Indications of 24-h esophageal pH monitoring, capsule pH monitoring, combined pH monitoring with multichannel impedance, esophageal manometry, radiology and scintigraphy in gastroesophageal reflux disease?

Vardar, Rukiye; Keskın, Muharrem

doi:10.5152/tjg.2017.06

Cited by 23 publications

(18 citation statements)

References 54 publications

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“…Another important diagnostic tool is 24-hour pH monitoring [666768]. Due to the lack of evidence of GERD in EGD, 24-hour pH monitoring is required to distinguish between acid reflux and non-acid reflux [556970]. It is also an important predictive factor of prognosis after surgical treatment [7172].…”

Section: Resultsmentioning

confidence: 99%

Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018

et al. 2018

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The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea, and physicians, including surgeons, have been focusing on its treatment. Indeed, in Korea, medical treatment using a proton pump inhibitor is the mainstream treatment for GERD, while awareness of surgical treatment is limited. Accordingly, to promote the understanding of surgical treatment for GERD, the Korean Anti-Reflux Surgery Study Group published the Evidence-Based Practice Guideline for the Surgical Treatment of GERD. The guideline consists of 2 sections: fundamental information such as the definition, symptoms, and diagnostic tools of GERD and a recommendation statement about its surgical treatment. The recommendations presented 5 debates regarding fundoplication: 1) comparison of the effectiveness of medical and surgical treatments, 2) effectiveness of surgical treatment in cases of refractory GERD, 3) effectiveness of surgical treatment of extraesophageal symptoms, 4) comparison of effectiveness between total and partial fundoplication, and 5) effectiveness of fundoplication in cases of hiatal hernia. The present guideline is the first to demonstrate the efficacy of the surgical treatment GERD in Korea.

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Section: Resultsmentioning

confidence: 99%

Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018

et al. 2018

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“…Multichannel intraluminal esophageal electrical impedance detects both acid and nonacid reflux by capturing changes in the electrical impedance during the movement of a liquid, solid, and/or gas bolus between measuring electrodes at different esophageal levels, regardless of physical or chemical characteristics of the bolus 17,66,73,78. It is the most sensitive tool to evaluate gastroesophageal reflux disease in patients with both atypical and typical symptoms 79. Multichannel intraluminal esophageal electrical impedance detects gastroesophageal reflux if there is a sequential drop in impedance to less than 50% of baseline values, starting distally above the lower esophageal sphincter and propagating retrograde to at least the next two or more proximal measuring segments 17.…”

Section: Diagnostic Studiesmentioning

confidence: 99%

“…Whereas 24-hour esophageal pH monitoring detects only acid reflux, multichannel intraluminal esophageal electrical impedance detects reflux events 48,80. The combined esophageal pH monitoring and multichannel intraluminal esophageal electrical impedance device can detect gastroesophageal reflux regardless of the pH of the refluxate 48,49,79,80. It has been shown that the combined device has a higher detection rate of gastroesophageal reflux compared with esophageal pH and multichannel intraluminal esophageal electrical impedance device when used alone and is superior to other investigations to assess the temporal relationship between specific symptoms and the reflux of both acid and nonacid gastric contents 25,47,63,66,73,81,82.…”

Section: Diagnostic Studiesmentioning

confidence: 99%

Gastroesophageal reflux in children: an updated review

Leung¹,

Hon²

2019

DIC

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Background Gastroesophageal reflux is a common disorder in pediatrics. Clinicians should be familiar with the proper evaluation and management of this condition. Objective To provide an update on the current understanding, evaluation, and management of gastroesophageal reflux in children. Methods A PubMed search was performed with Clinical Queries using the key term ‘gastroesophageal reflux’. The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, and reviews. The search was restricted to the English literature and the pediatric age group. Results Regurgitation is the most frequent symptom of gastroesophageal reflux and is present in nearly all cases. Gastroesophageal reflux occurs normally in infants, is often physiological, peaks at 4 months of age, and tends to resolve with time. Gastroesophageal reflux disease occurs when gastric contents reflux into the esophagus or oropharynx and produce troublesome symptom(s) and/or complication(s). A thorough clinical history and a thorough physical examination are usually adequate for diagnosis. When the diagnosis is ambiguous, diagnostic studies may be warranted. A combined esophageal pH monitoring and multichannel intraluminal esophageal electrical impedance device is the gold standard for the diagnosis of gastroesophageal reflux disease if the diagnosis is in doubt. In the majority of cases, no treatment is necessary for gastroesophageal reflux apart from reassurance of the benign nature of the condition. Treatment options for gastroesophageal reflux disease are discussed. Conclusion In most cases, no treatment is necessary for gastroesophageal reflux apart from reassurance because the condition is benign and self-limiting. Thickened feedings, postural therapy, and lifestyle changes should be considered if the regurgitation is frequent and problematic. Pharmacotherapy should be considered in the treatment of more severe gastroesophageal reflux disease for patients who do not respond to conservative measures. Proton pump inhibitors are favored over H 2 -receptor antagonists because of their superior efficacy. Antireflux surgery is indicated for patients with significant gastroesophageal reflux disease who are resistant to medical therapy.

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“…3. PH monitoring: 24 pH monitoring is very important in atypical presentation of gastroesophageal reflux disease [9,10]. It can confirm or exclude the disease, with a diagnostic rate of 70-90%.…”

Section: Contrast Barium Studymentioning

confidence: 99%

Introductory Chapter: Gastroesophageal Reflux Disease

Yahya¹

2019

Gastroesophageal Reflux Disease - Theory and Research

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Indications of 24-h esophageal pH monitoring, capsule pH monitoring, combined pH monitoring with multichannel impedance, esophageal manometry, radiology and scintigraphy in gastroesophageal reflux disease?

Cited by 23 publications

References 54 publications

Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018

Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018

Gastroesophageal reflux in children: an updated review

Introductory Chapter: Gastroesophageal Reflux Disease

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