Guidance on Selecting Wireless vs Catheter-Based Reflux Testing

This review compares wireless pH monitoring and pH-impedance catheter testing for GERD evaluation, noting wireless systems allow up to 96 hours of monitoring but detect only distal acid reflux, while pH-impedance detects all reflux types and mucosal integrity but is limited to 24 hours. The article states test selection should be guided by symptom phenotype, clinical scenario, and whether patients have proven or unproven GERD, referencing the Lyon Consensus 2.0 framework, and notes no consensus exists on optimal testing after foregut surgery.

Most relevant for: Patients being evaluated for GERD, including those with persistent symptoms despite anti-reflux therapy or symptoms following foregut surgery.

Summary written by an AI model from the source text and dated by the source's publication date. Check the original before acting on it. How MedFollow selects and summarizes updates.

Informational only. Not medical advice. Not a substitute for clinical judgment. Always consult current guidelines and your own clinical judgment.