[PDF][PDF] Esophageal pH monitoring: evaluation and treatment of GERD in infants and children

O Brankov, M Stoimenova, G Racheva… - Praemedicus, 27, 1, 2006 - researchgate.net
O Brankov, M Stoimenova, G Racheva, I Jotov
Praemedicus, 27, 1, 2006researchgate.net
Introduction: Gastro-esophageal reflux disease (GERD) can be defined as any symptomatic
clinical condition that results from the reflux of stomach contents into the esophagus. Several
investigations are used for evaluating the different clinical presentation of the disease. Aim:
The purpose of this study is to reveal the role of the 24-hour pH monitoring in the complex of
diagnostic methods for evaluating GERD in young children. Material and methods: For a
period of 15 years (1987―2001) 199 infants aged 2 months―4 years with suspected GERD …
Abstract
Introduction: Gastro-esophageal reflux disease (GERD) can be defined as any symptomatic clinical condition that results from the reflux of stomach contents into the esophagus. Several investigations are used for evaluating the different clinical presentation of the disease.
Aim: The purpose of this study is to reveal the role of the 24-hour pH monitoring in the complex of diagnostic methods for evaluating GERD in young children.
Material and methods: For a period of 15 years (1987―2001) 199 infants aged 2 months―4 years with suspected GERD were treated at the Department of Pediatric Surgery and the University Paediatric Hospital in Sofia, Bulgaria. A detailed history, X-rays, esophagoscopy, scintigraphy and pH monitoring were used to confirm the diagnosis and demonstrate possible complications.
Results: Esophageal pH monitoring has been the most informative screening method for distinguishing physiological from pathological reflux, particularly revealing children with a high risk of reflux disease and evaluating pathological GER by children with related clinical symptoms. The indication for the method should be substantiating on clinical evidence and other diagnostic methods.
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