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==Other Diagnostic Studies==
==Other Diagnostic Studies==
Other tests that may help include the Bernstein test (acid perfusion test).<ref name="pmid1864528">{{cite journal| author=Howard PJ, Maher L, Pryde A, Heading RC| title=Symptomatic gastro-oesophageal reflux, abnormal oesophageal acid exposure, and mucosal acid sensitivity are three separate, though related, aspects of gastro-oesophageal reflux disease. | journal=Gut | year= 1991 | volume= 32 | issue= 2 | pages= 128-32 | pmid=1864528 | doi= | pmc=1378792 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1864528  }} </ref><ref name="pmid2307075">{{cite journal| author=Hewson EG, Dalton CB, Richter JE| title=Comparison of esophageal manometry, provocative testing, and ambulatory monitoring in patients with unexplained chest pain. | journal=Dig Dis Sci | year= 1990 | volume= 35 | issue= 3 | pages= 302-9 | pmid=2307075 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2307075  }} </ref>
Other tests that may help include:
* 48 hour esophageal pH and symptom association probability (SAP)<ref name="pmid20551454">{{cite journal| author=Dent J, Vakil N, Jones R, Bytzer P, Schöning U, Halling K et al.| title=Accuracy of the diagnosis of GORD by questionnaire, physicians and a trial of proton pump inhibitor treatment: the Diamond Study. | journal=Gut | year= 2010 | volume= 59 | issue= 6 | pages= 714-21 | pmid=20551454 | doi=10.1136/gut.2009.200063 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20551454  }} </ref>
* Bernstein test (acid perfusion test).<ref name="pmid1864528">{{cite journal| author=Howard PJ, Maher L, Pryde A, Heading RC| title=Symptomatic gastro-oesophageal reflux, abnormal oesophageal acid exposure, and mucosal acid sensitivity are three separate, though related, aspects of gastro-oesophageal reflux disease. | journal=Gut | year= 1991 | volume= 32 | issue= 2 | pages= 128-32 | pmid=1864528 | doi= | pmc=1378792 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1864528  }} </ref><ref name="pmid2307075">{{cite journal| author=Hewson EG, Dalton CB, Richter JE| title=Comparison of esophageal manometry, provocative testing, and ambulatory monitoring in patients with unexplained chest pain. | journal=Dig Dis Sci | year= 1990 | volume= 35 | issue= 3 | pages= 302-9 | pmid=2307075 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2307075  }} </ref>


==References==
==References==

Revision as of 15:36, 1 December 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Esophagogastroduodenoscopy

Clinical practice guidelines recommend esophagogastroduodenoscopy if:[1]

  • Alarm symptoms
  • Persistence of symptoms after treatment
  • Barret's esophagus

However, espophagisitis may be found in asymptomatic patients.[2][3]

Other Diagnostic Studies

Other tests that may help include:

  • 48 hour esophageal pH and symptom association probability (SAP)[4]
  • Bernstein test (acid perfusion test).[5][6]

References

  1. Shaheen, Nicholas J. (2012-12-04). "Upper Endoscopy for Gastroesophageal Reflux Disease: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians". Annals of Internal Medicine. 157 (11): 808–816. doi:10.7326/0003-4819-157-11-201212040-00008. ISSN 0003-4819. Retrieved 2012-12-04. Unknown parameter |coauthors= ignored (help)
  2. Williams B, Luckas M, Ellingham JH, Dain A, Wicks AC (1988). "Do young patients with dyspepsia need investigation?". Lancet. 2 (8624): 1349–51. PMID 2904061.
  3. Johnsen R, Bernersen B, Straume B, Førde OH, Bostad L, Burhol PG (1991). "Prevalences of endoscopic and histological findings in subjects with and without dyspepsia". BMJ. 302 (6779): 749–52. PMC 1669538. PMID 2021764.
  4. Dent J, Vakil N, Jones R, Bytzer P, Schöning U, Halling K; et al. (2010). "Accuracy of the diagnosis of GORD by questionnaire, physicians and a trial of proton pump inhibitor treatment: the Diamond Study". Gut. 59 (6): 714–21. doi:10.1136/gut.2009.200063. PMID 20551454.
  5. Howard PJ, Maher L, Pryde A, Heading RC (1991). "Symptomatic gastro-oesophageal reflux, abnormal oesophageal acid exposure, and mucosal acid sensitivity are three separate, though related, aspects of gastro-oesophageal reflux disease". Gut. 32 (2): 128–32. PMC 1378792. PMID 1864528.
  6. Hewson EG, Dalton CB, Richter JE (1990). "Comparison of esophageal manometry, provocative testing, and ambulatory monitoring in patients with unexplained chest pain". Dig Dis Sci. 35 (3): 302–9. PMID 2307075.

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