Importance of esophageal pH monitoring and manometry in indicating surgical treatment of gastroesophageal reflux disease

SUMMARY

OBJECTIVE:

To demonstrate the need of performing esophageal pH monitoring and manometry in patients with clinical suspicion of Gastroesophageal reflux disease, as more accurate and practical complementary exams in the indication of surgical treatment.

METHODS:

A systematic review was carried out in the PubMed/Medline database, based on the recommendations of the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) protocol, selecting studies in humans, published in Portuguese, Spanish, and English, from January 1, 2009 to August 5, 2020. The following descriptors were used: “reflux gastroesophageal” AND “surgery” AND “surgical treatment” AND “esophageal manometry” OR “pH monitoring”. After that, retrospective or prospective observational studies with a sample of less than 100 individuals, or with limited access, reports or case series, review articles, letters, comments, or book chapters were excluded. To facilitate the application of the exclusion criteria, the Rayyan management base was used.

RESULTS:

Out of the 676 studies found, 19 valid and eligible studies were selected to make inferences.

CONCLUSIONS:

Based on the best evidence, currently, considering national particularities, performing a 24-hour esophageal pH monitoring and esophageal manometry for all patients undergoing anti-reflux surgery.

KEYWORDS:
Gastroesophageal reflux; Laryngopharyngeal reflux; Diagnosis; Esophageal pH monitoring; Manometry