Combined Multichannel Intraluminal Impedance and pH Esophageal Testing Compared to pH Alone for Diagnosing Both Acid and Weakly Acidic Gastroesophageal.

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Presentation transcript:

Combined Multichannel Intraluminal Impedance and pH Esophageal Testing Compared to pH Alone for Diagnosing Both Acid and Weakly Acidic Gastroesophageal Reflux  Amine Hila, Amit Agrawal, Donald O. Castell  Clinical Gastroenterology and Hepatology  Volume 5, Issue 2, Pages 172-177 (February 2007) DOI: 10.1016/j.cgh.2006.11.015 Copyright © 2007 AGA Institute Terms and Conditions

Figure 1 (A) An MII-pH–detected acid reflux episode. (B) An MII-pH–detected WAR episode. (C) An MII-pH–detected nonacid reflux episode. Clinical Gastroenterology and Hepatology 2007 5, 172-177DOI: (10.1016/j.cgh.2006.11.015) Copyright © 2007 AGA Institute Terms and Conditions

Figure 2 A swallow as detected by MII-pH, with a decrease in pH to less than 4. Clinical Gastroenterology and Hepatology 2007 5, 172-177DOI: (10.1016/j.cgh.2006.11.015) Copyright © 2007 AGA Institute Terms and Conditions

Figure 3 Esophageal placement of an MII-pH catheter. Clinical Gastroenterology and Hepatology 2007 5, 172-177DOI: (10.1016/j.cgh.2006.11.015) Copyright © 2007 AGA Institute Terms and Conditions

Figure 4 Mean percent time pH < 4 MII-pH and pH only detected acid reflux (⁎P < .0001). Clinical Gastroenterology and Hepatology 2007 5, 172-177DOI: (10.1016/j.cgh.2006.11.015) Copyright © 2007 AGA Institute Terms and Conditions

Figure 5 Weakly acidic reflux episodes detected by pH. Clinical Gastroenterology and Hepatology 2007 5, 172-177DOI: (10.1016/j.cgh.2006.11.015) Copyright © 2007 AGA Institute Terms and Conditions