ACG practice guidelines

Esophageal reflux testing

Ikuo Hirano, Joel E. Richter, Ronnie Fass, Darren S. Baroni, David E. Bernstein, Adil E. Bharucha, William R. Brugge, Lin Chang, William Chey, Matthew E. Cohen, John T. Cunningham, Steven A. Edmundowicz, John M. Inadomi, Timothy R. Koch, Ece A. Mutlu, Henry P. Parkman, Charlene Prather, Daniel S. Pratt, Albert C. Roach, Richard E. Sampliner & 5 others Subbaramiah Sridhar, Nimish Vakil, Miguel A. Valdovinos, Benjamin C.Y. Wong, Alvin M. Zfass

Research output: Contribution to journalReview article

256 Citations (Scopus)

Abstract

Investigations and technical advances have enhanced our understanding and management of gastroesophageal reflux disease. The recognition of the prevalence and importance of patients with endoscopy-negative reflux disease as well as those refractory to proton pump inhibitor therapy have led to an increasing need for objective tests of esophageal reflux. Guidelines for esophageal reflux testing are developed under the auspices of the American College of Gastroenterology and its Practice Parameters Committee and approved by the Board of Trustees. Issues regarding the utilization of conventional, catheter-based pH monitoring are discussed. Improvements in the interpretation of esophageal pH recordings through the use of symptom-reflux association analyses as well as limitations gleaned from recent studies are reviewed. The clinical utility of pH recordings in the proximal esophagus and stomach is examined. Newly introduced techniques of duodenogastroesophageal reflux, wireless pH capsule monitoring and esophageal impedance testing are assessed and put into the context of traditional methodology. Finally, recommendations on the clinical applications of esophageal reflux testing are presented.

Original languageEnglish (US)
Pages (from-to)668-685
Number of pages18
JournalAmerican Journal of Gastroenterology
Volume102
Issue number3
DOIs
StatePublished - Mar 1 2007

Fingerprint

Gastroesophageal Reflux
Practice Guidelines
Esophageal pH Monitoring
Trustees
Proton Pump Inhibitors
Electric Impedance
Esophagus
Endoscopy
Capsules
Stomach
Catheters
Guidelines
Therapeutics

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Hirano, I., Richter, J. E., Fass, R., Baroni, D. S., Bernstein, D. E., Bharucha, A. E., ... Zfass, A. M. (2007). ACG practice guidelines: Esophageal reflux testing. American Journal of Gastroenterology, 102(3), 668-685. https://doi.org/10.1111/j.1572-0241.2006.00936.x

ACG practice guidelines : Esophageal reflux testing. / Hirano, Ikuo; Richter, Joel E.; Fass, Ronnie; Baroni, Darren S.; Bernstein, David E.; Bharucha, Adil E.; Brugge, William R.; Chang, Lin; Chey, William; Cohen, Matthew E.; Cunningham, John T.; Edmundowicz, Steven A.; Inadomi, John M.; Koch, Timothy R.; Mutlu, Ece A.; Parkman, Henry P.; Prather, Charlene; Pratt, Daniel S.; Roach, Albert C.; Sampliner, Richard E.; Sridhar, Subbaramiah; Vakil, Nimish; Valdovinos, Miguel A.; Wong, Benjamin C.Y.; Zfass, Alvin M.

In: American Journal of Gastroenterology, Vol. 102, No. 3, 01.03.2007, p. 668-685.

Research output: Contribution to journalReview article

Hirano, I, Richter, JE, Fass, R, Baroni, DS, Bernstein, DE, Bharucha, AE, Brugge, WR, Chang, L, Chey, W, Cohen, ME, Cunningham, JT, Edmundowicz, SA, Inadomi, JM, Koch, TR, Mutlu, EA, Parkman, HP, Prather, C, Pratt, DS, Roach, AC, Sampliner, RE, Sridhar, S, Vakil, N, Valdovinos, MA, Wong, BCY & Zfass, AM 2007, 'ACG practice guidelines: Esophageal reflux testing', American Journal of Gastroenterology, vol. 102, no. 3, pp. 668-685. https://doi.org/10.1111/j.1572-0241.2006.00936.x
Hirano I, Richter JE, Fass R, Baroni DS, Bernstein DE, Bharucha AE et al. ACG practice guidelines: Esophageal reflux testing. American Journal of Gastroenterology. 2007 Mar 1;102(3):668-685. https://doi.org/10.1111/j.1572-0241.2006.00936.x
Hirano, Ikuo ; Richter, Joel E. ; Fass, Ronnie ; Baroni, Darren S. ; Bernstein, David E. ; Bharucha, Adil E. ; Brugge, William R. ; Chang, Lin ; Chey, William ; Cohen, Matthew E. ; Cunningham, John T. ; Edmundowicz, Steven A. ; Inadomi, John M. ; Koch, Timothy R. ; Mutlu, Ece A. ; Parkman, Henry P. ; Prather, Charlene ; Pratt, Daniel S. ; Roach, Albert C. ; Sampliner, Richard E. ; Sridhar, Subbaramiah ; Vakil, Nimish ; Valdovinos, Miguel A. ; Wong, Benjamin C.Y. ; Zfass, Alvin M. / ACG practice guidelines : Esophageal reflux testing. In: American Journal of Gastroenterology. 2007 ; Vol. 102, No. 3. pp. 668-685.
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