[Bravo pH monitoring in gastroesophageal reflux]

Pichon Riviere A, Augustovski F, Garcia Marti S, Glujovsky D, Lopez A, Alcaraz A, Bardach A, Ciapponi A
Record ID 32014000265
Authors' objectives: To assess the available evidence on the efficacy, safety and coverage related aspects regarding the use of Bravo capsule for pH monitoring in gastroesophageal reflux.
Authors' recommendations: No evidence from trials comparing standard to wireless devices was found that would allowdrawing conclusions that would enable to change the current diagnostic or therapeutic algorithms. The evidence evaluated comes from few studies of adequate methodological quality. Although it can not be concluded that the wireless capsule has a better diagnostic profile than the standard one, in general, it diagnoses a similar number of patients with ph under 4. The wireless device consistently showed less discomfort in the assessed subjects, although they had more chest discomfort. The health sponsors evaluated consider that the wireless device is a valid alternative for specific situations, mainly in those cases where pH monitoring could not be carried out using the standard device. It is not clear, especially because of the expenses that need to incurred, if its use could replace the standard technique in other medical situations. Studies of good quality better assessing the diagnostic profile of this technology, its costs, as well as its inclusion in the diagnosis and therapeutic algorithms need to be conducted to determine if it may replace pH monitoring with a standard device.
Project Status: Completed
Year Published: 2013
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Humans
  • Esophageal pH Monitoring
  • Gastroesophageal Reflux
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.