Esophageal-reflux monitoring

John E. Pandolfino*, Marcelo F. Vela

*Corresponding author for this work

Research output: Contribution to journalReview article

91 Scopus citations

Abstract

Esophageal-reflux monitoring can be very helpful in the evaluation and management of GERD if one understands the strengths and limitations of the available technologies. Each specific device can provide the practicing clinician with important information regarding the presence of abnormal reflux and whether or not there is a consistent relationship between reflux events and symptoms. Choosing the right test and the right setting (off or on medication) relies heavily on the pretest probability of GERD and the question that needs to be answered. However, even this is not straightforward, and occasionally a test may need to be repeated under a different circumstance or to look for a different outcome measurement (nonacid reflux). Given these unclear issues, reflux testing should be performed with some degree of flexibility, and a single test or technology may not be enough to satisfy all of our needs. Thus, one should use reflux monitoring to support management decisions but should never rely solely on this technology to make a clinical decision.

Original languageEnglish (US)
Pages (from-to)917-930.e1
JournalGastrointestinal endoscopy
Volume69
Issue number4
DOIs
StatePublished - Apr 2009

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Fingerprint Dive into the research topics of 'Esophageal-reflux monitoring'. Together they form a unique fingerprint.

Cite this