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Diagnostic tests for gastroesophageal reflux disease
1Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Ohio 44195, USA. krivacm@ccf.org
The American Journal of the Medical Sciences
|November 15, 2003
Summary
Diagnosing gastroesophageal reflux disease (GERD) requires careful selection of diagnostic tests. A strategic approach ensures accurate diagnosis, timely treatment, and cost-effectiveness for patients with reflux symptoms.
Area of Science:
- Gastroenterology
- Diagnostic Medicine
Background:
- Gastroesophageal reflux disease (GERD) diagnosis often relies on patient history.
- However, clinical evaluation alone may be insufficient for diagnosis.
- Objective testing is sometimes necessary for accurate GERD assessment.
Purpose of the Study:
- To guide clinicians in selecting appropriate diagnostic tests for GERD.
- To emphasize the importance of a tailored investigation strategy.
- To ensure reliable, timely, and cost-effective GERD diagnosis.
Main Methods:
- Review of available diagnostic procedures for GERD.
- Discussion of radiologic, pathologic, physiologic, and endoscopic testing.
- Emphasis on judicious test selection based on desired information.
Main Results:
- Diagnostic tests for GERD vary in their utility and information provided.
- Distinguishing GERD presence from symptom causation requires specific tests.
- Understanding complications and mechanisms of GERD aids in therapy selection.
Conclusions:
- A well-devised investigation strategy is crucial for accurate GERD diagnosis.
- Informed selection of diagnostic tests improves diagnostic accuracy.
- Judicious use of tests minimizes patient inconvenience and cost.