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Table 3 Ambulatory pH reflux monitoring results of patients undergoing HREMI and MII-pH or Bravo testing, and stratified by presence or absence of reflux on high resolution esophageal manometry with impedance testing (all patients, and patients on and off PPI)

From: Characterizing reflux on high resolution esophageal manometry with impedance

Ambulatory esophageal reflux monitoring

All patients

(n = 229)

Patients with reflux on HREMI

(n = 47)

Patients without reflux on HREMI (n = 182)

p value

Esophageal AET

9.9 ± 0.9%

11.6 ± 1.8%

9.4 ± 1.0%

0.074

Reflux episodes on MII-pH

46.7 ± 2.3

63.5 ± 7.1

42.1 ± 2.3

0.006

Lyon classification

 GERD

113 (49.3%)

28 (59.6%)

85 (46.7%)

0.014

 Borderline

42 (18.3%)

12 (25.5%)

30 (16.5%)

 

 Normal

74 (32.3%)

7 (14.9%)

67 (26.8%)

 
 

Patients on PPI

(n = 141)

Patients with reflux on HREMI

(n = 32)

Patients without reflux on HREMI

(n = 109)

p value

Esophageal AET

10.1 ± 1.1%

10.9 ± 2.2%

9.8 ± 1.3%

0.298

Reflux episodes on MII-pH

48.0 ± 3.3

61.8 ± 9.5

44.0 ± 3.1

0.190

Lyon classification

-GERD (AET)

71 (50.4%)

18 (56.3%)

53 (48.6%)

0.135

-Borderline

29 (20.6%)

9 (28.1%)

20 (18.3%)

 

-Normal

41 (29.1%)

5 (15.6%)

36 (33%)

 
 

Patients off PPI

(n = 88)

Patients with reflux on HREMI

(n = 15)

Patients without reflux on HREMI

(n = 73)

p value

Esophageal AET

9.5 ± 1.3%

13.1 ± 3.4%

8.8 ± 1.4%

0.126

Reflux episodes on MII-pH

44.3 ± 3.5

67.1 ± 9.8

38.8 ± 3.4

0.007

Lyon classification

 GERD

42 (47.7%)

10 (66.7%)

32 (42.5%)

0.105

 Borderline

13 (14.8%)

3 (20%)

10 (13.7%)

 

 Normal

33 (37.5%)

2 (13.3%)

31 (42.5%)

 
  1. Results expressed as n (%) or mean ± standard error of mean as appropriate; p value (comparing patients with reflux on HREMI to patients without reflux on HREMI) calculated using Student’s t test or Chi Squared test as appropriate. Abbreviations: AET (Acid Exposure Time), GERD (Gastroesophageal Reflux Disease), HREMI (High Resolution Esophageal Manometry with Impedance), MII (Multichannel intraluminal impedance), PPI (Proton Pump Inhibitor).