Conclusion: Because of the dietary effect, high absorbance fluids or foods should be avoided in detection. Intragastric pH and bilirubin monitoring separately predict The presence of duodenal(and/or pancreatic)refluex and bile Reflux. They can not substitute for each other. The detection Of DGR is improved if the two parameters are combined Simultaneously. Aim: To assess the diagnostic value of a combination of Continuous intragastric pH and bilirubin monitoring in the Detection of duodenogastric reflux(DGR), and the effects Of diet on the bilirubin absorbance.
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