24-hour esophageal multichannel intraluminal impedance and pH monitoring.
Nihon Rinsho
; 74(8): 1285-1292, 2016 08.
Article
em Ja
| MEDLINE
| ID: mdl-30562430
ABSTRACT
Monitoring of esophageal impedance is a technique for determining the physical characteris- tics (liquid, gas, or mixed) of refluxate, while impedance monitoring combined with pH recording makes it possible to assess the acidity of reflux(acid or non-acid). Assessment is usually performed by the total acid exposure time (%time pH< 4) and symptom-reflux asso- ciations including acidic and non-acidic reflux. This monitoring is quite useful for evaluation of proton pump inhibitor-resistant gastroesophageal reflux disease or non-erosive reflux disease. When normal acid exposure time and significant symptom-reflux associations are observed, a patient should be diagnosed as having hypersensitive esophagus. When normal acid exposure time and no significant symptom-reflux associations are observed, a patient should be diagnosed as having functional heartburn. Therefore, the result makes it possible to decide treatment strategy.
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Base de dados:
MEDLINE
Assunto principal:
Esofagite Péptica
/
Refluxo Gastroesofágico
/
Monitoramento do pH Esofágico
Limite:
Humans
Idioma:
Ja
Ano de publicação:
2016
Tipo de documento:
Article