%0 Journal Article
%T Esophageal Function and Reflux Evaluations in Lung Transplantation: A Nationwide Survey of UNOS-Accredited Transplant Centers in the United States.
%A Leung R
%A Lo WK
%A Sharma NS
%A Goldberg HJ
%A Chan WW
%J Clin Transl Gastroenterol
%V 14
%N 12
%D 2023 12 1
%M 37747103
%F 4.396
%R 10.14309/ctg.0000000000000641
%X Gastroesophageal reflux disease has been associated with worse lung transplant outcomes. We aimed to assess local practices for esophageal function testing (EFT) across transplant centers.
This was a survey study of all United Network for Organ Sharing-accredited adult lung transplant centers regarding local EFT practice.
Among 39/63 (60%) responded centers, 38.5% required any EFT (35.9% esophageal manometry, 15.4% pH monitoring, and 28.2% pH impedance), while another 28.2% may consider EFT based on symptoms. Five-year transplant volume was higher among centers requiring EFT (253 vs 159, P = 0.04).
Only a minority of lung transplant centers routinely obtained EFT, supporting the need for guidelines for standardized reflux/esophageal assessment.