PMID- 19232277 OWN - NLM STAT- MEDLINE DCOM- 20100823 LR - 20220409 IS - 1558-1950 (Electronic) IS - 1052-5157 (Linking) VI - 19 IP - 1 DP - 2009 Jan TI - Gastroesophageal reflux monitoring: pH (catheter and capsule) and impedance. PG - 1-22, v LID - 10.1016/j.giec.2008.12.009 [doi] AB - Diagnostic testing for GERD has evolved to include multi esophageal sites (distal, proximal and hypopharyngeal monitoring), wireless pH, and oropharyngeal devices. The versatility of the devices has increased our ability to better understand the role of acid reflux in various disorders involving reflux of acid. Wireless pH monitoring improves patient comfort and allows monitoring for gastroesophageal reflux events over several days. Ambulatory MII-pH monitoring is another exciting diagnostic tool, which is capable of detecting more than one type of reflux and achieves higher sensitivity and specificity to detect GERD than endoscopy or pH-metry. It is useful in patients with either typical or atypical reflux symptoms who are refractory to proton pump inhibitor (PPI) therapy. In this setting, MII-pH can be performed on PPI therapy to assess the efficacy of PPIs and the role of nonacid or acid reflux in persistent symptoms. FAU - Hong, Shih-Kuang S AU - Hong SK AD - Department of Gastroenterology and Hepatology, Clinical Research, Center for Swallowing and Esophageal Disorders, Vanderbilt University Medical Center, 1660 TVC, Nashville, TN 37232-5280, USA. FAU - Vaezi, Michael F AU - Vaezi MF LA - eng PT - Journal Article PT - Review PL - United States TA - Gastrointest Endosc Clin N Am JT - Gastrointestinal endoscopy clinics of North America JID - 9202792 SB - IM MH - Capsule Endoscopy MH - Electric Impedance MH - Esophageal pH Monitoring/*instrumentation MH - Gastric Acid/*chemistry MH - Gastroesophageal Reflux/*diagnosis/physiopathology MH - Health Status Indicators MH - Humans MH - Manometry/methods MH - Sensitivity and Specificity RF - 76 EDAT- 2009/02/24 09:00 MHDA- 2010/08/24 06:00 CRDT- 2009/02/24 09:00 PHST- 2009/02/24 09:00 [entrez] PHST- 2009/02/24 09:00 [pubmed] PHST- 2010/08/24 06:00 [medline] AID - S1052-5157(08)00112-8 [pii] AID - 10.1016/j.giec.2008.12.009 [doi] PST - ppublish SO - Gastrointest Endosc Clin N Am. 2009 Jan;19(1):1-22, v. doi: 10.1016/j.giec.2008.12.009.