Implementation of new parameters in 24-hour pH monitoring andimpedance
24-hour oesophageal multichannel impedance and pH monitoring is the gold standard in the diagnostic process of gastroesophageal reflux disease. Together with oesophagogastroduodenoscopy, it enables to distinguish different kinds of this disease and implement appropriate treatment. Recently, tha...
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| Format: | Article |
| Language: | English |
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Medical Communications Sp. z o.o.
2016-09-01
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| Series: | Pediatria i Medycyna Rodzinna |
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| Online Access: | http://www.pimr.pl/index.php/issues/2016-vol-12-no-3/implementation-of-new-parameters-in-24-hour-ph-monitoring-and-impedance?aid=970 |
| _version_ | 1818051158926688256 |
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| author | Karolina Korszun Przemysław Dyrla Jerzy Gil |
| author_facet | Karolina Korszun Przemysław Dyrla Jerzy Gil |
| author_sort | Karolina Korszun |
| collection | DOAJ |
| description | 24-hour oesophageal multichannel impedance and pH monitoring is the gold standard in the diagnostic process
of gastroesophageal reflux disease. Together with oesophagogastroduodenoscopy, it enables to distinguish different kinds of this disease and implement appropriate treatment. Recently, thanks to impedance, it was attempted to evaluate new parameters that could be helpful in diagnosis of gastroesophageal reflux disease and its differentiation from functional heartburn. One of these parameters is baseline impedance. It is measured when no swallows and refluxes occur in the oesophagus, i.e. when the oesophageal wall stays still. Postreflux swallow-induced peristaltic wave (PSPW) index is another parameter measured
in 24-hour oesophageal multichannel intraluminal impedance and pH-monitoring. It is a quotient of the number of reflux
episodes with postreflux swallow-induced peristaltic wave and the total number of reflux episodes. It was proven that baseline
impedance and postreflux swallow-induced peristaltic wave index are correlated with oesophageal mucosa integrity.
Values of these parameters differ in healthy volunteers, patients with functional heartburn as well as with erosive and nonerosive
gastroesophageal reflux disease. They may be useful in the diagnosis, but also in making decisions about
pharmacological or surgical treatment. These parameters are not evaluated during 24-hour oesophageal multichannel
impedance and pH-monitoring on a routine basis. Since the available studies have been carried out on small groups
of patients, there is a need for further investigation to assess the diagnostic value of baseline impedance and PSPW. |
| first_indexed | 2024-12-10T11:04:56Z |
| format | Article |
| id | doaj.art-7f8db5406dd6480186d2f4da91ccb5b7 |
| institution | Directory Open Access Journal |
| issn | 1734-1531 2451-0742 |
| language | English |
| last_indexed | 2024-12-10T11:04:56Z |
| publishDate | 2016-09-01 |
| publisher | Medical Communications Sp. z o.o. |
| record_format | Article |
| series | Pediatria i Medycyna Rodzinna |
| spelling | doaj.art-7f8db5406dd6480186d2f4da91ccb5b72022-12-22T01:51:36ZengMedical Communications Sp. z o.o.Pediatria i Medycyna Rodzinna1734-15312451-07422016-09-0112425626310.15557/PiMR.2016.0026Implementation of new parameters in 24-hour pH monitoring andimpedanceKarolina Korszun0Przemysław Dyrla1Jerzy Gil2Department of Gastroenterology, Military Institute of Medicine, Warsaw, PolandDepartment of Gastroenterology, Military Institute of Medicine, Warsaw, PolandDepartment of Gastroenterology, Military Institute of Medicine, Warsaw, Poland24-hour oesophageal multichannel impedance and pH monitoring is the gold standard in the diagnostic process of gastroesophageal reflux disease. Together with oesophagogastroduodenoscopy, it enables to distinguish different kinds of this disease and implement appropriate treatment. Recently, thanks to impedance, it was attempted to evaluate new parameters that could be helpful in diagnosis of gastroesophageal reflux disease and its differentiation from functional heartburn. One of these parameters is baseline impedance. It is measured when no swallows and refluxes occur in the oesophagus, i.e. when the oesophageal wall stays still. Postreflux swallow-induced peristaltic wave (PSPW) index is another parameter measured in 24-hour oesophageal multichannel intraluminal impedance and pH-monitoring. It is a quotient of the number of reflux episodes with postreflux swallow-induced peristaltic wave and the total number of reflux episodes. It was proven that baseline impedance and postreflux swallow-induced peristaltic wave index are correlated with oesophageal mucosa integrity. Values of these parameters differ in healthy volunteers, patients with functional heartburn as well as with erosive and nonerosive gastroesophageal reflux disease. They may be useful in the diagnosis, but also in making decisions about pharmacological or surgical treatment. These parameters are not evaluated during 24-hour oesophageal multichannel impedance and pH-monitoring on a routine basis. Since the available studies have been carried out on small groups of patients, there is a need for further investigation to assess the diagnostic value of baseline impedance and PSPW.http://www.pimr.pl/index.php/issues/2016-vol-12-no-3/implementation-of-new-parameters-in-24-hour-ph-monitoring-and-impedance?aid=970gastroesophageal reflux diseaserefluxbaseline impedancepostreflux swallow-induced peristaltic wave |
| spellingShingle | Karolina Korszun Przemysław Dyrla Jerzy Gil Implementation of new parameters in 24-hour pH monitoring andimpedance Pediatria i Medycyna Rodzinna gastroesophageal reflux disease reflux baseline impedance postreflux swallow-induced peristaltic wave |
| title | Implementation of new parameters in 24-hour pH monitoring andimpedance |
| title_full | Implementation of new parameters in 24-hour pH monitoring andimpedance |
| title_fullStr | Implementation of new parameters in 24-hour pH monitoring andimpedance |
| title_full_unstemmed | Implementation of new parameters in 24-hour pH monitoring andimpedance |
| title_short | Implementation of new parameters in 24-hour pH monitoring andimpedance |
| title_sort | implementation of new parameters in 24 hour ph monitoring andimpedance |
| topic | gastroesophageal reflux disease reflux baseline impedance postreflux swallow-induced peristaltic wave |
| url | http://www.pimr.pl/index.php/issues/2016-vol-12-no-3/implementation-of-new-parameters-in-24-hour-ph-monitoring-and-impedance?aid=970 |
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