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Does DeMeester score still define GERD?
Neto, R M L; Herbella, F A M; Schlottmann, F; Patti, M G.
Afiliação
  • Neto RML; Department of Surgery, Escola Paulista de Medicina, São Paulo, Brazil.
  • Herbella FAM; Department of Surgery, Escola Paulista de Medicina, São Paulo, Brazil.
  • Schlottmann F; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, USA.
  • Patti MG; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Dis Esophagus ; 32(5)2019 May 01.
Article em En | MEDLINE | ID: mdl-30561585
Gastroesophageal reflux disease (GERD) clinical presentation may encompass a myriad of symptoms that may mimic other esophageal and extra-esophageal diseases. Thus, GERD diagnosis by symptoms only may be inaccurate. Upper digestive endoscopy and barium esophagram may also be misleading. pH monitoring must be added often for a definitive diagnosis. The DeMeester score (DMS) is a composite score of the acid exposure during a prolonged ambulatory pH monitoring that has been used since 1970s to categorize patients as GERD+ or GERD-. We showed in this review that DMS has some limitations and strengths. Although there is not a single instrument to precisely diagnose GERD in all of its variances, pH monitoring analyzed at the light of DMS is still a reliable method for scientific purposes as well as for clinical decision making. There are no data that show that acid exposure time is superior-or for that matter inferior-as compared to DMS.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refluxo Gastroesofágico / Monitoramento do pH Esofágico Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: Dis Esophagus Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refluxo Gastroesofágico / Monitoramento do pH Esofágico Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: Dis Esophagus Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos