"mdwannabe" wrote:
Patient is evaluated for Rolling Hiatal Hernia. Suggested to go to surgery. Monometry studies: 70% of peristalsis swallow evocked, wave pressure 45 mm Hg.
Treatment:
a. Hernia repair and Partal Fundoplication
b. Hernia repair and Complete Fundoplication
c. Hernia repair w/o fundoplication.
d. Radical Inetestinal Resection with Ano-Pharygial Anastomosis.
I didn't get his manometric report :roll: does it mean his LES pressure is 45 mmHg ?
I think answer should be C
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| mdwannabe
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the answer is correct..explain why!
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| mdwannabe
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the wave pressure indicates the peristaltic wave presure/ amplitude of the wave.
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| asmi
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"mdwannabe" wrote:
the answer is correct..explain why!
I think sicen 70% peristaltic waves present ,.so just repair the hernia,no need to go for fundoplication .
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| mdwannabe
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good... :-) <60% waves, and <30mmHg pressure wave is an indication for additional fundoplication :-)
You good!
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"Life not lived for others, is not worth living" Uncle Einstein
"A life is not important, except in the impact it has on other lives" -Jackie Robinson
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| asmi
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"mdwannabe" wrote:good... :-) <60% waves, and <30mmHg pressure wave is an indication for additional fundoplication :-) You good!...........less than you Mdwannabe 
Thanks for a good Q :idea: ,
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