Limited ability of the proton-pump inhibitor test to identify patients with gastroesophageal reflux disease
Characteristics of evaluating the effectiveness of proton pump inhibitor therapy to determine whether patients have gastroesophageal reflux disease. Feature of endoscopy assessment, wireless esophageal pH and monitoring of the association of symptoms.
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The percent time pH is less than 4 in the distal esophagus, termed the acid exposure time - the most relevant and reliable parameter on ambulatory reflux monitoring. Heartburn like a separate entity that warrants a multimodal management distinct.
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