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学科主题: 临床医学
题名:
Comparing 3-hour pH monitoring in Esophagus with 24-hour pH Monitoring to Diagnose GERD
作者: Feng Guijian; Zhao Lili; Liu Yulan
关键词: Esophageal pH monitoring ; Gastroesophageal reflux, Diagnosis
刊名: HEPATO-GASTROENTEROLOGY
发表日期: 2010
卷: 57, 期:97, 页:86-89
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology ; Surgery
研究领域[WOS]: Gastroenterology & Hepatology ; Surgery
关键词[WOS]: GASTROESOPHAGEAL-REFLUX DISEASE ; LARYNGOPHARYNGEAL REFLUX ; SPHINCTER RELAXATIONS ; CLINICAL SPECTRUM ; ACID EXPOSURE ; CHEST-PAIN ; PROBE ; SENSITIVITY ; MANAGEMENT ; POPULATION
英文摘要:

Background/Aims: Ambulatory pH monitoring is an invasive method and it would bring some discomfort for patients to wear the probe for prolonged periods. A short time pH monitoring may be more acceptable with high compliance. Our aim is to determine whether analyzing a 3-hour (prandial and postprandial) period from an ambulatory 24-hour pH monitoring in esophagus would be as sensitive as the routine test.

Methodology: Patients had been called for esophageal manometry and ambulatory 24-hour pH monitoring. 3-hour data were analyzed from the standard ambulatory 24-hour pH recording. GERD was confirmed if pH was less than 4.0 for more than 4% of 24 hours, the data were then reanalyzed by determining the percent time of pH<4.0 during a 3-hour period. Kappa test and Mc-nemar test were used in the study.

Results: Two hundred twenty-one patients met the entrance criterion. The 3-hour test had a sensitivity of 86% when compared to the 24-hour test and a specificity of 84%. Kappa test and Mc-nemar test verified the two monitor periods were considerable consistency.

Conclusion: 3-hour analysis is sensitive and specific test for demonstrating GERD. By using this test, patients can suffer less discomfort and appear enhanced compliance.

语种: 英语
WOS记录号: WOS:000276798000018
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54790
Appears in Collections:北京大学第二临床医学院_消化内科_期刊论文

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作者单位: Peking Univ, Peoples Hosp, Dept Gastroenterol, Beijing 100044, Peoples R China

Recommended Citation:
Feng Guijian,Zhao Lili,Liu Yulan. Comparing 3-hour pH monitoring in Esophagus with 24-hour pH Monitoring to Diagnose GERD[J]. HEPATO-GASTROENTEROLOGY,2010,57(97):86-89.
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