Diagnostic value of the dual channel esophageal pH-metry in supraesophageal manifestations of gastroesophageal reflux disease

2008 ◽  
Vol 46 (05) ◽  
Author(s):  
R Róka ◽  
A Rosztóczy ◽  
M Bencze ◽  
F Izbéki ◽  
K Vadászi ◽  
...  
2019 ◽  
Vol 70 (7) ◽  
pp. 2668-2670
Author(s):  
Alina Mihaela Elisei ◽  
Dana Tutunaru ◽  
Camelia Ana Grigore ◽  
Ciprian Adrian Dinu ◽  
Laura Florescu ◽  
...  

Analysis of esophageal pH is useful and recommended by specialists when the gastroesophageal reflux disease does not show specific symptoms such as chest pain or burnings, but a form of asthma and chronic cough. The investigation is performed after a mild anesthesia, inserting a thin and flexible catheter in the patient�s nostril; it reaches the esophagus, particularly the esophageal sphincter that connects the stomach to the esophagus. The catheter has a sensor that monitors the acidity level, the number of reflux episodes, their duration and the part of the esophagus reached by the acid in the stomach. Gastroesophageal reflux disease is frequently met in pediatric practice, rooting in the intrauterine life, a physiologic phenomenon in infants during the first semester of life.


Medicine ◽  
2018 ◽  
Vol 97 (37) ◽  
pp. e12042 ◽  
Author(s):  
Vasile Valeriu Lupu ◽  
Marin Burlea ◽  
Nicolai Nistor ◽  
Violeta Streanga ◽  
Magdalena Iuliana Starcea ◽  
...  

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Elena-Roxana Săraru ◽  
Vlad Enciu ◽  
Razvan Peagu ◽  
Carmen Fierbinţeanu-Braticevici

AbstractGastroesophageal reflux disease (GERD) is considered one of the most frequent chronic gastrointestinal diseases globally with high costs due to treatment and investigations.First line therapy is with proton pump inhibitors, those who do not respond to initial treatment usually require further investigations such as upper gastrointestinal endoscopy or ambulatory 24-hours esophageal pH monitoring. The total time of exposure to acid and the DeMeester score represent the most useful parameters associated with conventional pH-metry, because they can identify gastroesophageal reflux disease.Although pH-metry is considered the gold standard for the evaluation of gastroesophageal reflux disease, new impedance-based parameters have been introduced in recent years with the role of increasing the accuracy of diagnosing gastroesophageal reflux disease and characterizing the type of reflux. The development of multichannel intraluminal pH-impedance has improved the ability to detect and quantify gastroesophageal reflux. New parameters such as post-reflux swallowing peristaltic wave (PSPW) index and the mean nocturnal basal impedance (MNBI) have recently been introduced to assess GERD phenotypes more accurately. This review evaluates current GERD diagnotic tools while also taking a brief look at newer diagnostic parameters like PSPW and MNBI.


2014 ◽  
Vol 99 (Suppl 2) ◽  
pp. A289.3-A289
Author(s):  
V Lupu ◽  
G Paduraru ◽  
A Ignat ◽  
G Ciubotariu ◽  
S Diaconescu ◽  
...  

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