Title of article :
Diagnosis of reflux disease
Author/Authors :
Margot A. van Herwaarden، نويسنده , , André J. P. M. Smout، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2000
Abstract :
There are numerous tests for which a diagnostic value in the context of gastro-oesophageal reflux disease has been claimed. Some of these tests (e.g. the acid perfusion test) have become obsolete after the advent of 24-hour oesophageal pH monitoring. With the latter test not only can excessive reflux be identified, but also, and more importantly, a temporal relationship can be demonstrated between a patientʹs symptoms and reflux episodes. Radiographical examination of the oesophagus has largely been replaced by endoscopy, although the use of the former test is still indicated in certain circumstances (e.g. in the differentiation of sliding from para-oesophageal hiatus hernia). In clinical practice, the so-called proton pump inhibitor test has gained considerable popularity. Despite several studies on the specificity and sensitivity of this test, its value has not yet been established with sufficient accuracy. Conventional manometric evaluation of lower oesophageal sphincter pressure has been over-emphasized as a diagnostic test in gastro-oesophageal reflux disease.
Keywords :
endoscopy , gastro-oesophageal re¯ux disease , proton pump inhibitor , oesophagitis , 24-hour oesophageal pH monitor-ing , ¯uoroscopy , acid perfusion test , manometry.
Journal title :
Best Practice and Research Clinical Gastroenterology
Journal title :
Best Practice and Research Clinical Gastroenterology