Document Detail


Ingested acidic food and liquids may lead to misinterpretation of 24-hour ambulatory pH tests: focus on measurement of extra-esophageal reflux.
MedLine Citation:
PMID:  17385028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Normal values of extra-esophageal reflux are difficult to determine owing to variation in the location of the proximal electrode, limited information on the ingestion of acidic food, different exclusion periods for meals, and poor reproducibility of measurement of extra-esophageal reflux. We studied whether ambulatory esophageal pH testing is disturbed by acidic food ingestion. Eighteen healthy subjects were enrolled in standard dual-channel esophageal pH tests (recorder 1). Ten subjects were equipped with another pH device (recorder 2), positioned to measure extra-esophageal reflux. The subjects were exposed to controlled ingestion of different acidic food or liquid for five 1-min periods. The present study showed that acidic food ingestion for 5 min has a significant effect on the outcome of standard dual-channel ambulatory pH testing. Reflux occurs equally on proximal channels during ingestion of acidic food, whether the proximal channel position is normal or 2 cm above the upper esophageal sphincter. We recommend avoiding acidic food intake during esophageal pH testing.
Authors:
Juha W Koskenvuo; Jussi P Pärkkä; Jaakko J Hartiala; Ilpo Kinnunen; Matti Peltola; Eeva Sala
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-03-24
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  52     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-09-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1678-84     Citation Subset:  AIM; IM    
Affiliation:
Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Kiinamyllynkatu 4-8, FIN-20520, Turku, Finland. juhkos@utu.fi
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MeSH Terms
Descriptor/Qualifier:
Adult
Beverages*
Esophageal pH Monitoring / standards*
False Positive Reactions
Female
Food*
Gastroesophageal Reflux / diagnosis*
Humans
Hydrogen-Ion Concentration
Male
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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