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Gastroesophageal reflux (1):��why X-ray?

Hello
My question is why do you perform X-ray examination in GER grade 2 and 3? If the incidence of hiatal hernia is 5 cases per year, and probably most of them will have no surgery. Or do you perform X-ray when the patient have symptoms of GER despite pharmacologic treatment?

Name:	Dominik Swieton
E-Mail:	Viewable for logged on visitors (Log on)
Date:	13.06.2010-14:58
WWW:	-
Case-ID:	20011017191947 ( -> View the case )
Available images:	Ultrasound [ View images ]

		Replies to this comment ( New comments - max. 7 days)
		re: Gastroesophageal reflux (1):��why X-ray? (Roland Talanow \| 13.06.10) -> View the case GER can be due to multiple causes (e.g. mechanical obstruction, functional dysmotility etc.) These need to be excluded, e.g. with an esophagram (I assume you mean this with X-ray examination).