PMID: 3749799Jun 1, 1986Paper

The role of shorter than 24-h pH monitoring periods in the diagnosis of gastro-oesophageal reflux

Scandinavian Journal of Gastroenterology
T RokkasG E Sladen

Abstract

We studied 20 patients with typical symptoms of gastro-oesophageal reflux, to determine whether the diagnostic accuracy of 24-h pH monitoring might be retained in a test using a shorter time. The duration and number of reflux episodes were used to calculate a frequency and duration score (FDS) for the 24-h period, the daytime period, the nighttime period, a 3-h postprandial period after eating a test meal (provocation test), and a 21-h period that excluded this 3-h postprandial period. The daytime FDS was significantly higher than nighttime FDS (p less than 0.02), and there was good correlation between the 21-h FDS and the 3-h postprandial FDS (rs = 0.695; p less than 0.01). We conclude that the 3-h postprandial testing after a standard meal provocation test is a practical, accurate, and well-tolerated method of diagnosing gastro-oesophageal reflux. The results also demonstrated the relative importance of daytime as opposed to nocturnal reflux in producing symptoms and oesophagitis.

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Citations

Sep 21, 2000·Early Human Development·M Page, H Jeffery
Sep 21, 2006·Journal of Gastroenterology and Hepatology·Masahiko InamoriAtsushi Nakajima
Nov 21, 2013·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·G GourcerolP Ducrotté
Mar 1, 1996·Gastroenterology Clinics of North America·J Dent, R H Holloway
Aug 1, 1988·Scandinavian Journal of Gastroenterology·G Bianchi Porro, F Pace

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