Esophageal pH monitoring developed a dependable external reference electrode. Using this technique to monitor esophageal acid exposure patients for periods up to 24 hours, DeMeester and Johnson were able to identify the most important parameters of esophageal acid exposure, and they developed a composite pH score to quantify gastroesophageal reflux. The initial 24-hour pH studies required hospitalization until the introduction of microcircuits in the 1980s that allowed portable esophageal pH monitoring in an outpatient setting. Gastroesophageal reflux disease (GERD) is a common disease in western countries. In the United States, 7% of the population experiences heartburn daily and 44% at least once a
PH meter Glass is a solid electrolyte, for which alkali-metal ions can carry current. The pH-sensitive glass membrane is generally spherical to simplify manufacture of a uniform membrane. These membranes are up to 0.4 millimeters in thickness, thicker than original designs, so as to render the probes durable. The glass has silicate chemical functionality on its surface, which provides binding sites for alkali-metal ions and hydrogen ions from the solutions. This provides an ion-exchange capacity in the range of 10 to 10 mol/cm. Selectivity for hydrogen ions (H) arises from a balance of ionic charge, volume requirements versus other ions, and the