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[Combined pH measurement and multiple impedance variation assessments--validation of a new technique for detection of non-acid reflux in the esophagus]. / Kombinierte pH-Metrie und Multiple Impedanzvariometrie--Validierung eines neuen Verfahrens zur Erkennung von nichtsaurem Reflux in der Speiseröhre.
Dreuw, B; Fass, J; Büchin, P; Silny, J; Rau, G; Schumpelick, V.
Afiliación
  • Dreuw B; Chirurgische Klinik, Universitätsklinikum, RWTH-Aachen.
Article en De | MEDLINE | ID: mdl-9931817
In 10 patients with gastroesophageal reflux disease, defective lower esophageal sphincter and normal motility pH and impedance were measured parallel over 24 hours. All patients had a reflux score > 40 with a total of 736 reflux episodes registered by the pH metry of which 724 (sensitivity: 98.9%) were recognized by impedancemetry and with additional 292 reflux phases registered at a stomach pH > 4 by the impedancemetry of which none was recognized by the pH metry as a reflux of pH > 7. With the multiple impedancemetry a reliable recognition of gastroesophageal reflux is possible, independently of the pH and this makes it possible to recognize gastroesophageal reflux also at a non acid milieu of the stomach, e.g. under acid suppression medication or after stomach resection.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reflujo Gastroesofágico / Impedancia Eléctrica / Determinación de la Acidez Gástrica / Monitoreo Fisiológico Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: De Revista: Langenbecks Arch Chir Suppl Kongressbd Año: 1998 Tipo del documento: Article Pais de publicación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reflujo Gastroesofágico / Impedancia Eléctrica / Determinación de la Acidez Gástrica / Monitoreo Fisiológico Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: De Revista: Langenbecks Arch Chir Suppl Kongressbd Año: 1998 Tipo del documento: Article Pais de publicación: Alemania