Technology review: Esophageal impedance monitoring

被引:66
作者
Bredenoord, Albert J.
Tutuian, Radu
Smout, Andre J. P. M.
Castell, Donald O.
机构
[1] St Antonius Hosp, Dept Gastroenterol, NL-3430 EM Nieuwegein, Netherlands
[2] Med Univ S Carolina, Dept Gastroenterol, Charleston, SC 29425 USA
[3] Univ Utrecht, Med Ctr, Gastrointestinal Res Ctr, Utrecht, Netherlands
关键词
D O I
10.1111/j.1572-0241.2006.00966.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Intraluminal impedance monitoring is a new technique that can be used to detect the flow of liquids and gas through hollow viscera. In combination with manometry, it is used for esophageal function testing and while manometry provides information on contractile activity, impedance provides information on esophageal bolus transit. This is especially useful in patients with nonobstructive dysphagia. However, impedance monitoring appears to be less suitable for the evaluation of patients with achalasia. When used in combination with esophageal pH monitoring, impedance monitoring makes gastroesophageal reflux monitoring more complete because it allows recognition of both acidic and weakly acidic reflux episodes. The results of several studies suggest that impedance-pH monitoring is useful in the evaluation of patients with PPI-resistant typical reflux symptoms, chronic unexplained cough, excessive belching, and rumination.
引用
收藏
页码:187 / 194
页数:8
相关论文
共 43 条
[1]  
[Anonymous], 1991, J GASTROINTEST MOTIL, V3, P151, DOI DOI 10.1111/J.1365-2982.1991.TB00061.X
[2]   Temporal associations between coughing or wheezing and acid reflux in asthmatics [J].
Avidan, B ;
Sonnenberg, A ;
Schnell, TG ;
Sontag, SJ .
GUT, 2001, 49 (06) :767-772
[3]   Symptomatic gastro-oesophageal reflux in a patient with achlorhydria [J].
Bredenoord, A. J. ;
Baron, A. ;
Smout, A. J. P. M. .
GUT, 2006, 55 (07) :1054-1055
[4]   Addition of esophageal impedance monitoring to pH monitoring increases the yield of symptom association analysis in patients off PPI therapy [J].
Bredenoord, AJ ;
Weusten, BLAM ;
Timmer, R ;
Conchillo, JM ;
Smout, AJPM .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2006, 101 (03) :453-459
[5]   Determinants of perception of heartburn and regurgitation [J].
Bredenoord, AJ ;
Weusten, BLAM ;
Curvers, WL ;
Timmer, R ;
Smout, AJPM .
GUT, 2006, 55 (03) :313-318
[6]   Reproducibility of multichannel intraluminal electrical impedance monitoring of gastroesophageal reflux [J].
Bredenoord, AJ ;
Weusten, BLAM ;
Timmer, R ;
Smout, AJPM .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2005, 100 (02) :265-269
[7]   Aerophagia, gastric, and supragastric belching: a study using intraluminal electrical impedance monitoring [J].
Bredenoord, AJ ;
Weusten, BLAM ;
Sifrim, D ;
Timmer, R ;
Smout, AJPM .
GUT, 2004, 53 (11) :1561-1565
[8]   Gastric Accommodation and Emptying in Evaluation of Patients With Upper Gastrointestinal Symptoms [J].
Bredenoord, Albert J. ;
Chial, Heather J. ;
Camilleri, Michael ;
Mullan, Brian P. ;
Murray, Joseph A. .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2003, 1 (04) :264-272
[9]   Prevalence and socioeconomic impact of upper gastrointestinal disorders in the United States: Results of the US upper gastrointestinal study [J].
Camilleri, M ;
Dubois, D ;
Coulie, B ;
Jones, M ;
Kahrilas, PJ ;
Rentz, AM ;
Sonnenberg, A ;
Stanghellini, V ;
Stewart, WF ;
Tack, J ;
Talley, NJ ;
Whitehead, W ;
Revicki, DA .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2005, 3 (06) :543-552
[10]   Aerophagia in adults: a comparison with functional dyspepsia [J].
Chitkara, DK ;
Bredenoord, AJ ;
Rucker, MJ ;
Talley, NJ .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2005, 22 (09) :855-858