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Oesophageal Diagnostic Services

Oesophageal Diagnostic Services is an open-access service to all clinicians providing physiological studies for the investigation of:

  • Heartburn
  • Atypical chest pain
  • Reflux related cough/dysphonia
  • Dysphagia
  • Regurgitation/vomiting
  • Assessment for anti-reflux surgery.

Indications for ambulatory pH monitoring:

  • For the definitive diagnosis of gastro-oesophageal reflux in patients sufficiently symptomatic to have warranted endoscopy but in whom endoscopy is normal or equivocal
  • To investigate the possibility of acid reflux as a cause of atypical symptoms such as angina-like chest pain, respiratory and laryngeal symptoms in whom the relevant investigations have been inconclusive and to correlate such symptoms with reflux episodes
  • When established gastro-oesophageal reflux responds poorly to optimal medical therapy and particularly when surgical treatment is contemplated
  • In the assessment of patients with complex oesophageal disorders

Indications for oesophageal manometry:

  • To establish the diagnosis and categorise suspected oesophageal motility disorders such as achalasia and diffuse spasm in patients with dysphagia or chest pain in whom other investigations are negative or equivocal
  • To ascertain the pressure of the lower sphincter zone and presence of hiatal herniation
  • For the accurate placement of pH electrodes for 24 hour pH monitoring
  • Before surgical treatment for reflux, particularly in those patients undergoing surgery or if there is diagnostic uncertainty
  • In the assessment of patients with complex oesophageal disorders

Ian Adams is a Medical Physiologist with 38 years full time experience of some 75,000 cases both in the United Kingdom and Australia.

Specialist
Dr Ian Adams
T 1300 301 231 F 1300 301 231