they suck generally speaking. However, I am going to
what for the Japanese is a good hospital.

From: gobionessert on

>
> The Japanese have done some very important research on GI areas, for
> example on helicobacter, gastritis and stomach cancer. If they advise
> you to have surgery, I think you should do it. Obviously, they should
> also do manometry and ph or impedance testing first. I have visited
> Japan 3 times in the last 4 years and my confidence in the Japanese
> people (surely the most honest in the world) and their doctors is very
> high.


Well I am going to what is one of the more respected hospitals in
Tokyo so I am hoping for the best.