fnvgru based data on the risk factors for reflux in the United States are lacking. METHODS: We ... smoking, alcohol intake, and body weight can promote reflux (28). Aspirin and other ... exposure, rather than to the pathogenesis of reflux itself. (11,29).Can You Have Ketchup With Acid Reflux
Kaushal Madan; Vineet Ahuja; Siddarth Dutta Gupta; Chandrasekhar Bal; Anu Kapoor; Mahesh Prakash SharmaDisclosures
fnvgru Diet (🔥 Heartburn Naturally) | fnvgru 6 Natural Remedieshow to fnvgru for J Gastroenterol Hepatol. 2005;20(1):30-37.
Background and Aims: The tests that are currently available for the diagnosis of gastroesophageal reflux disease (GERD) lack the desired diagnostic accuracy. To date, only pH monitoring has been shown to have a good sensitivity and specificity, but recent studies have failed to confirm this. Thus there is a need to find a test with acceptable sensitivity and specificity for diagnosing GERD. The present study aimed to find a single test or a combination of tests that could serve as a gold standard for the diagnosis of GERD and to identify an evidence-based diagnostic work-up for GERD in clinical and research settings.
Methods: A prospectively conducted masked study was carried out in which 109 GERD patients were recruited on the basis of symptom score evaluation (heartburn and/or regurgitation). After informed consent was given, the patients underwent various tests, including esophagogastroduodenoscopy with biopsy from the lower esophageal mucosa during the first visit, followed by omeprazole challenge test (OCT), radionuclide scintigraphy, barium swallow and finally 24-h esophageal pH monitoring. A positive concordance of three or more tests was taken as the gold standard.
Results: The results of all six tests were available for 70 patients. As a single diagnostic test, pH testing had the best combination of sensitivity and specificity (Youden''s
|Age (years, mean ± SD; range)||34.4 ± 11.11 (1966)|
|Sex (male : female)||47 : 23|
|Duration of symptoms(years, mean ± SD; range)||2.88 ± 3.27 (0.520.0)|
|Symptom score (mean ± SD; range)||11.31 ± 4.05 (418)|
|Grade of esophagitis|
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