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On Tue, 28 Aug 2007 10:48:49 -0400, Billy Boy <billyboy[at]comcast[dot]net> wrote:
Well, first I'd forget the surgery. Success rate is very low. Most people who have surgery
continue to have problems with reflux.
Then I'd look at alternative. About 7 years ago I was on the verge of calling a surgeon
for the surgery. At the last moment I sent out a plea for help over Usenet and got a
suggestion to use Ginger Root Juice. I did some search and found several interesting
articles. One was a book "Saving Yourself from the Disease-Care Crisis" by Dr. Walt Stoll.
Soecifically on page 35 re "Hiatus Hednia" which in fact is the cause of lots of acid
reflux. It explains the use of Ginger Root Juice. I used Ginger Root Juice for several
years and my esophagus recovered and now I do not have any relux or rarely.
I also changed my lifestyle about what to eat, and when and raised the head of my bed
frame about 12 inches. That helped more than anything.
See: http://www.gicare.com/pated/ecdgs39.htm
Don't use the wedge shown. Only raise the head of bed "FRAME".
Hope this helps.
Be glad to exchange email or talk.
Bill
On Mon, 27 Aug 2007 13:11:51 -0700, christophe <...@optusnet.com.au> wrote:
>What is the difference between esophagitis and erosive esophagitis? If
>a person has compelling symptoms of gerd and esophagits (as evident at
>endoscoy), but a normal ph study, what further considerations/ testing
>should be completed before going ahead with anti reflux surgery?
Billy Boy
To reply correct [at] and [dot]
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On 28 Aug 2007 11:42:02 -0500, "Howard McCollister" <...@nospam.net> wrote:
"christophe" <...@optusnet.com.au> wrote in message
news...@z24g2000prh.googlegroups.com...
> What is the difference between esophagitis and erosive esophagitis? If
> a person has compelling symptoms of gerd and esophagits (as evident at
> endoscoy), but a normal ph study, what further considerations/ testing
> should be completed before going ahead with anti reflux surgery?
>
It's a spectrum. Normal tissue -> esophagitis -> grade A erosive
esophagitis -> grade B, C, D erosive esophagitis.
Erosive esophagitis is about the only thing that correlates with acid
reflux. Some degree of transient NON-erosive esophagitis is present at
various times in most of the population and generally isn't considered
significant as a reliable indicator of GERD.
If a patient has compelling symptoms of GERD but a normal pH study, I'd
recommend a repeat pH study including an effective attempt to rule out
non-acid reflux as a contributing factor. Generally speaking, it would be
unwise for a surgeon to go ahead with anti-reflux surgery is he/she hasn't
proven that there is indeed reflux. Such proof of reflux would include
Barrett's esophagus, stricture formation, or *erosive* esophagitis diagnosed
at EGD.
HMc
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On Wed, 29 Aug 2007 04:36:09 -0700, christophe <...@optusnet.com.au> wrote:
On Aug 29, 2:42 am, "Howard McCollister" <...@nospam.net> wrote:
> "christophe" <...@optusnet.com.au> wrote in message
>
> news...@z24g2000prh.googlegroups.com...
>
> > What is the difference between esophagitis and erosive esophagitis? If
> > a person has compelling symptoms of gerd and esophagits (as evident at
> > endoscoy), but a normal ph study, what further considerations/ testing
> > should be completed before going ahead with anti reflux surgery?
>
> It's a spectrum. Normal tissue -> esophagitis -> grade A erosive
> esophagitis -> grade B, C, D erosive esophagitis.
>
> Erosive esophagitis is about the only thing that correlates with acid
> reflux. Some degree of transient NON-erosive esophagitis is present at
> various times in most of the population and generally isn't considered
> significant as a reliable indicator of GERD.
>
> If a patient has compelling symptoms of GERD but a normal pH study, I'd
> recommend a repeat pH study including an effective attempt to rule out
> non-acid reflux as a contributing factor. Generally speaking, it would be
> unwise for a surgeon to go ahead with anti-reflux surgery is he/she hasn't
> proven that there is indeed reflux. Such proof of reflux would include
> Barrett's esophagus, stricture formation, or *erosive* esophagitis diagnosed
> at EGD.
>
> HMc
Thanks very much Howard. I have an endoscopy with my GI surgeon on
24th September and will start 24 hour impedance testing - brand
spanking new equipment - later on the same day. The only drawback is
that I will have to return equipment the next day and that involves a
50 kilometer drive. Oh the joys of reflux!
!
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