Ahmed Tasneem, Vaezi Michael F
Department of Gastroenterology and Hepatology, Center for Swallowing and Esophageal Disorders, Cleveland Clinic Foundation, A30, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Gastrointest Endosc Clin N Am. 2005 Apr;15(2):319-31. doi: 10.1016/j.giec.2004.10.006.
Gastroesophageal reflux disease (GERD) is linked to several extraesophageal disease states including laryngitis, asthma, chronic cough, and noncardiac chest pain (NCCP). Although 24-hour pH monitoring is considered the "gold standard" in the diagnosis of typical GERD, it is also increasingly used in establishing the diagnosis of GERD in patients with extraesophageal symptoms. The clinical utility of pH monitoring in this patient population, however, remains controversial. In this article, the authors examine the role of pH monitoring in laryngitis, asthma, chronic cough, and NCCP.
胃食管反流病（GERD）与多种食管外疾病状态相关，包括喉炎、哮喘、慢性咳嗽和非心源性胸痛（NCCP）。尽管24小时pH监测被认为是典型GERD诊断的“金标准”，但它也越来越多地用于确立有食管外症状患者的GERD诊断。然而，pH监测在这类患者群体中的临床实用性仍存在争议。在本文中，作者探讨了pH监测在喉炎、哮喘、慢性咳嗽和NCCP中的作用。
