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Peer-reviewedCC BY 4.0The Journal of Laryngology and Otology

Discomfort and intolerance during 24-hour multichannel intraluminal impedance-pH monitoring

  1. 1Department of Otolaryngology–Head & Neck Surgery, Kyung Hee University School of Medicine, Kyung Hee University Medical Center, Seoul, Korea

Abstract

Objective: To investigate pain, discomfort, tolerance and complications during 24-hour multichannel intraluminal impedance-pH monitoring.

Methods: A prospective observational study at an academic out-patient clinic including 55 patients undergoing 24-hour multichannel intraluminal impedance-pH monitoring. Patient experience was measured using self-reported questionnaires at four time points: pre-insertion, post-insertion, before sleep and post-procedure. Anxiety, pain, discomfort, tolerance and other symptoms were assessed using visual analogue scale (VAS) scores. After treatment, the decision regret scale survey was administered.

Results: Anxiety decreased after catheter insertion. Discomfort peaked immediately after insertion and declined over time, while intolerance remained relatively stable. Foreign body sensation showed the highest VAS score. The proportion of participants unwilling to undergo the examination again was high, but patients tended to have a positive perception of 24-hour multichannel intraluminal impedance-pH monitoring after treatment.

Conclusion: Although 24-hour multichannel intraluminal impedance-pH monitoring has been reported to be uncomfortable and difficult to tolerate, most patients were satisfied with their decision to undergo the test.

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BibTeX
@article{lee2026discomfort,
  title = {{Discomfort and intolerance during 24-hour multichannel intraluminal impedance-pH monitoring}},
  author = {Hyun Jee Lee and Seok-Hwan Chung and Seok-Ju Yoo and Soo-Yeon Kim and Jun-Yuel Yoo and Su Il Kim and Young Chan Lee and Young-Gyu Eun},
  journal = {The Journal of Laryngology and Otology},
  year = {2026},
  month = nov,
  doi = {10.1017/s0022215126105192},
  url = {https://doi.org/10.1017/s0022215126105192},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Discomfort and intolerance during 24-hour multichannel intraluminal impedance-pH monitoring
AU  - Hyun Jee Lee
AU  - Seok-Hwan Chung
AU  - Seok-Ju Yoo
AU  - Soo-Yeon Kim
AU  - Jun-Yuel Yoo
AU  - Su Il Kim
AU  - Young Chan Lee
AU  - Young-Gyu Eun
PY  - 2026
DA  - 2026/11/06
JO  - The Journal of Laryngology and Otology
DO  - 10.1017/s0022215126105192
UR  - https://doi.org/10.1017/s0022215126105192
AB  - Objective: To investigate pain, discomfort, tolerance and complications during 24-hour multichannel intraluminal impedance-pH monitoring.  Methods: A prospective observational study at an academic out-patient clinic including 55 patients undergoing 24-hour multichannel intraluminal impedance-pH monitoring. Patient experience was measured using self-reported questionnaires at four time points: pre-insertion, post-insertion, before sleep and post-procedure. Anxiety, pain, discomfort, tolerance and other symptoms were assessed using visual analogue scale (VAS) scores. After treatment, the decision regret scale survey was administered.  Results: Anxiety decreased after catheter insertion. Discomfort peaked immediately after insertion and declined over time, while intolerance remained relatively stable. Foreign body sensation showed the highest VAS score. The proportion of participants unwilling to undergo the examination again was high, but patients tended to have a positive perception of 24-hour multichannel intraluminal impedance-pH monitoring after treatment.  Conclusion: Although 24-hour multichannel intraluminal impedance-pH monitoring has been reported to be uncomfortable and difficult to tolerate, most patients were satisfied with their decision to undergo the test.
SN  - 0022-2151
SN  - 1748-5460
ER  -