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Author7 Posts
  #1

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.




  #2

"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


  #3

the answer is correct..explain why!


  #4

the wave pressure indicates the peristaltic wave presure/ amplitude of the wave.


  #5

"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 .


  #6

good... :-) <60% waves, and <30mmHg pressure wave is an indication for additional fundoplication :-)
You good!


  #7

"mdwannabe" wrote:
good... :-) <60% waves, and <30mmHg pressure wave is an indication for additional fundoplication :-)
You good!...........less than you Mdwannabe smiling face


Thanks for a good Q :idea: ,





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