Guest guest Posted June 28, 2011 Report Share Posted June 28, 2011 Hi Friends, With respect to the recent posts regarding 'Manometry', the question in my mind is, 'whats the difference between Manometry and Endoscopy'? I googled Menometry and the procedure looks identical to the Endoscopy, so i am little confused. At what stage we could require Manometry? Looking forward to your kind replies. Thanks Hassaan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2011 Report Share Posted June 28, 2011 Hassaan - an endoscopy is a 'scope' they put a small catheter with a camera on it down your E - you will either have conscious sedation or - like me - I insist on being knocked out completely - they take pictures and video and sometimes do some tissue biopsies. I don't find them painful or uncomfortable since I get the full knock out. They are good for looking at any tissue abnormalities and it can 'see' leftover foods, any signs of burning - that kind of thing. A mamometry uses a small thin catheter that gets placed in your E through your nose - I found if very unpleasant. When it gets placed down your E - you take small sips of water and it measures the pressure that your E exerts - if any. It can also measure any remaining peristalsis and it can measure the pressure of your LES. You will be fully awake for that one and it is sometimes considered the gold standard for the diagnosis of A as it allows the doctor to see if and how much peristalsis and LES pressure you have. I hope that helps. ~ in NC > > > Hi Friends, > With respect to the recent posts regarding 'Manometry', the question in my mind is, 'whats the difference between Manometry and Endoscopy'? I googled Menometry and the procedure looks identical to the Endoscopy, so i am little confused. At what stage we could require Manometry? Looking forward to your kind replies. > > Thanks > > Hassaan > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2011 Report Share Posted June 28, 2011 I was able to have a manometry tube placed just after endoscopy WHILE I was sedated. I was then 'awakened' to perform the swallowing test. This made the manometry a whole lot simpler as I had no sensation or recall of the tube being inserted up my nose, etc. For me, having manometry in conjunction with endoscopy was definitely the way to go. I got the sense that this was now 'standard operating procedure' at Northwestern. --Rich > > > > > > Hi Friends, > > With respect to the recent posts regarding 'Manometry', the question in my mind is, 'whats the difference between Manometry and Endoscopy'? I googled Menometry and the procedure looks identical to the Endoscopy, so i am little confused. At what stage we could require Manometry? Looking forward to your kind replies. > > > > Thanks > > > > Hassaan > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2011 Report Share Posted June 28, 2011 I put off those tests for longer than I should have because I was terrified of the manometry. It was like, " You're going to put that where? While I'm awake?! " No way! But then finally I got the testing done and was hoping they'd put it in during the scope as well. I got in there and they took me straight to do the manometry first. I was horrified, but told myself it wouldn't be that bad. After snorting the anesthetic, she started weaving it up my nose and down my throat. It definitely wasn't comfortable, but it wasn't THAT bad. Then she couldn't get the tube to pass into the stomach because my LES was so tight (probably even tighter because of the stress). After she pulled it out and put it back in a few times, she tried the other nostril. With no success on that side, she went to get her supervisor and I told her to just leave it in rather than pull it out so the other nurse could try her hand. After waiting for probably fifteen minutes, and sitting there for probably at least a half hour while they both tried, they finally determined they couldn't do it and ended up putting another one in when I was out for my scope. It was really, really frustrating. Even though it was an absolute ordeal for me at the time and I had to walk out of that damn room and tell my friend who was there with me for support that they couldn't even do the damn test, it really wasn't that bad and I wouldn't be afraid of test like that in the future. I was definitely forced to face my fear and swallow it (again, and again, and again), but it's not nearly as bad as I thought it was going to be, even though things did not go as planned. > > > > > > > > > Hi Friends, > > > With respect to the recent posts regarding 'Manometry', the question in my mind is, 'whats the difference between Manometry and Endoscopy'? I googled Menometry and the procedure looks identical to the Endoscopy, so i am little confused. At what stage we could require Manometry? Looking forward to your kind replies. > > > > > > Thanks > > > > > > Hassaan > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2011 Report Share Posted June 28, 2011 Hi, Very interesting and very brave ... that was very informative, thanks for sharing. Just a question regarding both Manometry and Endoscopy, if the LES is so tight that tube cant pass through, this probably means there is no way to perform either of these tests and you need a dilatation or mayotomy etc? Thanks achalasia From: chelseadappen@... Date: Tue, 28 Jun 2011 19:58:17 +0000 Subject: Re: Manometry Vs Endoscopy I put off those tests for longer than I should have because I was terrified of the manometry. It was like, " You're going to put that where? While I'm awake?! " No way! But then finally I got the testing done and was hoping they'd put it in during the scope as well. I got in there and they took me straight to do the manometry first. I was horrified, but told myself it wouldn't be that bad. After snorting the anesthetic, she started weaving it up my nose and down my throat. It definitely wasn't comfortable, but it wasn't THAT bad. Then she couldn't get the tube to pass into the stomach because my LES was so tight (probably even tighter because of the stress). After she pulled it out and put it back in a few times, she tried the other nostril. With no success on that side, she went to get her supervisor and I told her to just leave it in rather than pull it out so the other nurse could try her hand. After waiting for probably fifteen minutes, and sitting there for probably at least a half hour while they both tried, they finally determined they couldn't do it and ended up putting another one in when I was out for my scope. It was really, really frustrating. Even though it was an absolute ordeal for me at the time and I had to walk out of that damn room and tell my friend who was there with me for support that they couldn't even do the damn test, it really wasn't that bad and I wouldn't be afraid of test like that in the future. I was definitely forced to face my fear and swallow it (again, and again, and again), but it's not nearly as bad as I thought it was going to be, even though things did not go as planned. > > > > > > > > > Hi Friends, > > > With respect to the recent posts regarding 'Manometry', the question in my mind is, 'whats the difference between Manometry and Endoscopy'? I googled Menometry and the procedure looks identical to the Endoscopy, so i am little confused. At what stage we could require Manometry? Looking forward to your kind replies. > > > > > > Thanks > > > > > > Hassaan > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2011 Report Share Posted June 29, 2011 is a motility test the same as a manometry? What difference does it make to the dead, the orphans and the homeless, whether the mad destruction is wrought under the name of totalitarianism or the holy name of liberty or democracy. " -Mahatma Ghandi (1869-1948) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2011 Report Share Posted June 29, 2011 They have to perform the endoscopy and the manometry in order to diagnose Achalasia. For me, they were able to perform both tests, they just had to insert the tube for the manometry during my endoscopy because they couldn't get it to pass, so the doctor placed it (pushed it past my LES) while I was out. When I woke up, they performed the manometry, and slowly pulled the tube out while measuring the pressure. Only after these tests are performed can you be officially diagnosed with Achalasia, and then it's on to treatment. For me, that was a myotomy. Chelsea > > > > > > > > > > > > Hi Friends, > > > > With respect to the recent posts regarding 'Manometry', the question in my mind is, 'whats the difference between Manometry and Endoscopy'? I googled Menometry and the procedure looks identical to the Endoscopy, so i am little confused. At what stage we could require Manometry? Looking forward to your kind replies. > > > > > > > > Thanks > > > > > > > > Hassaan > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2011 Report Share Posted June 29, 2011 I may have had a super bad experience with the manometry. (compared to others). My 1st one was in 1996 and I barely remember it. I do remember being uncomfortable and not wanting to do it again. However the one done in July of 2010 at the Cleveland Clinic was the WORST. Dr. Rice put the tube down when I was out for the endoscopy. However when his team tried to get readings, they realized it wasn't in my stomach. So they tried for about 30 minutes to get it into my stomach. This did not work so they pulled it out and tried with the hi res wire. Up the nose and down the throat and another 30 minutes trying to thread it through the turn in my E and past the LES. Did not work. I was crying at this point. They had to put me under again for another scope to place the higher guage wire back down my throat and into my stomach. This time it stayed. However, another 30 minutes of testing and I was about to lose it. I was begging them to stop. Begging them to take it out. I will never do this again. I know my E does not work. Has 0 motility. No reason to ever relive that nightmare again. > > > > > > > > > > > > Hi Friends, > > > > With respect to the recent posts regarding 'Manometry', the question in my mind is, 'whats the difference between Manometry and Endoscopy'? I googled Menometry and the procedure looks identical to the Endoscopy, so i am little confused. At what stage we could require Manometry? Looking forward to your kind replies. > > > > > > > > Thanks > > > > > > > > Hassaan > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2011 Report Share Posted June 30, 2011 It is > > is a motility test the same as a manometry? > > > > > > What difference does it make to the dead, the orphans and the homeless, whether the mad destruction is wrought under the name of totalitarianism or the holy name of liberty or democracy. " > -Mahatma Ghandi (1869-1948) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2011 Report Share Posted June 30, 2011 is a motility test the same as a manometry What difference does it make to the dead, the orphans and the homeless, whether the mad destruction is wrought under the name of totalitarianism or the holy name of liberty or democracy. " -Mahatma Ghandi (1869-1948) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2011 Report Share Posted July 7, 2011 Hassaan wrote: > ... Just a question regarding both Manometry and Endoscopy, if the LES is so tight that tube cant pass through, this probably means there is no way to perform either of these tests and you need a dilatation or mayotomy etc? ... The endoscope is stronger and made so that bending and turning can be controlled. The manometry system is not as strong or able to control the bending. Even if the manometry has trouble the endoscope should be able to pass through the LES but it may take extra force to get it through. Failure to get the manometry through or needing extra force for the endoscope suggest achalasia but it is not as conclusive as doing the manometry. An endoscope can be used to place the manometry. notan Quote Link to comment Share on other sites More sharing options...
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