GERD Investigations & DIfferentials PDF
| Title | GERD Investigations & DIfferentials |
|---|---|
| Course | Medicine |
| Institution | Queen's University Belfast |
| Pages | 2 |
| File Size | 128.8 KB |
| File Type | |
| Total Downloads | 55 |
| Total Views | 121 |
Summary
GERD Investigations & DIfferentials ...
Description
Investigations The clinical diagnosis can usually be made without investigation. Unless there are alarm signs, especially dysphagia, patients under the age of 45 years can safely be treated initially without investigations. If investigation is required, there are two aims: ·
Assess oesophagitis and hiatal hernia by endoscopy. If there is oesophagitis or Barrett’s oesophagus, reflux is confirmed.
·
Document reflux by intraluminal monitoring . 24-hour intraluminal pH monitoring or impedance combined with manometry is helpful if there is no response to PPI and should always be performed to confirm reflux before surgery. Excessive reflux is defined as a pH 4% of the time. There should also be a good correlation between reflux (pH...
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