esophageal function testing and ambulatory impedance ph monitoring the oregon clinic gi division
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Esophageal Function Testing and
Ambulatory Impedance pH Monitoring
The Oregon Clinic GI Division
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EFT Cases 2008-2009• Total 228
• Achalasia 17• Vigorous Achalasia 9• Diffuse Esophageal Spasm 1• Nutcracker Esophagus 23• Ineffective Esophageal Motility (IEM) 71• Hypotensive LES 3• Hypertensive LES 17• Incomplete LES relaxation 37• Cricopharyngeal Achalasia 23• Hypertensive UES 35• Aborted patient intolerance 10
• Remainder normal or minor abnormality of bolus transit
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Impedance pH testing 2008-2009
• 239 cases• Abnormal acid or non acid reflux 102• Hypersensitive esophagus (normal study
except for positive symptom indices) 6• Aborted due to patient intolerance 11
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Normal EFT
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Normal EFT Contour View
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Normal EFT (2)
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Normal EFT Contour View (2)
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Achalasia
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Achalasia Contour View
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Achalasia
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Achalsaia Contour View
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Spasm
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Spasm Contour View
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Ineffective Esophageal MotilityIEM
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Ineffective Esophageal MotilityIEM
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Acid Reflux
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Acid Relux
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Acid Reflux
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Non Acid Reflux
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Non Acid Reflux
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Non Acid Reflux
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Symptom-Reflux Associationin NERD Patients
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Copyright ©2006 BMJ Publishing Group Ltd.
Mainie, I et al. Gut 2006;55:1398-1402
Persistent GERD Symptoms despite PPI Therapy