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Esophageal Function Testing and Ambulatory Impedance pH Monitoring The Oregon Clinic GI Division.

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Presentation on theme: "Esophageal Function Testing and Ambulatory Impedance pH Monitoring The Oregon Clinic GI Division."— Presentation transcript:

1 Esophageal Function Testing and Ambulatory Impedance pH Monitoring The Oregon Clinic GI Division

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3 EFT Cases 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

4 Impedance pH testing 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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6 Normal EFT

7 Normal EFT Contour View

8 Normal EFT (2)

9 Normal EFT Contour View (2)

10 Achalasia

11 Achalasia Contour View

12 Achalasia

13 Achalsaia Contour View

14 Spasm

15 Spasm Contour View

16 Ineffective Esophageal Motility IEM

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18 Acid Reflux

19 Acid Relux

20 Acid Reflux

21 Non Acid Reflux

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25 Symptom-Reflux Association in NERD Patients

26 Copyright ©2006 BMJ Publishing Group Ltd. Mainie, I et al. Gut 2006;55: Persistent GERD Symptoms despite PPI Therapy


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