British Society of Gastroenterology guidelines for oesophageal manometry and oesophageal reflux monitoring.
manometry
oesophageal motility disorder
oesophageal ph monitoring
ph monitoring
Journal
Gut
ISSN: 1468-3288
Titre abrégé: Gut
Pays: England
ID NLM: 2985108R
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
14
12
2018
revised:
13
06
2019
accepted:
16
06
2019
pubmed:
2
8
2019
medline:
18
10
2019
entrez:
2
8
2019
Statut:
ppublish
Résumé
These guidelines on oesophageal manometry and gastro-oesophageal reflux monitoring supersede those produced in 2006. Since 2006 there have been significant technological advances, in particular, the development of high resolution manometry (HRM) and oesophageal impedance monitoring. The guidelines were developed by a guideline development group of patients and representatives of all the relevant professional groups using the Appraisal of Guidelines for Research and Evaluation (AGREE II) tool. A systematic literature search was performed and the GRADE (Grading of Recommendations Assessment, Development and Evaluation) tool was used to evaluate the quality of evidence and decide on the strength of the recommendations made. Key strong recommendations are made regarding the benefit of: (i) HRM over standard manometry in the investigation of dysphagia and, in particular, in characterising achalasia, (ii) adjunctive testing with larger volumes of water or solids during HRM, (iii) oesophageal manometry prior to antireflux surgery, (iv) pH/impedance monitoring in patients with reflux symptoms not responding to high dose proton pump inhibitors and (v) pH monitoring in all patients with reflux symptoms responsive to proton pump inhibitors in whom surgery is planned, but combined pH/impedance monitoring in those not responsive to proton pump inhibitors in whom surgery is planned. This work has been endorsed by the Clinical Services and Standards Committee of the British Society of Gastroenterology (BSG) under the auspices of the oesophageal section of the BSG.
Identifiants
pubmed: 31366456
pii: gutjnl-2018-318115
doi: 10.1136/gutjnl-2018-318115
pmc: PMC6839728
doi:
Types de publication
Journal Article
Practice Guideline
Langues
eng
Sous-ensembles de citation
IM
Pagination
1731-1750Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: RS: Dr Falk, advisory board and symposium sponsor; Given, honoraria for speaker’s fees. DS: Sandhill/Diversatech and Jinshan-Omon, consultancy work, research grants and equipment; Given, advisory board. JDC: trustee for FORT patient support group. KB: Reckitt Benckiser, honoraria for speaker’s fees.
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