PMID- 18959079 OWN - NLM STAT- MEDLINE DCOM- 20081216 LR - 20081030 IS - 1660-9379 (Print) IS - 1660-9379 (Linking) VI - 4 IP - 173 DP - 2008 Oct 1 TI - [Advantages of pH-impedance monitoring in gastroesophageal reflux and dysphagia investigations]. PG - 2103-6 AB - ENT symptoms of gastro-esophageal reflux are frequent. pH-impedance can detect acid and non-acid reflux and measure their proximal extension. The technique identifies the refluxate by changes in impedance. We discuss 2 clinical situations where correlation of symptoms could be explained by a non-acid reflux in the first case, and a lack of acid suppression in the second case, respectively. These results lead to a specific additional treatment to proton pump inhibitors (PPI). This technology provides a better understanding of the pathogenesis of reflux laryngitis, and affords the prescription of PPI on a proven diagnosis. Detection of non-acid reflux leads to an optimized medical treatment. FAU - Olivier, Frederic AU - Olivier F AD - Service d'ORL et de chirurgie cervico-faciale, CHUV, 1011 Lausanne. frederic.olivier@chuv.ch FAU - Brossard, Edgar AU - Brossard E LA - fre PT - English Abstract PT - Journal Article TT - Apport de la pH-impedancemetrie au diagnostic du reflux gastro- oesophagien et de la dysphagie. PL - Switzerland TA - Rev Med Suisse JT - Revue medicale suisse JID - 101219148 SB - IM MH - Deglutition Disorders/*physiopathology MH - *Esophageal pH Monitoring MH - Gastroesophageal Reflux/*physiopathology MH - Humans EDAT- 2008/10/31 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/10/31 09:00 PHST- 2008/10/31 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/10/31 09:00 [entrez] PST - ppublish SO - Rev Med Suisse. 2008 Oct 1;4(173):2103-6.