[Basic diagnostic methods in gastro-esophageal reflux disease].
Gastro-esopgageal reflux disease (GERD) incidence increase in most developed countries. It concerns 5 to 15% of the population. It requuires life style modification as well as prolonged medicamentd intake. The current situation requires development of new techniques of diagnosing and treatment as well as enhancement of old ones. The effective care of the patient suffering from GERD requires interdisciplinary cooperation. It means general practicioner, gastroenterologist, diatary specialist and sometimes psychologist and recently more commonly surgeon. Despite development of new dianostic methods still basic medical care should be based on anamnesis, physical assessment, endoscopic and radiological procedures. Other methods are designed to treat more complicated or associated with the higher risk of complication manifestations of GERD. Still individual assessment is of all given results allow the proper choice of proceeding and method of treatment. Ph-metry and manometry of esophagus or nowadays more commonly used ph-metry with impedancy and its combination with manometry does not answer all the diagnostic questions. Authors present possibilities and limitations of basic diagnostic methods used in GERD.
Wojskowy Instytut Medyczny w Warszawie, Klinika Gastroenterologii CSK MON.
Antoni
A
Błaszak
Stanisław
S
Wojtuń
Marek
M
Wojtkowiak
Jerzy
J
Gil
D016099:Endoscopy, Gastrointestinal / Q000379:methods; D050782:Esophageal pH Monitoring; D004942:Esophagitis, Peptic / Q000000981:diagnostic imaging*; D004945:Esophagoscopy / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000000981:diagnostic imaging*; D006801:Humans; D008365:Manometry; D011237:Predictive Value of Tests; D017494:Proton Pumps / Q000187:drug effects; D011859:Radiography; D011877:Radionuclide Imaging; D013270:Stomach / Q000187:drug effects; D014741:Video Recording / Q000295:instrumentation*
D017494:Proton Pumps