Citation Information :
Bagchi SP. A Comprehensive Review of 24-hour pH Monitoring in the Assessment of Pre- and Post-laparoscopic Fundoplication. World J Lap Surg 2024; 17 (3):164-166.
This review addresses gastroesophageal reflux disease (GERD), a prevalent and challenging condition worldwide, focusing on the role of 24-hour pH monitoring in assessing pre- and post-laparoscopic fundoplication. Laparoscopic fundoplication reinforces the lower esophageal sphincter (LES) in GERD. The review analyzes 35 relevant studies, exploring pH monitoring's significance in patient selection, tailored surgical intervention, and postoperative evaluation. Pre-fundoplication pH monitoring establishes baseline acid exposure, aiding surgical decision-making. Post-fundoplication monitoring evaluates procedure effectiveness, revealing reduced acid exposure time (AET) and improved De Meester Score (DMS), indicating symptom relief. The review draws from diverse databases, emphasizing pH monitoring's clinical importance in GERD management. Despite various diagnostic tools, 24-hour pH monitoring remains the gold standard, enhancing personalized patient care. The review identifies gaps, emphasizing the need for further research in wireless pH monitoring and laparoscopic or robotic antireflux surgery. Overall, integrating 24-hour pH monitoring with laparoscopic fundoplication shows promise for improving outcomes, warranting future research for methodological refinements and technological advancements in GERD management.
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