Publications by authors named "A Anggiansah"

Background And Aims: The Lyon 2.0 consensus recommends 96-hr wireless pH studies for GERD diagnosis; however, the optimal length of pH-measurement has not been established. Further it is uncertain if, and under what circumstances, shorter recording times are sufficient for a conclusive diagnosis.

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Background And Aims: The cervical inlet patch (CIP) is an area of heterotopic gastric mucosa at the proximal esophagus, which can secrete both acid and mucus. Attributable symptoms include chronic globus sensation and sore throat. Previous studies have demonstrated improvement in symptoms after ablation using argon plasma coagulation.

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Chest pain is a common cause for referral to emergency departments. A proportion of these patients have non-cardiac chest pains with normal investigations. Such patients should be considered for oesophageal studies as these may reveal an underlying dysmotility disorder.

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Article Synopsis
  • High-resolution esophageal manometry (HRM) is a new method for evaluating how well the esophagus functions, and this study aimed to see how consistently different clinicians could diagnose esophageal motility disorders using it.
  • 18 practitioners classified individual swallows, showing good agreement for normal function and achalasia, but not for peristaltic dysmotility; while 36 practitioners assessed diagnostic studies, revealing moderate overall agreement.
  • Agreement improved among those with more than 400 studies and was highest among experts who helped create the Chicago Classification, indicating HRM is useful but that certain disorders may need clearer metrics for accurate diagnosis.
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Background: In the absence of major dysmotility, esophageal manometry with water swallows rarely explains the causes of esophageal symptoms and disease. This methodology development study assessed esophageal function and symptoms during a test meal in patients with reflux symptoms and asymptomatic controls. The impact of this approach on manometric diagnosis and clinical outcome was reviewed.

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