Incorporating all the evidence: the role of EGJ-CI in GERD diagnosis

Abstract

We have read with interest the recent paper by Gyawali et al .1 The authors deserve commendation for their efforts in developing an update to the Lyon Consensus 2.0, a substantial undertaking involving expert contributors worldwide to establish criteria for diagnosing gastro-esophageal reflux disease (GERD). They have introduced new normal values for existing parameters, such as mean nocturnal baseline impedance (MNBI), ambulatory pH monitoring whilst on proton pump inhibitors (PPIs) and prolonged wireless pH monitoring. Notably, the EGJ contractile integral (EGJ-CI) serves as a measure of …