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ASGE Masterclass: Barrett’s Esophagus, GERD and Es ...
Is it GERD? How can you prove it? Which test, when ...
Is it GERD? How can you prove it? Which test, when? Diagnostic Testing in GERD
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Video Transcription
Video Summary
In this video, Dr. Thota discusses the diagnostic testing for gastroesophageal reflux disease (GERD). She begins by presenting cases and asking the audience to diagnose whether the patients have GERD or other conditions. She then explains that GERD is mainly a clinical diagnosis and presents a broad definition of the condition. Dr. Thota discusses the various tests available for diagnosing GERD, including pH monitoring, impedance testing, high-resolution esophageal manometry, and endoflip. She explains the different parameters used in these tests and their significance in diagnosing GERD. Dr. Thota also highlights the limitations of these tests and the presence of a placebo effect with proton pump inhibitor (PPI) therapy. She emphasizes that there is no foolproof test for diagnosing GERD and it should be based on a combination of symptoms and objective findings. Dr. Thota concludes by cautioning against other functional disorders that can mimic GERD symptoms.
Keywords
diagnostic testing
gastroesophageal reflux disease
GERD
clinical diagnosis
pH monitoring
impedance testing
high-resolution esophageal manometry
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