©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 28, 2021; 27(16): 1751-1769
Published online Apr 28, 2021. doi: 10.3748/wjg.v27.i16.1751
Published online Apr 28, 2021. doi: 10.3748/wjg.v27.i16.1751
Preoperative physiological esophageal assessment for anti-reflux surgery: A guide for surgeons on high-resolution manometry and pH testing
Michael Yodice, Alexandra Mignucci, Virali Shah, Department of Gastroenterology, Albany Medical College, Albany, NY 12208, United States
Christopher Ashley, Section of Gastroenterology, Stratton VA Medical Center, Albany, NY 12208, United States
Micheal Tadros, Department of Gastroenterology, Albany Medical Center, Schenectady, NY 12309, United States
Author contributions: Yodice M contributed as lead author with manuscript preparation. Mignucci A and Shah V contributed equally with manuscript preparation and critical review; Ashley C contributed critical review for the manuscript; Tadros M is the guarantor of the manuscript and also provided critical review.
Conflict-of-interest statement: The authors disclose no conflicts of interest or external funding for this publication.
Corresponding author: Micheal Tadros, FACG, MD, Associate Professor, Doctor, Department of Gastroenterology, Albany Medical Center, 1769 Union Street 2nd Floor, Schenectady, NY 12309, United States. tadrosm1@amc.edu
Received: January 23, 2021
Peer-review started: January 23, 2021
First decision: February 10, 2021
Revised: February 18, 2021
Accepted: March 25, 2021
Article in press: March 25, 2021
Published online: April 28, 2021
Processing time: 87 Days and 10.9 Hours
Peer-review started: January 23, 2021
First decision: February 10, 2021
Revised: February 18, 2021
Accepted: March 25, 2021
Article in press: March 25, 2021
Published online: April 28, 2021
Processing time: 87 Days and 10.9 Hours
Core Tip
Core Tip: The goal of this review is to discuss recent technological advancements that have utility for patients with gastroesophageal reflux disease (GERD) as a pre-operative assessment for anti-reflux surgery. Surgical treatment of GERD is centered around improving the integrity of the lower esophageal sphincter, therefore it is crucial to rule out other esophageal pathologies that may present with GERD-like symptoms. Advances in pH-impedance studies allow for assessment of patients with weak acid reflux of non-erosive reflux disease. High resolution manometry with the addition of provocative measures can uncover underlying esophageal motility disorders with GERD-like symptoms.