Run the List Role of Endoscopy and pH Monitoring in GERD
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Nov 25, 2024 Delve into the critical role of endoscopy and pH monitoring in managing GERD. Discover how these diagnostic tests aid in identifying conditions like Barrett's esophagus, with essential guidelines for screening. Learn the intricacies of pH monitoring, including techniques like the 24-hour probe versus the 48-hour Bravo capsule. The discussion emphasizes personalized risk assessment and the importance of these tools in tailored treatment strategies, making for an engaging exploration of GERD management.
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Barrett's Esophagus Screening
- Screen patients with chronic GERD for Barrett's esophagus.
- Consider an endoscopy if they have two or more risk factors like age, sex, race, obesity, hiatal hernia, smoking, or family history.
One-Time Screening
- Barrett's esophagus screening is a one-time endoscopy.
- Repeat endoscopy is not needed unless symptoms change or alarm symptoms develop.
pH Monitoring Indications
- Consider pH monitoring for patients with GERD unresponsive to maximum medical therapy.
- Also consider it for atypical GERD symptoms or before reflux surgery.