Sa1308 Extended Bravo Studies (>48 hrs) offer an Additional Diagnostic Yield of Gastro-Esophageal Reflux Disease (GERD) in Patients With Normal Multichannel Intraluminal Impedance-pH (MII-pH) Studies

2016 ◽  
Vol 150 (4) ◽  
pp. S277-S278
Author(s):  
Christopher T. Chia ◽  
Ismail Miah ◽  
Jafar Jafari ◽  
Ioannis Koumoutsos ◽  
Ikram Nasr ◽  
...  
2019 ◽  
Vol 28 (4) ◽  
pp. 383-387 ◽  
Author(s):  
Serhat Bor ◽  
Doga Capanoglu ◽  
Rukiye Vardar ◽  
Andrew D Woodcock ◽  
Jeanine Fisher ◽  
...  

Background and Aims: Pepsin in the gastric refluxate is a marker for a prior reflux event and rapid detection might be achieved using the Peptest™, an in vitro diagnostic medical device. The aim of this study was to validate the use of Peptest™ to reliably diagnose reflux in patients with gastro-esophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR) disease diagnosed with multichannel intraluminal impedance/ pHmetry (MII-pH). Methods: 20 reflux patients were recruited of whom 10 had classical GERD and 10 had LPR. All patients underwent MII-pH and provided expectorated saliva samples when a MII-pH reflux event was observed, or reflux symptoms were experienced, and all were tested for the presence of pepsin using the Peptest™. Results: Pepsin was detected in 31 out of 45 samples (68.9%). At least 1 positive pepsin result was seen in 16 patients (80%) and this was the same, irrespective of the GERD or LPR diagnosis. Peptest™ had a positive predictive value of 69% to detect MII-pH reflux events. Conclusions: Peptest™ is a good first-line diagnostic procedure to use in reflux sufferers to confirm the presence of reflux.


2020 ◽  
Vol 109 (12) ◽  
pp. 2799-2807
Author(s):  
Hema Lattha Gunasagaran ◽  
Vincent Varjavandi ◽  
Daniel A. Lemberg ◽  
Chee Y. Ooi ◽  
Nitin Gupta ◽  
...  

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