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| __NOTOC__ | | __NOTOC__ |
| {{Gastroesophageal reflux disease}} | | {{Gastroesophageal reflux disease}} |
| {{CMG}} {{AE}} | | {{CMG}}; {{AE}} {{AEL}} |
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| ==Overview== | | ==Overview== |
| | | There are no other diagnostic studies associated with GERD. |
| ==Esophagogastroduodenoscopy==
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| [[Clinical practice guideline]]s from the [[American College of Physicians]] in 2012 recommend [[esophagogastroduodenoscopy]] if:<ref name="pmid23208168">{{cite journal| author=Shaheen NJ, Weinberg DS, Denberg TD, Chou R, Qaseem A, Shekelle P et al.| title=Upper endoscopy for gastroesophageal reflux disease: best practice advice from the clinical guidelines committee of the American College of Physicians. | journal=Ann Intern Med | year= 2012 | volume= 157 | issue= 11 | pages= 808-16 | pmid=23208168 | doi=10.7326/0003-4819-157-11-201212040-00008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23208168 }} </ref>
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| * Alarm symptoms
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| * Persistence of symptoms after treatment
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| * Barret's esophagus
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| However, espophagisitis may be found in asymptomatic patients.<ref name="pmid2904061">{{cite journal| author=Williams B, Luckas M, Ellingham JH, Dain A, Wicks AC| title=Do young patients with dyspepsia need investigation? | journal=Lancet | year= 1988 | volume= 2 | issue= 8624 | pages= 1349-51 | pmid=2904061 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2904061 }} </ref><ref name="pmid2021764">{{cite journal| author=Johnsen R, Bernersen B, Straume B, Førde OH, Bostad L, Burhol PG| title=Prevalences of endoscopic and histological findings in subjects with and without dyspepsia. | journal=BMJ | year= 1991 | volume= 302 | issue= 6779 | pages= 749-52 | pmid=2021764 | doi= | pmc=1669538 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2021764 }} </ref>
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| ==Other Diagnostic Studies== | | ==Other Diagnostic Studies== |
| Other tests that may help include:
| | There are no other diagnostic studies associated with GERD. |
| * 48 hour esophageal pH and symptom association probability (SAP)<ref name="pmid20551454">{{cite journal| author=Dent J, Vakil N, Jones R, Bytzer P, Schöning U, Halling K et al.| title=Accuracy of the diagnosis of GORD by questionnaire, physicians and a trial of proton pump inhibitor treatment: the Diamond Study. | journal=Gut | year= 2010 | volume= 59 | issue= 6 | pages= 714-21 | pmid=20551454 | doi=10.1136/gut.2009.200063 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20551454 }} </ref>
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| * Bernstein test (acid perfusion test).<ref name="pmid1864528">{{cite journal| author=Howard PJ, Maher L, Pryde A, Heading RC| title=Symptomatic gastro-oesophageal reflux, abnormal oesophageal acid exposure, and mucosal acid sensitivity are three separate, though related, aspects of gastro-oesophageal reflux disease. | journal=Gut | year= 1991 | volume= 32 | issue= 2 | pages= 128-32 | pmid=1864528 | doi= | pmc=1378792 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1864528 }} </ref><ref name="pmid2307075">{{cite journal| author=Hewson EG, Dalton CB, Richter JE| title=Comparison of esophageal manometry, provocative testing, and ambulatory monitoring in patients with unexplained chest pain. | journal=Dig Dis Sci | year= 1990 | volume= 35 | issue= 3 | pages= 302-9 | pmid=2307075 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2307075 }} </ref>
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| ==References== | | ==References== |
| {{Reflist|2}} | | {{Reflist|2}} |
| | {{WS}} |
| | {{WH}} |
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| [[Category:Needs content]] | | [[Category:Needs content]] |
| [[Category:Gastroenterology]] | | [[Category:Gastroenterology]] |
| [[Category:Primary care]]
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| {{WS}}
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| {{WH}}
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