Barrett's esophagus laboratory findings: Difference between revisions
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==Overview== | ==Overview== | ||
Laboratory findings consistent with diagnosis of Barrett's esophagus is the presence of acidic reflux in [[Esophagus|the esophagus]] through the ambulatory [[reflux]] monitoring. | |||
Laboratory findings consistent with the | |||
[ | |||
==Laboratory Findings== | ==Laboratory Findings== | ||
===Ambulatory reflux monitoring=== | |||
* | *Barrett's esophagus is mostly suggestive clinically by the presenting typical symptoms which include [[heartburn]], [[regurgitation]], and [[dysphagia]]. | ||
*Correlation of the GERD symptoms with confirmed [[acid]] presence by the ambulatory [[reflux]] monitoring is strongly suggestive of Barrett's esophagus. | |||
* | *Ambulatory reflux monitoring is recommended by the American College of Gastroenterology (ACG) as the only laboratory test to determine the presence of acidic reflux in [[Esophagus|the esophagus]].<ref name="pmid23419381">{{cite journal| author=Katz PO, Gerson LB, Vela MF| title=Guidelines for the diagnosis and management of gastroesophageal reflux disease. | journal=Am J Gastroenterol | year= 2013 | volume= 108 | issue= 3 | pages= 308-28; quiz 329 | pmid=23419381 | doi=10.1038/ajg.2012.444 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23419381 }}</ref> | ||
*[ | * Indications of ambulatory reflux monitoring include the following:<ref name="pmid234193812">{{cite journal| author=Katz PO, Gerson LB, Vela MF| title=Guidelines for the diagnosis and management of gastroesophageal reflux disease. | journal=Am J Gastroenterol | year= 2013 | volume= 108 | issue= 3 | pages= 308-28; quiz 329 | pmid=23419381 | doi=10.1038/ajg.2012.444 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23419381 }}</ref> | ||
* | ** GERD diagnosis if it is not confirmed | ||
** | ** Determine the time of reflux occurrence | ||
** | ** Refractory GERD symptoms | ||
** | ** Preoperative for non-erosive disease | ||
* Ambulatory reflux monitoring is performed in either two ways which include: | |||
* | ** Telemetry capsule (48 hours monitoring) | ||
** Transnasal catheter (24 hours monitoring) | |||
==References== | ==References== | ||
Revision as of 17:40, 4 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Laboratory findings consistent with diagnosis of Barrett's esophagus is the presence of acidic reflux in the esophagus through the ambulatory reflux monitoring.
Laboratory Findings
Ambulatory reflux monitoring
- Barrett's esophagus is mostly suggestive clinically by the presenting typical symptoms which include heartburn, regurgitation, and dysphagia.
- Correlation of the GERD symptoms with confirmed acid presence by the ambulatory reflux monitoring is strongly suggestive of Barrett's esophagus.
- Ambulatory reflux monitoring is recommended by the American College of Gastroenterology (ACG) as the only laboratory test to determine the presence of acidic reflux in the esophagus.[1]
- Indications of ambulatory reflux monitoring include the following:[2]
- GERD diagnosis if it is not confirmed
- Determine the time of reflux occurrence
- Refractory GERD symptoms
- Preoperative for non-erosive disease
- Ambulatory reflux monitoring is performed in either two ways which include:
- Telemetry capsule (48 hours monitoring)
- Transnasal catheter (24 hours monitoring)
References
- ↑ Katz PO, Gerson LB, Vela MF (2013). "Guidelines for the diagnosis and management of gastroesophageal reflux disease". Am J Gastroenterol. 108 (3): 308–28, quiz 329. doi:10.1038/ajg.2012.444. PMID 23419381.
- ↑ Katz PO, Gerson LB, Vela MF (2013). "Guidelines for the diagnosis and management of gastroesophageal reflux disease". Am J Gastroenterol. 108 (3): 308–28, quiz 329. doi:10.1038/ajg.2012.444. PMID 23419381.