24 hour pH monitoring components Normal value . Supine period < 1.2 % (0.286 ± 0.467) Total period < 4.2 % (1.47 ± 1.38) Episodes > 5 min 3 or less (0.64 ± 1.28) Longest episode < 9.2 min (3.83 ± 2.78) Upright period < 6.3 % (2.33 ± 1.97) Total episodes < 50 (18.93 ± 13.78) Reference: DeMeester TR, Johnson LF. The evaluation of objective measurements of gastroesophagea Of these 6 parameters a pH score called Composite pH Score or DeMeester Score has been calculated, which is a global measure of esophageal acid exposure. A Demeester score > 14.72 indicates reflux. A Demeester score > 14.72 indicates reflux
Based on the 6 parameters, a composite pH score of DeMeester score is calculated, as a global measure of esophageal acid exposure, where a DeMeester score greater than 14.72 indicated reflux. Prolonged monitoring became feasible in 1974 when Johnson and DeMeester developed a dependable external reference electrode technique to monitor esophageal acid exposure patients for periods up to 24 hours The DeMeester score and total acid exposure (% pH<4) decreased in group A patients (DeMeester score from 39.5±16.5 to 10.6±5.8, P<0.001; % pH<4 from 10.2±3.7 to 4.2±2.6, P<0.001). Real de. (De Meester score) • Korrelation mit Aktivität, Körperposition, Medikation • Normalwerte: Fraktionszeit aufrecht pH<4 7,5 % Fraktionszeit liegend pH<4 5,0 % Gesamtze it pH<4 4,5 Results The preoperative median DeMeester score was 50.0 (interquartile [IQ] range, 30.3-87.0). One hundred eighty patients had a Nissen and 29 patients had a Toupet fundoplication. After a median postoperative interval of 7.7 months (IQ range, 6.7-9.5 months), 174 patients (83.3%) had normal DeMeester scores (median, 2.2; IQ range, 0.8-5.0
The composite score can be obtained by adding the scores calculated for each of the six components, called DeMeester score , where greater than 14.72 is considered abnormal, 14.72-50 is regarded as mild GERD, 51-100 is regarded as moderate GERD, and greater than 100 is regarded as severe GERD. 2.2.2. Wavelet Transfor The DeMeester score (DMS) is a composite score of the acid exposure during a prolonged ambulatory pH monitoring that has been used since 1970s to categorize patients as GERD+ or GERD-. We showed in this review that DMS has some limitations and strengths. Although there is not a single instrument to precisely diagnose GERD in all of its variances, pH monitoring analyzed at the light of DMS is still a reliable method for scientific purposes as well as for clinical decision making. There are no. normal AET but a positive symptom correlation profile using the symptom index (SI) and/or symptom association probability (SAP) scores are referred to as having an acid‐sensitive esophagus within the NERD spectrum. Conversely, patients with a normal AET and negative symptom correlation ar Mean DeMeester score was 41.7 (range 16.7-86). Average LES pressure before the operation was 50.5 mmHg (range 35.6-81.3). Six weeks after operation, all patients were symptom free. DeMeester score returned to a normal level of 2.9
DeMeester scores were above the normal range in 46.90% (53/113) of GERD patients (Fig. 1). Weakly acidic refluxes were prevalent in GERD patients. The frequency of abnormal weakly acidic reflux was 75.22% (85/113), and frequencies of abnormal SI and SAP were 19.47% (22/113) and 14.16% (16/113), respectively DeMeester score (normal value<14.7) was 36.6 +/- 22.3 for the pre-LTx group and 40.0 +/- 37.3 for the post-LTx group. Proximal esophageal acid exposure was significantly higher in both CF groups compared with normal. Symptom scores (normal<4, range -2 to 18) were: pre-LTx group, 5.8 +/- 6.5; post-LTx group, 7.7 +/- 5.4. Percent forced expiratory volume in 1 second (FEV1%) predicted was: pre. . Auch für den Demeester Score (NP=63,4 [3,5-163]; P=49 [10,2-169]), für die Fraktionszeit pH<4 (NP=12,7% [1-48%]; P=10,9 [2,2-29%]), sowie für die Dauer des längsten Refluxes (NP=27,3s [2-131]; P=15,3s [3-44]) zeigte sich kein signifikanter Unterschied im.
From the 118 participants, 27 had abnormal acid exposure in the distal oesophagus (DeMeester score > 14.72) and in 91 participants (37 M, 54 F, 18-72 yrs age range) distal pH was within the normal range. Data were analyzed for the whole group and for the last 91 patients referred. Elimination of meal periods had little impact on the results at this level with a discreet reduction in the upper. The preoperative median DeMeester score was 41 (range 14.8 to 361.5). Before fundoplication, DeMeester scores correlated with severity of gastroesophageal reflux disease symptoms (Spearman regression analysis, P < 0.05 for all). Postoperatively, all symptom scores improved (Wilcoxon matched pairs test, P < 0.05 for all). After fundoplication, preoperative DeMeester scores did not correlate with the frequency or severity of symptoms. For patients with excessive acid reflux, reflux severity. Based on personal experience, one can have reflux even with a normal DeMeester score. Mine was well within normal, but I did have beyond normal non acid reflux. I think if it's giving you symptoms then it should be fixed regardless of the DeMeester score. I've spoken to a LINX surgeon, he did comment that my DeMeester score was low, but his concern was the esophageal motility. He wanted to make sure there will be sufficient pressure to push food pass the LINX
Here are the numbers: - DeMeester score: 8.9 (<14.23 = normal) - Total # of events: 89 (<50 every 24hrs = normal) - Events over 5 minutes: 0 - Total exposure time: 2.6% (~4.5% = normal) - All events occurred when standing/sitting. None when laying down. By all metrics, I'm pretty normal, except I get symptoms all the time. (More lately that I've gained some weight.) However, I still get enough. The DeMeester score was 5.93±4.65, 14.68±7.86 and 40.37±12.96 for the normal, intermediate and abnormal group, respectively (p=0.001). The longest reflux time was 5.56±6.00 minutes, 9.53±7.84 minutes, and 19.46±8.35 minutes in the normal, intermediate, and abnormal group, respectively (p=0.031). Endoscopic findings showed reflux. The score was based on three components of the disease, namely endoscopic anatomy, functional abnormalities (esophageal acid exposure), and pathologic mucosal injury. The final AFP score was a sum of the three components as seen in Table II. Patients were categorized into three groups according to the total AFP score representing mild (score 0-2), moderate (3-5), and severe disease (score 7-9. DeMeester score is a composite score based on 6 parameters (scored in comparison to mean values in normal subjects for each category below): Supine reflux, Upright reflux, Total reflux, Number of episodes, Number of episodes longer than 5 min, Longest episode. A score of >14.72 shows significant reflux
overall score, known as DeMeester score, is calculated using a special formula; this value should not exceed 14.7 in healthy individuals .The relationship between symptoms and reflux episodes is usually expressed in NERD patients using the symptom index (SI) or symptom association probability (SAP). Conchillo et al found tha (DeMeester score reference ranges: normal ≤14.7, mild GERD = 14.7-50, moderate GERD = 51-100, and severe GERD >100). A rapid drop of esophageal pH ≤4 was considered as evidence of reflux. The episode of reflux was regarded as terminated when there was an increase back to a value of pH ≥4. Reflux phases during the supine and upright position were measured independently I understand normal score is less than 14.7 in normal person. Any insight into how it is calculated? I have severe acid reflux with DeMeester score of 81.8. I have seen some of the material on internet with patients having Demeester score of as high as 87. So, I am not too far from the top range Demeester score of 11.4 (normal range < 14.7), 49 total reflux episodes (normal range < 73), including 28 episodes of acid reflux, 14 of weak acid reflux, two of acid gas reflux, and five of weak acid gas reflux; The belching was associated with reflux; Laparoscopic Nissen fundoplication ameliorates symptoms of . Ncbi.nlm.nih.gov DA: 20 PA: 17 MOZ Rank: 48. DeMeester score was 41 (range 14.8.
Disagreement occurred in seven of 160 studies, primarily (4/7) due to differences in upright reflux, where the JD score was normal (range 16.9 to 20.5) and the D score was abnormal (range 14.9 to 18.5). The JD and D scores significantly correlated with percent total reflux (R2=0.793 and R2=0.919, respectively). Furthermore, the JD and D scores significantly correlated to percent upright reflux (R2 = 0.380 and R2= 0.564, respectively) and percent supine reflux (R2=0.789 and R2= 0.628. The DeMeester score was calculated using the established criteria, 25 and a score greater than 14.7 was considered positive for pathologic acid reflux. The catheter was attached to an ambulatory recording device, and the total testing period was 24 hours. Composition (liquid, gas, or mixed), proximity, and duration of reflux events were recorded Patienten der Gruppe NP hatten im Mittel 252 (range, 21-630), P-Patienten im Mittel 235 (range: 57-1325) Refluxepisoden (p=ns). Auch für den Demeester Score (NP=63,4 [3,5-163]; P=49 [10,2-169]), für die Fraktionszeit pH<4 (NP=12,7% [1-48%]; P=10,9 [2,2-29%]), sowie für die Dauer des längsten Refluxes (NP=27,3s [2-131]; P=15,3s [3-44]) zeigte sich kein signifikanter Unterschied im Gruppenvergleich .8, the normal range. I am not taking a PPI, am more comfortable, have less pain, and sleep better. My surgeon said that the TIF allows my to belch, vomit, and produces a more normal condition. I have some reflux but everyone does. I am much better but it is not like in my earlier years but I am probably average for my age (early 60s) for reflux
Specifically, in the group with normal pH (DeMeester score ≤ 14.72), the upper limit of normality of the number of reflux episodes fell from 66.5 to 60.5 and the percentage time of distal oesophageal acid exposure fell from 3.65 to 3.45%. Proximal oesophagu Median DeMeester score (IQR) 36 (26-55) 42 (27-60) 41 (30-57) 28 (25-31) 0.146 Time pH < 4 (%) 11 (7.5-15.4) 11 (6.7-14) 13 (7.6-17.7) 9.2 (7.8-10.8) 0.566 LES resting pressure 14.2 (7.8-21) 16.1 (11.5-23.4) 13.3 (6-20) 11.6 (4.2-17.3) 0.719 Effective swallows (%) 100 (100-100) 100 (100-100 The DeMeester score (normal <14.72) was significantly decreased after RYGBP (24.8 ± 13.7 before vs 5.8 ± 4.9 after; P <0.001) but tended to increase after AGB (11.5 ± 5.1 before vs 51.7 ± 70.7 after; P =0.09), with severe dyskinesia in 2 cases All of these patients continued to have troublesome cough evidenced by a high Hull Cough Hypersensitivity Score with a mean score of 39(range 25-66), normal < 12. 15(68%) of these patients had an abnormal airway pH study with a mean upright Ryan score of 145(range17.72-573.46), normal < 9.41. All of the 7 patients who had 24 hour oesophageal pH monitoring had a normal DeMeester score with a. The score was based on three components of the disease, namely endoscopic anatomy, functional abnormalities (esophageal acid exposure), and pathologic mucosal injury. The final AFP score was a sum of the three components as seen in Table II. Patients were categorized into three groups according to the total AFP score representing mild (score 0-2), moderate (3-5), and severe disease (score 7-9). The prevalence of the symptoms in patients with GERD was related to these categories. Further.
Those patients with a LOSBP < 5mm Hg had a higher DeMeester score (mean 81.0, range 47.9-128.8) than the patients with a normal LOSBP (26.9, 8.7-56.5; p < 0.002). These results show that adult CF patients have high rates of GOR symptoms, diminished LOSBP, and acid reflu The DeMeester score was considered positive if > 14.72. The DeMeester score was chosen for the primary variable as it is the most reproducible of the commonly analyzed pH variables (similar to percent total time pH 4), and has an accepted cutoff point at 14.72 
Overall, 22 (61%) patients had a high DeMeester score, a high total number of impedance reflux events or both. 17 (44%) of the 36 study subjects had pepsin concentrations above the levels recorded in the control population (control range 0-2.3 ng·mL −1) . The values for these positive readings ranged from 7 to 44 ng·mL −1. Using the TBA assay, only four out of 36 subjects had detectable levels of bile acids May 1, 2012. DeMeester score is not pH. It's a measure of how long and how often the pH in your esophagus drops. The higher the score, the more reflux you have. Normal is 14 or below, and 3.4 is actually lower than average The h pHmetry revealed a DeMeester score range between 0 and 3 average, 0. Osservazioni sullo stato attuale dell'Italia e sul suo I'll be really very grateful. Because this method is associated with nasal and pharyngeal discomfort and rhinorrheapatients may have limited their activity and become more sedentary during the monitored period. Evaluation des apprentissages et technologies de l. BackgroundDistal esophageal acid exposure can be quantified using the DeMeester score (DS) or percen range 11 to 88) off therapy between July 2002 and October 2004 were analyzed. DS (normal<14.7), percentage time pH<4 (normal; upright<6.3%, recumbent<1.2%), and the SI (positive symptom if ≥50%) were calculated for each patient. Symptom responses to proton pump inhibitors (PPIs) were. Subjects with DeMeester scores<14.72. impedance-I（+）W/S Subjects with total reflux number > 80 in 24h pH-impedance monitoring. W means weakly acid reflux account for above 50% in total reflux number. G means gas reflux account for above 50% in total reflux number.For subjects of this group,probiotic agent is considered. Drug: Probiotic Agent Probiotic Agent for I(+)G/W；Live Bacillus.
72 CF adults recruited from a CF outpatient clinic consented to the study (39M/33F; median age 21 (16-60) years) and completed questionnaires to characterise symptoms of GOR (DeMeester score 0-9; < 1 normal) and EOR (Reflux Symptom Index (RSI) score 0- 2 45; < 13 normal). Patients were measured for BMI kg/m and grouped according to the 2 2 following BMI categories: underweight <18.5 kg/m , normal weight 18.5-25.0 kg/m , 2 2 overweight 25.1-30.0 kg/m and obese >30.0 kg/m . An expectorated. DeMeester score, impedance, and symptom sensitive index (SSI) were used as indices. Statistical analyses were performed using chi‐squared test with Yates correction and paired t‐test. One hundred consecutive patients, (female 50%, male 50%, mean age 54 [range 16-83] years) were studied on q.d. (n = 45) or b.i.d. PPI (n = 55). Only 20% of. . Medication related factors. Medication timing and adherence — Poor compliance with proton pump inhibitor (PPI) timing and adherence is an important cause for inadequate acid suppression and refractory GERD . PPIs should be administered 30 to 60 minutes before breakfast for maximal inhibition of proton pumps. In one study that included 100 patients with GERD, only 46. Subjects with distal esophageal reflux had an abnormally high DeMeester score (normal < 14.72)
The frequency distribution of BLESP in the subjects is given in Table 1. The mean BLESP was 13.68 [+ or -] 3.93 mm Hg; 63% of the subjects had their BLESP either below normal value or near lower range of normal. The frequency distribution of DeMeester score is given in Table 2. The mean DeMeester score was 16.94 [+ or -] 9.57. Of total 54. indice de demeester pdf creator. Tratamiento quirurgico del reflujo gastroesofagico del adulto. How to cite this article. Pay Bitcoin or Else: Deemeester patient revealed a light esophagitis grade 1, Savary-Miller at endoscopy; all the others presented normal endoscopic view of the distal esophagus The guidelines for the surgical treatment of gastroesophageal reflux disease (GERD) are a series of systematically developed statements to assist physicians and patient decisions about the appropriate use of laparoscopic surgery for GERD A: In case 7, the distal and proximal esophagus (CH1 and CH2) had synchronic pathologic acid reflux (DeMeester score: 60.0). B : In case 1, the pH line rarely declined below pH 4.0 (DeMeester. Total numbers of acid episodes, acid exposure time (AET, pH < 4) and DeMeester score were analyzed for day 1 and day 2 separately as well as for 48 hours in total. Acid exposure time ≥ 4.2% and/or a DeMeester score ≥ 13.9 were considered abnormal
The influence of age on gastro-oesophageal reflux: a re-appraisal of the DeMeester scoring system. European Journal of Cardio-Thoracic Surgery, 2000. Prof. Anjum Jalal. Helen Payne. Prof. Anjum Jalal. Helen Payne. Download PDF. Download Full PDF Package. This paper. A short summary of this paper. 37 Full PDFs related to this paper. However, my GI doctor's notes to my GP said a normal DeMeester score is 22 or less. So I'm either slightly abnormal or normal regarding DeMeester. My other reading showed that there was acid in my esophagus 5.1% of the time, and normal is 4.2% or less, using pH 4 as a reference value. So the long and short of it is, I do have acid reflux and I do have symptoms and need to stay on my Nexium. The DeMeester score for the distal esophagus was computed, including and excluding time during meal ingestion. Tota l time pH less then four, total number of episodes and DeMeester score (DS) were analyzed. Results: Ten patients (7%) with normal DS score when meals were excluded became abnormal with meals included. Only one patient had a total. RCT with DeMeester score. Endoscopy, esophageal manometry and pHmetry were performed before the procedure and around 18 months postoperatively. LES had range of extension between 2. In an effort to improve diagnostic accuracy of testing, a catheter with two pH sensors has been used to measure the degree of esophageal acid exposure in both distal and proximal esophagus. Principles of ambulatory.
But DeMeester scores were both decreased after 5 years following LNF and LTF . Uncertainty exists over what level of LES pressure can prevent reflux while still avoiding dysphagia. Based on our experience, a postoperative increase in LES pressure of 2 to 5 mmHg below the normal value (10-12 mm Hg) is sufficient to control reflux. Moreover, even though the increase in LES pressure was. Wireless pH-monitoring is an accurate method for diagnosing adults with gastroesophageal reflux disease (GERD). The aim of this study was to evaluate the use of the Bravo capsule on children investigated for GERD in terms of safety, tolerability and feasibility before and after administration of proton pump inhibitors. A Bravo capsule was inserted during upper endoscopy under general. in those with normal EEG results (p=0.027). Mitochondrial disease was associated with a higher reflux index than were epileptic disorders or cerebral palsy (p=0.009). Patient gen-der, feeding method, scoliosis, tracheostomy, and baclofen use did not lead to statistical differences in reflux index. Age of onset of neurological impairment was inversely correlated with DeMeester score and reflux. Using normal pub-lished values for acid exposure time and reflux episodes, 241 (69%) of patients had abnormal reflux (Table 2). The median BEWE score was 13 (interquartile range (IQR], 11-16) in the 162 scored patients. No significant correlation was observed between BEWE scores and the percentage of time with pH<4 or<5.5, or the total, acid normal, there was an 81.4 % probability of a positive DeMeester score. In cases where all three were normal, there was an 86.9 % probability that the DeMeester score would be negative. Receiver-operating characteristics (ROC) for LESP, TVV and IVV were nearly identical and indicated no useful cut-off values. Logistic regression demonstrated that LESP and IVV had the strongest association with.
Method: pH studies from 450 patients (303 female; mean age 53; range 11 to 88) off therapy between July 2002 and October 2004 were analyzed. DS (normal<14.7), percentage time pH<4 (normal; upright<6.3%, recumbent<1.2%), and the SI (positive symptom if ≥50%) were calculated for each patient. Symptom responses to proton pump inhibitors (PPIs) were assessed in patients with discordant DS and CA. No. of reflux episodes/24 h (normal <48) % Total time pH <4/24 h (normal <5.6%) DeMeester score (normal <14.72) Off PPI: 110: 72 (44-73) 9.7 (6.3-12.8) 31.7 (23.1-50.3) On PPI: 22: 64 (44-77) 2.7 (1.2-6.0) N . Look through examples of ERD translation in sentences, listen to pronunciation and learn grammar The preoperative DeMeester score in these patients was 156 (range 50 to 280) and decreased to 42 postoperatively (range 17 to 104). Five of these patients were asymptomatic. One patient had a worse postoperative score (58 to 104). She was found to have a herniated wrap and required a second operation. In the 18 patients who had correction of the abnormal reflux, the DeMeester score went from.
Score is positive: I am sorry that your daughter is having reflux problems. But you are getting it checked out which is important. To answer your question, scores over 14.72 show significant reflux. There does not appear to be different ranges for children vs adults. Her options would be lifelong proton pump inhibitors or surgery to correct the reflux, which would depend on esophageal erosion. Information from the pH test helps your doctor diagnose GERD (gastroesophageal reflux disease) and plan your treatment. Bravo system consists of a capsule, approximately the size of a gel cap that is temporarily attached to the wall of your esophagus . All other studies have also shown an overlap between their symptomatic patients and normal controls, however, the latter were selected [7-12]. Moreover, Smout found a correlation between age and duration of acid reflux, so that in subjects over 45 the 95th percentile figure for. The mean follow-up was 209 days (range 12-434 days). The GERD-HRQL score decreased from 26.0 to 1.0 (p<0.005). At 3 months postoperatively, 89% of patients were off anti-reflux medications, and 79% of patients had a normal 24-h pH test. All patients preserved the ability to belch. Mild dysphagia occurred in 45% of patients. No migrations or erosions of the device occurred. From this study.
Bronchiectasis is a progressive and fatal disease despite the available treatment regimens. Gastroesophageal reflux (GER) may play an important role in the progression of bronchiectasis. However, active anti-reflux intervention such as Stretta radiofrequency (SRF) and/or laparoscopic fundoplication (LF) have rarely been used to treat Bronchiectasis When determining the range of usability for ergonomic designs, the anthropometric dimensions, or physical measurements, of a population are divided into 100 groups. Each of these 100 groups represents a percentile. It is important to note that in ergonomics design, this 95th percentile value is based on the measurements of male members of the population. Because women tend to be smaller than.
A score of 0 (pre endoscopic) identifies extremely low risk of rebleed or death and may be suitable for early discharge or non admission. Patients with a full (post endoscopic) Rockall score of < 3 have a low risk of re bleeding or death and can be considered for early discharge. Reference: Rockall TA, Logan RF, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal. ence in DeMeester scores across both MAC and MAC for steroid use with significant differences between those not receiving steroids and those receiv-ing continuous oral steroids for 6 months (p 0.005). This difference was greater for MAC (p 0.007) than MAC (p 0.068). Nine MAC patients (15.5%) were thought t
It can be observed that normal individuals maintain the esophageal pH above 4 over the entire monitoring period, while for the patients, pH < 4 is a dominating trend with apparently significant fluctuations, but it should be noted that not all patients have the typical patterns. Table 1 shows the sensitivity of the abovementioned static parameters. As can be seen, DeMeester scores and total. Although the baseline esophagogastroduodenoscopy examination did not show severe erosion in the majority of patients, the mean total FSSG score before vonoprazan treatment was notably high (25.2±10.7) compared to a normal score of <8. After vonoprazan treatment, the FSSG score decreased to 9.6±7.0. The mean improvement rate of the total FSSG, acid reflux and dysmotility scores were 60.8±21. There are a range of underlying causes that include gastro-oesophageal reflux disease, dysmotility in the oesophagus, peptic ulceration and the nature and pattern of dietary intake. In addition the surgical treatments used for morbid obesity cause similar symptoms from gastric bands leading to dysphagia or reflux from being too tight or from erosion into the stomach, from balloons being. At 4 years, the mean total GERD HRQL score at 4 years or more was 3.3 compared with the baseline score of 25.7 (p < 0.0001); all patients had at least a 50% reduction in the total GERD HRQL score . Interestingly, 87.5% of patients were satisfied with their present condition, and 80% of patients were free from daily dependence on PPIs ( Figure 7 ) In the 5 patients consenting to oesophageal studies, the mean number of reflux episodes was 144.4 (range from 97 to 178), and pre-operative mean DeMeester score was 39.2 (± 24). The mean resting pressure of lower oesophageal sphincter was 12.4. Reported cough was highly associated with reflux episodes. (Table 2
The PX Score™ and other key patient experience ratings measure how other patients felt about the experience they had with Dr. Demeester. Dr. Demeester has a PX Score™ of 4.0 out of 5, which was calculated from 49 reviews compiled from multiple online sources Twenty-four-hour pH-metry showed acid reflux with a total DeMeester score of 94.9. When (instead of the usual pH 4) pH 3 was used as a discriminant threshold for GERD, the reflux score was 62.3. The patient underwent surgery with a hypertrophic LES and a rigid cardia found during the operation. Cardiomyotomy and Nissen fundoplication were performed. Case 2. A 65-year-old woman was admitted. Dealing with digestive problems shouldn't become the norm for your body, which is why I recommend seeking expert treatment if you suspect you have issues with low stomach acid. At The Dempster Clinic- Center for Functional Medicine , I can work with you to determine what's causing your symptoms and help you get back on track to better health
Shahin Ayazi, University of Rochester, Surgery Department, Department Member. Studies Gastroenterology, General Surgery, Gastrointestinal Surgery, and Motility The median total RSI score in the TIF 2.0 group decreased significantly from 23 (range, 0-43) on PPIs before procedure to 3 (range, 0-25) off PPIs at 6 months follow-up (p<0.001). A minor improvement in the median total RSI score was reported in the control group, but this difference did not reach statistical significance (p=0.205). No major complications were reported. The authors concluded.