Gastro-oesophageal reflux monitoring: review and consensus report on detection and definitions of acid, non-acid, and gas reflux

Sifrim, D.; Costell, D.; Dent, J.; Kahrilas, P. J.
July 2004
Gut;Jul2004, Vol. 53 Issue 7, p1024
Academic Journal
To date, most concepts on the frequency of gastrooesophageal reflux episodes and the efficiency of the antireflux barrier have been based on inferences derived from measurement of oesophageal pH. The development of intraluminal impedance monitoring has highlighted the fact that pH monitoring does not detect all gastro-oesophageal reflux events when little or no acid is present in the refluxate, even if special pH tracing analysis criteria are used. In November 2002, a workshop took place at which 11 specialists in the field of gastro-oesophageal reflux disease discussed and criticised all currently available techniques for measurement of reflux. Here, a summary of their conclusions and recommendations of how to achieve the best results from the various techniques now available for reflux measurement is presented.


Related Articles

  • Gastro-oesophageal reflux disease. Galletly, Neil; Thillainayagam, Andrew // GP: General Practitioner;6/9/2006, p39 

    The article offers information about gastro-oesophageal reflux disease (GORD). It is one of the most frequently encountered gastrointestinal conditions in the primary care sector. GORD can affect patients in all age groups. The term GORD refers to the backflow of gastric contents into the distal...

  • Performance, Tolerability, and Symptoms Related to Prolonged pH Monitoring Using the Bravo System in Mexico. Remes-Troche, José María; Ibarra-Palomino, Jorge; Carmona-Sánchez, Ramon I.; Valdovinos, Miguel A. // American Journal of Gastroenterology;Nov2005, Vol. 100 Issue 11, p2382 

    BACKGROUND: The traditional system for esophageal 24-h pH monitoring requires transnasal introduction of the catheter with pH sensors; this technique produces discomfort, inconvenience, and interference with daily activity. Recently, a catheter-free pH monitoring system (Bravo) has been proposed...

  • Esophageal pH and Combined Impedance-pH Monitoring in Children. Myung Seok Shin // Pediatric Gastroenterology, Hepatology & Nutrition;Mar2014, Vol. 17 Issue 1, p13 

    Esophageal pH monitoring is considered the gold standard for the diagnosis of gastroesophageal reflux disease because of the normal ranges across the pediatric age range. However, this method can only detect acid reflux. Multichannel intraluminal impedance-pH (MII-pH) monitoring has recently...

  • Con: Impedance–pH Testing Does Not Commonly Alter Management of GERD. Richter, Joel E. // American Journal of Gastroenterology;Nov2009, Vol. 104 Issue 11, p2667 

    In this article the author discusses aspects of impedance-pH testing in the management of gastroesophageal reflux disease (GERD) patients. It mentions that data gathered through impedance-pH testing need critical analysis due to some limitations accompanying the system. It provides a...

  • Multichannel Intraluminal Impedance in the Evaluation of Patients With Persistent Globus on Proton Pump Inhibitor Therapy. Anandasbapathy, Sarmila; Jaffin, Barry W. // Annals of Otology, Rhinology & Laryngology;Aug2006, Vol. 115 Issue 8, p563 

    Objectives: Studies suggest an association between globus sensation ("globus") and gastroesophageal reflux. Although globus often persists despite proton pump inhibitor (PPI) therapy, the role of nonacid reflux has never been determined. Our goal as to use 24-hour multichannel intraluminal...

  • Reflux, abdominal pain, diarrhea. D'Epiro, Nancy Walsh // Patient Care;4/15/1999, Vol. 33 Issue 7, p238 

    Studies the gastrointestinal symptoms reflux, abdominal pain and diarrhea. Recommendations for diagnosis and treatment of gastroesophageal reflux disease; Common causes of acute abdominal pain; Causes of acute infectious diarrhea; Characteristics of chronic and inflammatory diarrhea; Role of...

  • Indigestion: When is it functional? Talley, Nicholas J; Nghi Phung; Kalantar, Jamshid S // BMJ: British Medical Journal (International Edition);12/1/2001, Vol. 323 Issue 7324, p1294 

    Discusses the diagnosis and treatment of dyspepsia. Various symptoms of the condition, including heartburn, abdominal pain, and acid regurgitation; Causes of dyspepsia, including gastro-esophageal reflux disease, peptic ulcers, gastric cancer, and gall stones; Pathogenesis, identification and...

  • WIND BREAK. Cole, Louise // Truck & Driver;Jan2009, p36 

    The article offers information on the implication of indigestion to a person's health in Great Britain. It is manifested as a deep discomfort in ones chest or back, characterized by a burning sensation that passes up towards the throat and accompanied by wind or sensation of bloatedness. It is...

  • Time trends of upper gastrointestinal diseases in Nigeria. Nwokediuko, Sylvester Chuks; Ijoma, Uchenna; Obienu, Olive; Picardo, Neri // Annals of Gastroenterology;Jan2012, Vol. 25, p52 

    Background The changing epidemiology of a disease often provides valuable insight into possible etiopathogenic mechanisms. There have been significant changes over the last several decades in disease manifestations of the foregut in Western Europe, North America and Asia. This time trend...


Read the Article


Sign out of this library

Other Topics