Diagnosis of reflux disease
| Autor: | M. A. Van Herwaarden, Ajpm Smout |
|---|---|
| Přispěvatelé: | University of Groningen |
| Rok vydání: | 2000 |
| Předmět: |
Diagnostic Imaging
Male medicine.medical_specialty oesophagitis 24-hour oesophageal pH monitoring proton pump inhibitor INTRAESOPHAGEAL PH Manometry medicine.drug_class Cost effectiveness acid perfusion test OMEPRAZOLE TEST Proton-pump inhibitor Context (language use) Sensitivity and Specificity Gastroenterology NONCARDIAC CHEST PAIN COST-EFFECTIVENESS Acid perfusion test 24-HOUR ESOPHAGEAL PRESSURE Internal medicine medicine Humans Hernia endoscopy SYMPTOM INDEX medicine.diagnostic_test Esophageal disease business.industry digestive oral and skin physiology Reflux PERISTALTIC DYSFUNCTION gastro-oesophageal reflux disease Hydrogen-Ion Concentration medicine.disease digestive system diseases fluoroscopy Endoscopy ENDOSCOPIC ASSESSMENT Gastroesophageal Reflux Female Esophagoscopy business |
| Zdroj: | Best practice & research in clinical gastroenterology, 14(5), 759-774. ELSEVIER SCI LTD |
| ISSN: | 1521-6918 |
| Popis: | 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 patient's 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 Radiographical examination of the oesophagus has largely been replaced by endoscopy, although the use of the former test is still indicated in certain circumstances (e.g. in the differentiation of sliding from para-oesophageal hiatus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. |
| Databáze: | OpenAIRE |
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