Open AccessGuidance on performance and reporting of high-resolution oesophageal manometry and ambulatory pH monitoring in Singapore
Author(s) -
Andrew Ming-Liang Ong,
Alex Yu Sen Soh,
Yu Tien Wang,
Reuben K. Wong,
Christopher T. Chia,
Kewin Tien Ho Siah,
Daphne Ang
Publication year - 2021
Publication title -
annals, academy of medicine, singapore/annals of the academy of medicine, singapore
Language(s) - English
Resource type - Journals
ISSN - 0304-4602
DOI - 10.47102/annals-acadmedsg.2020623
Subject(s) - medicine , guideline , ambulatory , context (archaeology) , gerd , reflux , intensive care medicine , disease , pathology , paleontology , biology
Introduction: We aimed to provide a practical and evidence-based guide on the indications, performanceand reporting of high-resolution oesophageal manometry (HRM) and ambulatory pH monitoring(PHM) in adult patients in Singapore.Methods: The guideline committee comprised local gastroenterologists from public and private sectorswith particular expertise in aspects of HRM and PHM, and it was tasked to produce evidence-basedstatements on the indications, performance and reporting of these tests. Each committee memberperformed literature searches to retrieve relevant articles within the context of domains to which theywere assigned.Results: Twelve recommendation statements were created and summarised.Conclusion: Standardising key aspects of HRM and PHM is imperative to ensure the delivery ofhigh-quality care. We reported the development of recommendations for the performance andinterpretation of HRM and ambulatory reflux monitoring in Singapore.Keywords: Gastro-oesophageal reflux disease, GERD, high-resolution oesophageal manometry,oesophagus, pH testing