It is even more critical to perform manometry in patients whose symptoms include dysphagia. The interpretation of manometry may have a strong influence on the choice of operation. Dysphagia is a reported symptom in approximately 10 percent of patients having a hiatal hernia and reflux without esophagitis, in approximately one third of patients with reflux esophagitis, and a typical symptom in patients with reflux esophagitis induced strictures.
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