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Original Article

Can pH Recordings Suggest Defective Esophageal Peristalsis in Patients with Gastroesophageal Reflux?

, , , , , & show all
Pages 929-932 | Received 02 Apr 1992, Accepted 16 Jun 1992, Published online: 08 Jul 2009
 

Abstract

The data provided by 24-h pH monitoring in 40 patients with gastroesophageal reflux, divided in three groups in accordance with esophageal motor pattern, were compared. Patients with hypomotility had significantly greater reflux rates than those with normal motility or hypermotility, if we consider both total time with pH < 4 and time with pH < 4 corresponding to episodes of >5 min duration. We conclude that when 24-h pH monitoring shows very high reflux rates, basically corresponding to episodes lasting >5 min, we should suspect the presence of defective esophageal peristalsis, which must be confirmed with a manometric study.

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