esophageal function testing and ambulatory impedance ph monitoring the oregon clinic gi division
TRANSCRIPT
Esophageal Function Testing and
Ambulatory Impedance pH Monitoring
The Oregon Clinic GI Division
EFT Cases 2008-2009• Total 228
• Achalasia 17• Vigorous Achalasia 9• Diffuse Esophageal Spasm 1• Nutcracker Esophagus 23• Ineffective Esophageal Motility (IEM) 71• Hypotensive LES 3• Hypertensive LES 17• Incomplete LES relaxation 37• Cricopharyngeal Achalasia 23• Hypertensive UES 35• Aborted patient intolerance 10
• Remainder normal or minor abnormality of bolus transit
Impedance pH testing 2008-2009
• 239 cases• Abnormal acid or non acid reflux 102• Hypersensitive esophagus (normal study
except for positive symptom indices) 6• Aborted due to patient intolerance 11
Normal EFT
Normal EFT Contour View
Normal EFT (2)
Normal EFT Contour View (2)
Achalasia
Achalasia Contour View
Achalasia
Achalsaia Contour View
Spasm
Spasm Contour View
Ineffective Esophageal MotilityIEM
Ineffective Esophageal MotilityIEM
Acid Reflux
Acid Relux
Acid Reflux
Non Acid Reflux
Non Acid Reflux
Non Acid Reflux
Symptom-Reflux Associationin NERD Patients
Copyright ©2006 BMJ Publishing Group Ltd.
Mainie, I et al. Gut 2006;55:1398-1402
Persistent GERD Symptoms despite PPI Therapy