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 the concentration of the acid, so [A] = [H]. After some further algebraic manipulation an equation in the hydrogen ion concentration may be obtained. Solution of this quadratic equation gives the hydrogen ion concentration and hence p[H] or, more loosely, pH. This procedure is illustrated in an ICE table which can also be used to calculate the pH when some additional (strong) acid or alkaline has been added to the system, that is, when C ≠ C. For example, what is the pH of a 0.01M solution of benzoic acid, pK = 4.19? For alkaline solutions an additional term is