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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 …
Footnotes
Contributors Both authors contributed to the letter equally.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.