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Endoscopic aspects in diagnosis of gastroesophageal reflux disease and motility disorders: Bravo, capsule, and functional lumen imaging probe

Publication ,  Journal Article
Wood, RK
Published in: Techniques in Gastrointestinal Endoscopy
January 1, 2014

Catheter-based testing remains the current standard of practice for the diagnosis of gastroesophageal reflux disease and esophageal motility abnormalities. Ambulatory pH testing and esophageal manometry have been in use for the past 40 years, but with the development of high-resolution manometry and multichannel intraluminal impedance testing, catheter-based testing has undergone significant recent technological improvement. Nonetheless, these tests continue to have limitations. In the case of ambulatory reflux testing, patient discomfort and limited activity remain significant problems. For esophageal manometry, methodological issues limit its ability to evaluate the function of the esophagogastric junction in normal and diseased states. In recent years, several new diagnostic tools have been developed to address the shortcomings of catheter-based testing. The wireless pH probe has been available for clinical use for more than 10 years, is better tolerated than catheter-based testing, and provides longer monitoring periods. Esophageal capsule endoscopy has undergone clinical evaluation for gastroesophageal reflux disease and Barrett esophagus with mixed results. Functional lumen imaging probe testing is a new technology that is still undergoing clinical evaluation but holds promise as a complimentary method for evaluating esophageal physiology, in particular esophagogastric junction function. © 2014 Elsevier Inc.

Duke Scholars

Published In

Techniques in Gastrointestinal Endoscopy

DOI

EISSN

1558-5050

ISSN

1096-2883

Publication Date

January 1, 2014

Volume

16

Issue

1

Start / End Page

2 / 9

Related Subject Headings

  • Gastroenterology & Hepatology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wood, R. K. (2014). Endoscopic aspects in diagnosis of gastroesophageal reflux disease and motility disorders: Bravo, capsule, and functional lumen imaging probe. Techniques in Gastrointestinal Endoscopy, 16(1), 2–9. https://doi.org/10.1016/j.tgie.2013.11.001
Wood, R. K. “Endoscopic aspects in diagnosis of gastroesophageal reflux disease and motility disorders: Bravo, capsule, and functional lumen imaging probe.” Techniques in Gastrointestinal Endoscopy 16, no. 1 (January 1, 2014): 2–9. https://doi.org/10.1016/j.tgie.2013.11.001.
Wood, R. K. “Endoscopic aspects in diagnosis of gastroesophageal reflux disease and motility disorders: Bravo, capsule, and functional lumen imaging probe.” Techniques in Gastrointestinal Endoscopy, vol. 16, no. 1, Jan. 2014, pp. 2–9. Scopus, doi:10.1016/j.tgie.2013.11.001.
Journal cover image

Published In

Techniques in Gastrointestinal Endoscopy

DOI

EISSN

1558-5050

ISSN

1096-2883

Publication Date

January 1, 2014

Volume

16

Issue

1

Start / End Page

2 / 9

Related Subject Headings

  • Gastroenterology & Hepatology