Ambulatory reflux monitoring is indicated [S/L]

By rray, 23 December, 2014
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<sup>14</sup> Upper endoscopy not required for typical GERD sx [S/M]. Consider screening for Barrett’s in high-risk pts (long GERD duration, age >50 yo, male, Caucasian) [C/M]. Consider endoscopy early for elderly, pts at risk for Barrett’s, noncardiac chest pain, and pts unresponsive to PPI.
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Reflux monitoring off meds can be performed by either pH or impedance-pH [C/M]. Testing on meds should be performed w/ impedance-pH monitoring [S/M].
Ambulatory reflux monitoring is the only test that can assess reflux-to-symptom association [S/L]
If alarm sx (eg, dysphagia) or high risk of GERD complications: endoscopy<sup>14</sup> recommended