ASGE Masterclass: Barrett’s Esophagus, GERD and Esophageal Adenocarcinoma (Virtual) | February 2022-Is it GERD? How can you prove it? Which test, when? Diagnostic Testing in GERD

Is it GERD? How can you prove it? Which test, when? Diagnostic Testing in GERD

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