Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri.
Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri.
Clin Gastroenterol Hepatol. 2021 Sep;19(9):1976-1978.e1. doi: 10.1016/j.cgh.2020.09.002. Epub 2020 Sep 2.
Ambulatory pH-impedance monitoring evaluates gastroesophageal reflux disease (GERD) symptoms that persist despite empiric treatment trials. Although automated analysis of pH-impedance monitoring is known to overestimate non-acid reflux episodes, even experts may disagree on individual reflux episodes, and accurate identification of postreflux swallow-induced peristaltic wave (PSPW). We hypothesized that a formal consensus meeting between expert pH-impedance reviewers would establish definitive criteria for identification of reflux episodes and PSPW, and improve inter-reviewer variability.
门诊 pH 阻抗监测可评估在经验性治疗试验后仍持续存在的胃食管反流病 (GERD) 症状。尽管 pH 阻抗监测的自动分析已知会高估非酸性反流事件，但即使是专家也可能对个别反流事件存在分歧，并且准确识别反流后吞咽引起的蠕动波 (PSPW) 。我们假设，在专家 pH 阻抗审阅者之间举行正式的共识会议，将为反流事件和 PSPW 的识别建立明确的标准，并改善审阅者之间的可变性。
