Combined multichannel intraluminal impedance–pH monitoring to select patients with persistent gastro-oesophageal reflux for laparoscopic Nissen fundoplication

2006 ◽  
Vol 93 (12) ◽  
pp. 1483-1487 ◽  
Author(s):  
I. Mainie ◽  
R. Tutuian ◽  
A. Agrawal ◽  
D. Adams ◽  
D. O. Castell
Keyword(s):  
Nissen Fundoplication ◽  
Ph Monitoring ◽  
Laparoscopic Nissen Fundoplication ◽  
Oesophageal Reflux ◽  
Multichannel Intraluminal Impedance ◽  
Intraluminal Impedance ◽  
Laparoscopic Nissen ◽  
Multichannel Intraluminal Impedance Ph

scholarly journals The Effect of Laparoscopic Nissen Fundoplication (LNF) on Acid and Non Acid Reflux. A Prospective Evaluation at 1, 3 and 6 Months Using 24-h pH-Multichannel Intraluminal Impedance (MII-pH)

2011 ◽  
Vol 140 (5) ◽  
pp. S-1017-S-1018
Author(s):  
Antonio Ramos-De la Medina ◽  
Maura Torres-Aguilera ◽  
Maria Fernanda Gonzalez-Medina ◽  
Alberto Aviles-Calderon ◽  
Federico B. Roesch ◽  
...  
Keyword(s):  
Nissen Fundoplication ◽  
Acid Reflux ◽  
Laparoscopic Nissen Fundoplication ◽  
Prospective Evaluation ◽  
Multichannel Intraluminal Impedance ◽  
Intraluminal Impedance ◽  
Laparoscopic Nissen

The utility of multichannel intraluminal impedance‐pH testing in tailoring the management of paediatric gastro‐oesophageal reflux disease

2020 ◽  
Vol 109 (12) ◽  
pp. 2799-2807
Author(s):  
Hema Lattha Gunasagaran ◽  
Vincent Varjavandi ◽  
Daniel A. Lemberg ◽  
Chee Y. Ooi ◽  
Nitin Gupta ◽  
...  
Keyword(s):  
Reflux Disease ◽  
Oesophageal Reflux ◽  
Multichannel Intraluminal Impedance ◽  
Oesophageal Reflux Disease ◽  
Intraluminal Impedance ◽  
Multichannel Intraluminal Impedance Ph

Evaluation and Management of Laryngopharyngeal Reflux Disease: State of the Art Review

2019 ◽  
Vol 160 (5) ◽  
pp. 762-782 ◽  
Author(s):  
Jerome R. Lechien ◽  
Lee M. Akst ◽  
Abdul Latif Hamdan ◽  
Antonio Schindler ◽  
Petros D. Karkos ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Laryngopharyngeal Reflux ◽  
Ph Monitoring ◽  
Diagnosis And Treatment ◽  
Cochrane Library ◽  
Diagnostic Tools ◽  
Multichannel Intraluminal Impedance ◽  
Intraluminal Impedance ◽  
Number Of Patients ◽  
Multichannel Intraluminal Impedance Ph

Objective To review the current literature about the epidemiology, clinical presentation, diagnosis, and treatment of laryngopharyngeal reflux (LPR). Data Sources PubMed, Cochrane Library, and Scopus. Methods A comprehensive review of the literature on LPR epidemiology, clinical presentation, diagnosis, and treatment was conducted. Using the PRISMA statement, 3 authors selected relevant publications to provide a critical analysis of the literature. Conclusions The important heterogeneity across studies in LPR diagnosis continues to make it difficult to summarize a single body of thought. Controversies persist concerning epidemiology, clinical presentation, diagnosis, and treatment. No recent epidemiologic study exists regarding prevalence and incidence with the use of objective diagnostic tools. There is no survey that evaluates the prevalence of symptoms and signs on a large number of patients with confirmed LPR. Regarding diagnosis, an increasing number of authors used multichannel intraluminal impedance–pH monitoring, although there is no consensus regarding standardization of the diagnostic criteria. The efficiency of proton pump inhibitor (PPI) therapy remains poorly demonstrated and misevaluated by incomplete clinical tools that do not take into consideration many symptoms and extralaryngeal findings. Despite the recent advances in knowledge about nonacid LPR, treatment protocols based on PPIs do not seem to have evolved. Implications for Practice The development of multichannel intraluminal impedance–pH monitoring and pepsin and bile salt detection should be considered for the establishment of a multiparameter diagnostic approach. LPR treatment should evolve to a more personalized regimen, including diet, PPIs, alginate, and magaldrate according to individual patient characteristics. Multicenter international studies with a standardized protocol could improve scientific knowledge about LPR.

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