The diagnostic value of computerized short-term oesophageal pH-monitoring in suspected gastro-oesophageal reflux.
In 109 consecutive patients suspected of having gastro-oesophageal reflux (GOR) a 3.5-h pH-monitoring in the oesophagus was performed during the daytime. The data were stored in a portable recording system, and three different variables (mean pH, mean acid clearance rate, and number of spikes) were calculated. Compared with a combined endoscopic-histologic score for the diagnosis of oesophagitis, assumed to be due to GOR, the 3.5-h pH-monitoring had a sensitivity of 85% and a specificity of 81%. The data suggest that the short-term pH-monitoring is almost as accurate as the traditional 24-h pH-monitoring and more convenient both for the patient and the gastroenterologic unit.
Jørgensen
F
F
Dept. of Clinical Physiology, Frederiksborg Central Hospital, Hillerød, Denmark.
Elsborg
L
L
Hesse
B
B
D000293:Adolescent; D000328:Adult; D000368:Aged; D003201:Computers; D004947:Esophagus / Q000503:physiopathology; D005069:Evaluation Studies as Topic; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D013997:Time Factors