Soresi, Simona, Zeriouh, Mohamed, Sabashnikov, Anton ORCID: 0000-0002-6289-1035, Mc Dermott, Grainne, Weymann, Alexander, Wippermann, Jens, Wahlers, Thorsten, Reed, Anna, Carby, Martin, Simon, Andre R. and Popov, Aron-Frederik ORCID: 0000-0003-4226-3004 (2016). GORD symptoms in lung transplantation: how efficient is the reflux symptom index questionnaire compared to the esophageal impedance test? Clin. Transplant., 30 (1). S. 44 - 52. HOBOKEN: WILEY-BLACKWELL. ISSN 1399-0012

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Abstract

ObjectiveAs Gastroesophageal reflux disease (GORD) affects long-term survival in lung transplant recipients, the aim of this observational prospective study was to analyze the efficacy of The Reflux Symptom Index Questionnaire (RSI) compared to the esophageal impedance test. MethodsBoth esophageal impedance studies and RSI questionnaire were routinely performed in all patients who had completed rehabilitation following lung transplantation from June 2013 till March 2014. RSI generates a score of between zero and forty-five, taking into account any symptoms within four wk of the questionnaire. Our analysis considered RSI score cut-offs of 10 and 13 indicating significance of reflux. ResultsOut of 84 patients, 50 (59.5%) had evidence of GORD detected by impedance studies, whereas only 33 (39.2%) and 22 (26.2%) had RSI >10 and 13, respectively. An elevated RSI was not found to be associated with positive impedance studies using a score of either 10 or 13 (p = 0.127 and p = 0.142, respectively); 32.1% (n = 27) and 40.5% (n = 34) were found to have negative RSI and positive impedance test using 10 or 13 as cut-off, respectively. ConclusionRSI Score is an unreliable predictor of GORD among lung transplant recipients. The authors therefore recommend the routine use of impedance testing in post-transplant patients.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Soresi, SimonaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zeriouh, MohamedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sabashnikov, AntonUNSPECIFIEDorcid.org/0000-0002-6289-1035UNSPECIFIED
Mc Dermott, GrainneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weymann, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wippermann, JensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wahlers, ThorstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reed, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Carby, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Simon, Andre R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Popov, Aron-FrederikUNSPECIFIEDorcid.org/0000-0003-4226-3004UNSPECIFIED
URN: urn:nbn:de:hbz:38-291844
DOI: 10.1111/ctr.12656
Journal or Publication Title: Clin. Transplant.
Volume: 30
Number: 1
Page Range: S. 44 - 52
Date: 2016
Publisher: WILEY-BLACKWELL
Place of Publication: HOBOKEN
ISSN: 1399-0012
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
GASTROESOPHAGEAL-REFLUX; BRONCHIOLITIS OBLITERANS; DISEASE; ASPIRATION; FUNDOPLICATION; FIBROSISMultiple languages
Surgery; TransplantationMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/29184

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