Gastroesophageal reflux disease other diagnostic studies: Difference between revisions
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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== |
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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
- ↑ 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) - ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.