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The proximal probe in esophageal pH monitoring: Development of a normative database

Daniel A. Vincent, J. David Garrett, Sharon L. Radionoff, Lee A. Reussner, C. Richard Stasney

Research output: Contribution to journalArticlepeer-review

Abstract

Healthy volunteers without symptoms of either gastroesophageal reflux or laryngopharyngeal reflux and without abnormalities on laryngologic examination were recruited for esophageal pH monitoring. Thirty subjects underwent ambulatory 24-hour double-channel pH probe monitoring to establish normative data for the upper probe, which was positioned just above the upper esophageal sphincter. Data were analyzed excluding meal periods plus 2 minutes of postprandial time. The mean, standard deviation, median, and 95th percentile were calculated for various reflux parameters for the following intervals: total study duration, upright time, supine time, and postprandial time. Normal subjects display physiologic reflux above the upper esophageal sphincter (median one event, 95th percentile 6.9 events), and 80.4% of these events occur in the upright position. The reflux area index (RAI) appears to be the most useful parameter to measure laryngopharyngeal reflux severity.

Original languageEnglish (US)
Pages (from-to)247-254
Number of pages8
JournalJournal of Voice
Volume14
Issue number2
DOIs
StatePublished - 2000

Keywords

  • Laryngopharyngeal reflux disease
  • Normative database
  • PH probe protocol
  • Proximal esophageal reflux

ASJC Scopus subject areas

  • Otorhinolaryngology

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