Association of symptoms with acid reflux during esophageal pH monitoring

1994 ◽  
Vol 39 (7) ◽  
pp. 1593-1594 ◽  
Author(s):  
Brian T. Johnston ◽  
Neil McDougall ◽  
John S. A. Collins ◽  
R. James McFarland ◽  
Andrew H. G. Love
Keyword(s):  
Ph Monitoring ◽  
Acid Reflux ◽  
Esophageal Ph Monitoring ◽  
Esophageal Ph

scholarly journals Use of 24 h Esophageal pH Monitoring to Demonstrate Alkaline Reflux as a Complication of Gastric Bypass Surgery

1994 ◽  
Vol 8 (6) ◽  
pp. 395-397
Author(s):  
J Patrick Shoenut ◽  
Rudy G Danzinger
Keyword(s):  
Bypass Surgery ◽  
Ph Monitoring ◽  
Surgical Complication ◽  
Gastric Bypass Surgery ◽  
Acid Reflux ◽  
Esophageal Ph Monitoring ◽  
Barium Swallow ◽  
Esophageal Ph ◽  
Nocturnal Cough ◽  
Alkaline Reflux

A 35-year-old female who had previously undergone a gastric stapling procedure for morbid obesity presented with a persistent nocturnal cough that was treated over a three-year period as a gastric acid reflux complication of the bypass surgery. A barium swallow demonstrated gastroesophageal reflux, but the symptoms did not resolve after treatment with omeprazole and cisapride. Twenty-four hour esophageal pH monitoring subsequently found alkaline reflux in excess of 17% of the total time, with no acid reflux demonstrated. Surgical revision of the bypass Leaving the hiatus alone corrected the reflux complication and the symptoms resolved without further treatment. The diagnostic capability of pH monitoring is illustrated in a patient with an unusual surgical complication.

The importance of acid reflux patterns in neurologically damaged children detected by four-channel esophageal pH monitoring

1988 ◽  
Vol 23 (6) ◽  
pp. 573-576 ◽  
Author(s):  
Mitchell N. Ross ◽  
Gerald M. Haase ◽  
Thomas T. Reiley ◽  
David P. Meagher
Keyword(s):  
Ph Monitoring ◽  
Acid Reflux ◽  
Esophageal Ph Monitoring ◽  
Esophageal Ph

Extended four-channel esophageal pH monitoring: The importance of acid reflux patterns at the middle and proximal levels

1988 ◽  
Vol 23 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Gerald M. Haase ◽  
Mitchell N. Ross ◽  
Bonnie Gance-Cleveland ◽  
Kathi E. Kolack
Keyword(s):  
Ph Monitoring ◽  
Acid Reflux ◽  
Esophageal Ph Monitoring ◽  
Esophageal Ph

scholarly journals Comparative study of two modes of gastroesophageal reflux measuring: conventional esophageal pH monitoring and wireless pH monitoring

2012 ◽  
Vol 49 (2) ◽  
pp. 107-112 ◽  
Author(s):  
Rimon Sobhi Azzam ◽  
Rubens A. A. Sallum ◽  
Jeovana Ferreira Brandão ◽  
Tomás Navarro-Rodriguez ◽  
Ary Nasi
Keyword(s):  
Gastroesophageal Reflux ◽  
Clinical Symptoms ◽  
Ph Monitoring ◽  
Initial Period ◽  
Acid Reflux ◽  
Esophageal Ph Monitoring ◽  
Symptom Index ◽  
Reflux Time ◽  
Esophageal Ph ◽  
Technical Failures

CONTEXT: Esophageal pH monitoring is considered to be the gold standard for the diagnosis of gastroesophageal acid reflux. However, this method is very troublesome and considerably limits the patient's routine activities. Wireless pH monitoring was developed to avoid these restrictions. OBJECTIVE: To compare the first 24 hours of the conventional and wireless pH monitoring, positioned 3 cm above the lower esophageal sphincter, in relation to: the occurrence of relevant technical failures, the ability to detect reflux and the ability to correlate the clinical symptoms to reflux. METHODS: Twenty-five patients referred for esophageal pH monitoring and with typical symptoms of gastroesophageal reflux disease were studied prospectively, underwent clinical interview, endoscopy, esophageal manometry and were submitted, with a simultaneous initial period, to 24-hour catheter pH monitoring and 48-hour wireless pH monitoring. RESULTS: Early capsule detachment occurred in one (4%) case and there were no technical failures with the catheter pH monitoring (P = 0.463). Percentages of reflux time (total, upright and supine) were higher with the wireless pH monitoring (P < 0.05). Pathological gastroesophageal reflux occurred in 16 (64%) patients submitted to catheter and in 19 (76%) to the capsule (P = 0.355). The symptom index was positive in 12 (48%) patients with catheter pH monitoring and in 13 (52%) with wireless pH monitoring (P = 0.777). CONCLUSIONS: 1) No significant differences were reported between the two methods of pH monitoring (capsule vs catheter), in regard to relevant technical failures; 2) Wireless pH monitoring detected higher percentages of reflux time than the conventional pH-metry; 3) The two methods of pH monitoring were comparable in diagnosis of pathological gastroesophageal reflux and comparable in correlating the clinical symptoms with the gastroesophageal reflux.

Ambulatory 24-Hour Esophageal pH Monitoring

1986 ◽  
Vol 8 ◽  
pp. 59-67 ◽  
Author(s):  
Hurt W. Ward ◽  
Wallace C. Wu ◽  
Joel E. Richter ◽  
Kin W. Lui ◽  
Donald O. Castell
Keyword(s):  
Ph Monitoring ◽  
Esophageal Ph Monitoring ◽  
Esophageal Ph
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