nach oben

European Surgery

Erschienen in:

01.08.2016 | review

Advances in diagnosing GERD

Which examinations should be performed before interventional therapy?

verfasst von: Oliver Owen Koch, MD, Stavros A. Antoniou, MD

Erschienen in: European Surgery | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Summary

Background

This article aims to summarize the current technology available for evaluating esophageal function and gastroesophageal reflux disease (GERD), and to assess which of these examinations are necessary before antireflux surgery.

Methods

The Medline database was queried to identify relevant published information.

Results

Esophageal function testing is a useful adjunct to confirm or reject the diagnosis of GERD. Emerging technologies and new diagnostic methods may provide a better sensitivity in diagnosing GERD symptoms and could help in finding the right treatment for each patient. However, studies are needed to prove that these new tests truly add essential information.

Conclusion

Of the current available methods to identify the right treatment for each patient with symptoms of GERD, ambulatory reflux monitoring is still the most important one. Optimal preoperative diagnostic work-up for GERD should include pH testing along with upper endoscopy, barium esophagram, and manometry.

Vorheriger Artikel Large bowel cancer in the setting of inflammatory bowel disease

Nächster Artikel Clinical and inflammatory response to first ileocolic resection for Crohn’s disease

Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R, Global Consensus Group. The montreal definition and classification of gastrooesophageal reflux disease: A global evidence-based consensus. Am J Gastroenterol. 2006;101:1900–20.CrossRefPubMed

Dent J, El-Serag HB, Wallander MA, Johansson S. Epidemiology of gastroesophageal reflux disease: a systematic review. Gut. 2006;54:710–7.CrossRef

Mittal RK, Balaban DH. The esophagogastric junction. N Engl J Med. 1997;336:924–32.CrossRefPubMed

Hill LD, Aye RW, Ramel S. Antireflux surgery: a surgeon’s look. Gastroenterol Clin North Am. 1990;19:745–75.PubMed

von Rahden BH, Filser J, Germer CT. PPI vs. fundoplication in the treatment of gastroesophageal reflux disease : results of the Cochrane meta-analysis and the LOTUS study. Chirurg. 2011;82(10):944–6.CrossRef

Pointner R, Granderath FA. Laparoscopic fundoplication: When, how and what to do if it fails? Eur Surg. 2008;40(6):261–9.CrossRef

Talley NJ, Napthali KE. Endoscopy in symptomatic gastroesophageal reflux disease: scoping out whom to target. JAMA Intern Med. 2014;174(3):465–6, Mar.CrossRefPubMed

Bello B, Zoccali M, Gullo R, Allaix ME, Herbella FA, Gasparaitis A, Patti MG. Gastroesophageal reflux disease and antirefluxvsurgery: what is the proper preoperative work-up? J Gastrointest Surg. 2013;17(1):14–20, discussion p. 20.CrossRefPubMed

Zerbib F, Sifrim D, Tutuian R, Attwood S, Lundell L. Modern medical and surgical management of difficult-to-treat GORD. United European Gastroenterol J. 2013;1(1):21–31.CrossRefPubMedPubMedCentral

10.

Hill AD, Kozarek RA, Kraemer SJM, Aye RW, Mercer D, Low DE, Pope CE II. The gastroesophageal flap valve: in vitro and in vivo observations. Gastrointest Endosc. 1996;44:541–7.CrossRefPubMed

11.

Koch OO, Spaun G, Antoniou SA, Rabl C, Köhler G, Emmanuel K, Öfner D, Pointner R. Endoscopic grading of the gastroesophageal flap valve is correlated with reflux activity and can predict the size of the esophageal hiatus in patients with gastroesophageal reflux disease. Surg Endosc. 2013;27(12):4590–5.CrossRefPubMed

12.

Tolone S, de Cassan C, de Bortoli N, Roman S, Galeazzi F, Salvador R, Marabotto E, Furnari M, Zentilin P, Marchi S, Bardini R, Sturniolo GC, Savarino V, Savarino E. Esophagogastric junction morphology is associated with a positive impedance-pH monitoring in patients with GERD. Neurogastroenterol Motil. 2015;27(8):1175–82. doi:10.1111/nmo.12606.CrossRefPubMed

13.

Singhal V, Khaitan L. Preoperative evaluation of gastroesophageal reflux disease. Surg Clin North Am. 2015;95(3):615–27.CrossRefPubMed

14.

Mattioli S, Lugaresi ML, Costantini M, Del Genio A, Di Martino N, Fei L, Fumagalli U, Maffettone V, Monaco L, Morino M, Rebecchi F, Rosati R, Rossi M, Sant S, Trapani V, Zaninotto G. The short esophagus: intraoperative assessment of esophageal length. J Thorac Cardiovasc Surg. 2008;136:1610.CrossRef

15.

Ott DJ. Gastroesophageal reflux disease. Radiol Clin North Am. 1994;32(6):1147–66.PubMed

16.

Fuchs KH, Babic B, Breithaupt W, Dallemagne B, Fingerhut A, Furnee E, Granderath F, Horvath P, Kardos P, Pointner R, Savarino E, Van Herwaarden-Lindeboom M, Zaninotto G. European Association of Endoscopic Surgery (EAES). EAES recommendations for the management of gastroesophageal reflux disease. Surg Endosc. 2014;28(6):1753–73.CrossRefPubMed

17.

Jobe BA, Richter JE, Hoppo T, Peters JH, Bell R, Dengler WC, DeVault K, Fass R, Gyawali CP, Kahrilas PJ, Lacy BE, Pandolfino JE, Patti MG, Swanstrom LL, Kurian AA, Vela MF, Vaezi M, DeMeester TR. Preoperative diagnostic workup before antireflux surgery: an evidence and experience-based consensus of the Esophageal Diagnostic Advisory Panel. J Am Coll Surg. 2013;217(4):586–97.CrossRefPubMed

18.

Müller M. Impact of high-resolution manometry on achalasia diagnosis and treatment. Ann Gastroenterol. 2015;28(1):3–9.PubMedPubMedCentral

19.

Khajanchee YS, Cassera MA, Swanström LL, Dunst CM. Diagnosis of Type-I hiatal hernia: a comparison of high-resolution manometry and endoscopy. Dis Esophagus. 2013;26(1):1–6.CrossRefPubMed

20.

Savarino E, Zentilin P, Savarino V, Tenca A, Penagini R, Clarke JO, Bravi I, Zerbib F, Yüksel ES. Functional testing: pharyngeal pH monitoring and high-resolution manometry. Ann N Y Acad Sci. 2013;1300:226–35.CrossRefPubMed

21.

McCollough M, Jabbar A, Cacchione R, Allen JW, Harrell S, Wo JM. Proximal sensor data from routine dual-sensor esophageal pH monitoring is often inaccurate. Dig Dis Sci. 2004;49(10):1607–11.CrossRefPubMed

22.

Sifrim D, Holloway R, Silny J, Xin Z, Tack J, Lerut A, Janssens J. Acid, nonacid, and gas reflux in patients with gastroesophageal reflux disease during ambulatory 24-hour pH-impedance recordings. Gastroenterology. 2001;120:1588–98.CrossRefPubMed

23.

Han MS, Peters JH. Ambulatory esophageal pH monitoring. Gastrointest Endosc Clin N Am. 2014;24(4):581–94.CrossRefPubMed

24.

Viazis N, Karamanolis G, Vienna E, Karamanolis DG. Selective-serotonin reuptake inhibitors for the treatment of hypersensitive esophagus. Therap Adv Gastroenterol. 2011;4:295–300.CrossRefPubMedPubMedCentral

25.

Boeckxstaens G, El-Serag HB, Smout AJ, Kahrilas PJ. Symptomatic reflux disease: the present, the past and the future. Gut. 2014;63(7):1185–93.CrossRefPubMedPubMedCentral

26.

Chander B, Hanley-Williams N, Deng Y, Sheth A. 24 Versus 48-hour Bravo pH monitoring. J Clin Gastroenterol. 2012;46:197–200.CrossRefPubMed

27.

Prakash C, Clouse RE. Value of extended recording time with wireless pH monitoring in evaluating gastroesophageal reflux disease. Clin Gastroenterol Hepatol. 2005;3(4):329–34.CrossRefPubMed

28.

Karamanolis GP, Sifrim D. Patients with refractory gastroesophageal reflux disease: diagnostic tools. Ann Gastroenterol. 2013;26(1):6–10.PubMedPubMedCentral

29.

Tack J, Koek G, Demedts I, Sifrim D, Janssens J. Gastroesophageal reflux disease poorly responsive to single-dose proton pump inhibitors in patients without Barrett’s esophagus: Acid reflux, bile reflux, or both? Am J Gastroenterol. 2004;99:981–8.CrossRefPubMed

30.

Wiener GJ, Tsukashima R, Kelly C, Wolf E, Schmeltzer M, Bankert C, Fisk L, Vaezi M. Oropharyngeal pH monitoring for the detection of liquid and aerosolized supraesophageal gastric reflux. J Voice. 2009;23:498–504.CrossRefPubMed

31.

Ayazi S, Lipham JC, Hagen JA, Tang AL, Zehetner J, Leers JM, Oezcelik A, Abate E, Banki F, DeMeester SR, DeMeester TR. A new technique for measurement of pharyngeal pH: normal values and discriminating pH threshold. J Gastrointest Surg. 2009;13:1422–9.CrossRefPubMed

32.

33.

Graf Becker S, Schlag C, Schuster T, Feussner H, Schmid RM, Bajbouj M. First agreement analysis and dayto-day comparison of pharyngeal pH monitoring with pH/Impedance monitoring in patients with suspected laryngopharyngeal reflux. J Gastrointest Surg. 2012;6:1096–101.CrossRef

34.

Mazzoleni G, Vailati C, Lisma DG, Testoni PA. Passaretti S Correlation between oropharyngeal pH-monitoring and esophageal pH-impedance monitoring in patients with suspected GERD-related extra-esophageal symptoms. Neurogastroenterol Motil. 2014;26(11):1557–64.CrossRefPubMed

35.

Kahrilas PJ. Diagnosis of symptomatic gastroesophageal reflux disease. Am J Gastroenterol. 2003;98(3 Suppl):S15–23.CrossRefPubMed

Titel: Advances in diagnosing GERD
Which examinations should be performed before interventional therapy?
verfasst von: Oliver Owen Koch, MD
Stavros A. Antoniou, MD
Publikationsdatum: 01.08.2016
Verlag: Springer Vienna
Erschienen in: European Surgery / Ausgabe 4/2016
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI: https://doi.org/10.1007/s10353-016-0435-z

Springer Medizin Österreich

Summary

Background

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2016

Large bowel cancer in the setting of inflammatory bowel disease

Retrospective analysis of prognostic factors in patients with duodenal adenocarcinoma

The cleft lift procedure for complex pilonidal disease

Clinical and inflammatory response to first ileocolic resection for Crohn’s disease

Simultaneous resection of primary colorectal cancer and synchronous liver metastases is associated with a high cardiovascular complication rate

Esophagectomy for eosinophilic esophagitis