N'ịbụ ndị nwere ihe ịrịba ama ndị nwere ike igosi reflux, dọkịta ahụ nwere ike ime ihe a na-akpọ nchọpụta "presumptive". Ọ na-eche na onye a nwere ike na-enwe reflux (na-enweghị nke zuru ezu n'aka). N'iburu n'uche ugboro nke reflux gastroesophageal, echiche a na-enye dọkịta ikike ịnye "ọgwụgwọ ule" site na ọgwụ ọjọọ, na ntụziaka nri ịdị ọcha, nke a kpọtụrụ aha.

Ọ bụrụ na mgbaàmà adịghị mma site na ọgwụgwọ, ọ nwere ike ịbụ ihe ọzọ karịa reflux. Ya mere ọ dị mkpa ịhụ onye gastroenterologist na ndụmọdụ nke dọkịta na-aga, maka ịrụ ọrụ nke "oke endoscopy" ma ọ bụ " Fibroscopy »Mgbe ịkwụsị ọgwụgwọ.

Nke a na-enye gị ohere ịhụ mkpuchi nke esophagus na afo na, ọ bụrụ na ọ dị mkpa, were nlele. Ọkachamara si otú ahụ na-achọpụta mgbe ụfọdụ "eosinophilic esophagitis", mbufụt nke esophagus jikọtara ọ bụghị reflux, kama na ntinye nke mkpụrụ ndụ ọbara ọcha kpọmkwem. N'otu aka ahụ, nyocha a nwere ike ịchọpụta ngwa ngwa, site n'ịhụ ha "peptic esophagitis, stenosis, cancer ma ọ bụ endobrachy esophagus".

Ọtụtụ mgbe, fibroscopy bụ ihe nkịtị, ọ naghị akwado "reflux"

A ga-enyocha ọrịa reflux gastroesophageal site na ule a na-akpọ pHmetry nke na-akọwapụta ịdị adị ma ọ bụ na ọ bụghị nke reflux karịrị awa 24 site na ịlele ogo acidity nke esophagus. Nnwale a gụnyere itinye nyocha site na imi n'ime esophagus. Na nyocha, ihe mmetụta na-anakọta pH nke esophagus, ma na-amata ọdịiche nke reflux pathological site na nkịtị. Ekwesịrị ịme ya ụbọchị 7 ka ị were ọgwụ ụdị proton pump inhibitor (PPI) ọ bụla ka ọgwụ ahụ ghara ịkpaghasị nsonaazụ ya.

Ọ bụrụ na mgbaàmà na-adịgide na onye nwere akụkọ ihe mere eme nke esophagitis ma ọ bụ pH ziri ezi na-enweghị ọgwụgwọ, a "PH-impedancemetry" n'okpuru ọgwụgwọ nwere ike ịtụ aro, nke na-eme ka o kwe omume ịmata ọdịiche nke mmiri mmiri, gas, acid ma ọ bụ na-abụghị acid reflux.

N'ikpeazụ, n'ihi nke zuru oke, anyị nwere ike ịgbalị ịchọpụta ọgba aghara moto nke nhazi esophageal site na omume nke a. TOGD: transit oeso gastro duodenal. Ọ na-enye ohere iji anya nke uche hụ akụkụ nke esophagus na mmegharị ya mgbe ọ nwesịrị ngwaahịa rediopaque. Ọ nwere ike ịchọpụta akụkụ nke hernia hiatus.

Nyocha ndị ọzọ, na manometers na "manometry dị elu" na-eme ka o kwe omume nyochaa, site na sensọ intra-esophageal, motricity nke esophagus.

Ụfọdụ ndị mmadụ nwere nsogbu na-arụ ọrụ, visceral hypersensitivity (akpụkpọ anụ mucous nke esophagus ha na-enwe mmetụta): a na-achọpụta na ha nwere endoscopy nkịtị, ikpughe acid nkịtị (pHmetry), ọnụ ọgụgụ zuru ezu nke reflux physiological, nkịtị, ma nkwekọrịta n'etiti. Mgbaàmà na reflux n'okpuru impedancemetry.