Parameters on Esophageal pH-Impedance Monitoring That Predict Outcomes of Patients With Gastroesophageal Reflux Disease  Amit Patel, Gregory S. Sayuk,

Slides:



Advertisements
Similar presentations
Esophageal Adenocarcinoma
Advertisements

The Role of Psychosocial Care in Adapting to Health Care Reform
Mentore Ribolsi, Richard H
Abnormal Liver Tests and Fatty Liver on Ultrasound
Thrombocytopenia With Abnormal Liver Function Tests
Ashwin N. Ananthakrishnan, Millie D. Long, Christopher F
Millie D. Long, Bruce E. Sands 
Impact of Obesity on Bowel Preparation for Colonoscopy
Rachel H. Westbrook, Andrew D. Yeoman, John G. O'Grady, Phil M
Pichamol Jirapinyo, Christopher C. Thompson 
Biomarkers of Reflux Disease
Gauree Gupta, Ebbing Lautenbach, James D. Lewis 
Celiac Disease and Persistent Symptoms
A Shocking Cystory Clinical Gastroenterology and Hepatology
Right Upper Quadrant Pain and a Normal Abdominal Ultrasound
Benjamin C.Y. Wong, Yoshikazu Kinoshita 
Prevalence of Dyspepsia in Individuals With Gastroesophageal Reflux–Type Symptoms in the Community: A Systematic Review and Meta-analysis  Leonardo H.
Patient-Reported Outcome Measures for Use in Clinical Trials and Clinical Practice in Inflammatory Bowel Diseases: A Systematic Review  Marin J. de Jong,
Relation Between Gastroesophageal Reflux Symptoms and Socioeconomic Factors: A Population-Based Study (the HUNT Study)  Catarina Jansson, Helena Nordenstedt,
Amit G. Singal, Jasmin A. Tiro, Samir Gupta 
Stephen A. Harrison, MD, FACP  Clinical Gastroenterology and Hepatology 
Combined Multichannel Intraluminal Impedance and pH Esophageal Testing Compared to pH Alone for Diagnosing Both Acid and Weakly Acidic Gastroesophageal.
Serhat Bor, Gul Kitapcioglu, Peter Dettmar, Tim Baxter 
Amnon Sonnenberg, MD, MSc, Brent Y. Lee, MD 
Nonlinear Relationship Between Body Mass Index and Esophageal Acid Exposure in the Extraesophageal Manifestations of Reflux  Muhammad Aslam, James C.
Andree Koop, Michael J. Bartel, Dawn Francis 
Mentore Ribolsi, Richard H
Should the Reflex Be Reflux
Talya Salz, Robert S. Sandler  Clinical Gastroenterology and Hepatology 
Atopic Characteristics of Adult Patients With Eosinophilic Esophagitis
Functional Dyspepsia Is Associated With Sleep Disorders
Risk of Nonmelanoma Skin Cancer in Patients With Inflammatory Bowel Disease Who Use Thiopurines Is Not Increased  Fiona D.M. van Schaik, Martijn G.H.
Endoscopic Therapy for Barrett's Esophagus
AGA Clinical Practice Update on Functional Gastrointestinal Symptoms in Patients With Inflammatory Bowel Disease: Expert Review  Jean-Frederic Colombel,
When Should Screening Stop for Elderly Individuals at Average and Increased Risk for Colorectal Cancer?  Folasade P. May, Samir Gupta  Clinical Gastroenterology.
Leon P. McLean, Jonathan S. Chun, Raymond K. Cross 
Abnormal Liver Tests and Fatty Liver on Ultrasound
Neeraj Sharma, Amit Agrawal, Janice Freeman, Marcelo F
New Models of Gastroenterology Practice
Issue Highlights Clinical Gastroenterology and Hepatology
Efficacy of Esophageal Impedance/pH Monitoring in Patients With Refractory Gastroesophageal Reflux Disease, on and off Therapy  Jason M. Pritchett, Muhammad.
David H. Bruining, William J. Sandborn 
Peter Bytzer  Clinical Gastroenterology and Hepatology 
Patient-Reported Outcomes of Cirrhosis
Systematic Review: Patterns of Proton Pump Inhibitor Use and Adherence in Gastroesophageal Reflux Disease  A. Pali S. Hungin, Catherine Hill, Michael.
Effects of Different Coping Strategies on Physical and Mental Health of Patients With Irritable Bowel Syndrome  Lilian Dindo, PhD  Clinical Gastroenterology.
Heiko Pohl, Douglas J. Robertson 
The Utility of Intraluminal Impedance in Patients With Gastroesophageal Reflux Disease–Like Symptoms But Normal Endoscopy and 24-Hour pH Testing  Michael.
Value of extended recording time with wireless pH monitoring in evaluating gastroesophageal reflux disease  Chandra Prakash, Ray E. Clouse  Clinical Gastroenterology.
Nicolas Williet, William J. Sandborn, Laurent Peyrin–Biroulet 
Issue Highlights Clinical Gastroenterology and Hepatology
Issue Highlights Clinical Gastroenterology and Hepatology
Hepatic Cyst? Clinical Gastroenterology and Hepatology
Thrombocytopenia With Abnormal Liver Function Tests
A 27-Year-Old Woman With Constipation: Diagnosis and Treatment
Patrick Yachimski, William P. Puricelli, Norman S. Nishioka 
Christopher Hung, Desmond Leddin 
Coagulation in Liver Disease: A Guide for the Clinician
Issue Highlights Clinical Gastroenterology and Hepatology
Lauren B. Gerson, Peter J. Kahrilas, Ronnie Fass 
Risk of Pancreatitis in Patients With Celiac Disease: Is Autoimmune Pancreatitis a Biologically Plausible Mechanism?  John S. Leeds, David S. Sanders 
Issue Highlights Clinical Gastroenterology and Hepatology
Rintaro Hashimoto, Akimichi Chonan 
Adverse Outcomes: Why Bad Things Happen to Good People
Neeraj Sharma, Amit Agrawal, Janice Freeman, Marcelo F
Medical Therapy for Refractory Pediatric Crohn’s Disease
An Unusual Case of Gastritis and Duodenitis After Yttrium 90–Microsphere Selective Internal Radiation  Jessica Baumann, Mark Lin, Charmi Patel  Clinical.
Rintaro Hashimoto, Akimichi Chonan 
The Role of Psychosocial Care in Adapting to Health Care Reform
Choosing Wisely and the Perceived Drivers of Endoscopy Use
Presentation transcript:

Parameters on Esophageal pH-Impedance Monitoring That Predict Outcomes of Patients With Gastroesophageal Reflux Disease  Amit Patel, Gregory S. Sayuk, C. Prakash Gyawali  Clinical Gastroenterology and Hepatology  Volume 13, Issue 5, Pages 884-891 (May 2015) DOI: 10.1016/j.cgh.2014.08.029 Copyright © 2015 AGA Institute Terms and Conditions

Figure 1 Improvement in symptom burden, as measured by change in DSI and GSS (*P < .05). Clinical Gastroenterology and Hepatology 2015 13, 884-891DOI: (10.1016/j.cgh.2014.08.029) Copyright © 2015 AGA Institute Terms and Conditions

Figure 2 Independent predictors of symptom improvement after management of reflux disease. (A) Prediction of linear change is shown as risk ratios and 95% confidence intervals, values not crossing the zero axis are significant. *P = .027 for DSI and P = .002 for GSS; **P = .026 for GSS. (B) Prediction of 50% or more improvement is shown as odds ratios and 95% confidence intervals, values not crossing the value of 1 are significant. *P = .014, **P = .05. In both instances, abnormal AET independently predicted symptom response after antireflux therapy; impedance-SAP complemented prediction, especially when GSS was used as the outcome measure. Clinical Gastroenterology and Hepatology 2015 13, 884-891DOI: (10.1016/j.cgh.2014.08.029) Copyright © 2015 AGA Institute Terms and Conditions