Clinical role of ambulatory reflux monitoring in PPI non‐responders: recommendation statements

R Yadlapati, AJ Gawron, CP Gyawali… - Alimentary …, 2022 - Wiley Online Library
Background Optimal ambulatory reflux monitoring methodology in symptomatic reflux
patients continues to be debated. Aims To utilise published literature and expert opinion to …

Value of pH impedance monitoring while on twice-daily proton pump inhibitor therapy to identify need for escalation of reflux management

CP Gyawali, R Tutuian, F Zerbib, BD Rogers… - Gastroenterology, 2021 - Elsevier
Background and Aims Acid exposure time (AET) and reflux episode thresholds from the
Lyon Consensus may not apply for pH impedance studies performed while on proton pump …

Knowledge gaps in the management of refractory reflux‐like symptoms: Healthcare provider survey

D Armstrong, AP Hungin, PJ Kahrilas… - …, 2022 - Wiley Online Library
Background Refractory reflux‐like symptoms have a substantial impact on patients and
healthcare providers. The aim of the survey was to qualitatively assess the needs and …

Ambulatory reflux monitoring guides proton pump inhibitor discontinuation in patients with gastroesophageal reflux symptoms: a clinical trial

R Yadlapati, M Masihi, CP Gyawali, DA Carlson… - Gastroenterology, 2021 - Elsevier
Background and Aims Proton pump inhibitor (PPI) therapy fails to provide adequate
symptom control in up to 50% of patients with gastroesophageal reflux symptoms. Although …

Majority of symptoms in esophageal reflux PPI non‐responders are not related to reflux

S Roman, L Keefer, H Imam, P Korrapati… - …, 2015 - Wiley Online Library
Background Genesis of persistent gastro‐esophageal reflux symptoms despite proton pump
inhibitor (PPI) therapy is not fully understood. We aimed at determining reflux patterns on 24 …

Optimal Wireless reflux monitoring metrics to predict discontinuation of proton pump inhibitor therapy

R Yadlapati, CP Gyawali, M Masihi… - Official journal of the …, 2022 - journals.lww.com
METHODS: This single-arm clinical trial performed over 4 years at 2 centers enrolled adults
with troublesome GERD symptoms and inadequate response to> 8 weeks of PPI …

Ambulatory reflux monitoring in GERD–which test should be performed and should therapy be stopped?

AJ Gawron, JE Pandolfino - Current gastroenterology reports, 2013 - Springer
Diagnosing gastroesophageal reflux disease (GERD) often entails using a combination of
patient symptoms, response to proton pump inhibitors (PPI), upper endoscopy, and …

complete gastro‐oesophageal reflux monitoring–combined pH and impedance

R Tutuian, DO Castell - Alimentary pharmacology & …, 2006 - Wiley Online Library
Gastroesophagel reflux disease (GERD) is a common condition encountered in clinical
practice. Over the years there has been a continuous interaction between the understanding …

Assessment of concordance of symptom reflux association tests in ambulatory pH monitoring

VM Kushnir, A Sathyamurthy, J Drapekin… - Alimentary …, 2012 - Wiley Online Library
Background Both simple proportions and statistical tests are utilised for symptom‐reflux
association. We systematically compared three such tests in a clinical setting. Aim To …

SYMPTOMS ON PPI THERAPY ASSOCIATED WITH NON-ACID, ACID OR NO REFLUX: 39

I Mainie, R Tutuian, A Agrawal, A Hila… - Official journal of the …, 2004 - journals.lww.com
Purpose: Refluxate with a pH> 4 (“non-acid” reflux, NAR) cannot be detected on standard
esophageal pH monitoring. However this can be overcome by the use of Multichannel …