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Test Details
Test Code:NM0044
Test Name:Gastroesophageal Reflux
Test Details & Preparation
Gastrointestinal reflux imaging refers to several methods of diagnostic imaging used to visualize and diagnose Gastroesophageal reflux disease (GERD). GERD is one of the most common gastrointestinal problems among children or adults. It is defined as the movement of solid or liquid contents from the stomach backward into the oesophagus.

The purpose of Gastroesophageal reflux scanning is to allow the doctor to visualize the interior of the patient's upper stomach and lower oesophagus. This type of visual inspection helps the doctor make an accurate diagnosis and plan appropriate treatment.

There are several imaging methods used in the diagnosis of GERD:

Upper endoscopy is the standard procedure for diagnosing GERD, determining the degree of tissue damage, and documenting the findings. A barium oesophagography may be performed in addition to an upper endoscopy. Between 50% and 75% of all patients diagnosed with GERD will have abnormalities in the mucous lining of the oesophagus, usually erosion, tissue fragility, and erythema. Upper endoscopy is also used to document oesophageal strictures and Barrett's oesophagus. Patients with such symptoms as vomiting blood, iron deficiency anaemia, guaiac-positive stools, or dysphagia should have an upper endoscopy.

Ambulatory oesophageal monitoring test provides information concerning the frequency and duration of episodes of acid reflux. It can also provide information related to the timing of these episodes. Ambulatory oesophageal monitoring is the standard procedure for documenting abnormal acid reflux however, it is not necessary for most persons with GERD as they can be adequately diagnosed on the basis of their history or by performing an upper endoscopy.

Oesophageal manometry is a useful test for patients who may need surgery because it provides data about oesophageal peristalsis and the minimum closing pressure of the oesophageal sphincter by measuring the pressure within the oesophagus. To perform this test, the doctor passes a thin soft tube through the patient's nose or mouth. When the patient swallows, the tip of the tube enters the oesophagus and is positioned at the desired location. The patient then swallows air or water while a technician records the pressure at the tip of the tube.
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