Clinical role of ambulatory reflux monitoring in PPI non-responders: recommendation statements.

ABSTRACT:

Background

Optimal ambulatory reflux monitoring methodology in symptomatic reflux patients continues to be debated.

Aims

To utilise published literature and expert opinion to develop recommendation statements addressing use of ambulatory reflux monitoring in clinical practice METHODS: The RAND Appropriateness Method (RAM) was utilised among 17 experts with discussion, revision and two rounds of ranking of recommendation statements. Ambulatory reflux monitoring protocol, methodology and thresholds ranked as appropriate by ≥80% of panellists met the criteria for appropriateness.

Results

Prolonged (96-h recommended) wireless pH monitoring off proton pump inhibitor (PPI) was identified as the appropriate diagnostic tool to assess the need for acid suppression in patients

SUBMITTER: Yadlapati R 

PROVIDER: S-EPMC10443620 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature