Continuous 20–24 hr esophageal pH-monitoring in infancy

Koch, AD; Gass, Ricardo

doi:10.1016/s0022-3468(81)80333-8

Cited by 47 publications

(11 citation statements)

References 6 publications

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“…Our results for the control group are compared with the available normal ranges in adults (9) and in children and infants (11,12) (Table 1), though the number of patients in pediatric studies is too small (12) or the patients' ages are too heterogeneous (3,11). Thi s, and the fact that the postprandial periods were not selected, explain s the variability in the normal ranges mentioned in literature.…”

Section: Discussionmentioning

confidence: 99%

Seventeen‐Hour Continuous Esophageal pH Monitoring in the Newborn

Vandenplas,

Sacre‐Smits

1985

J. pediatr. gastroenterol. nutr.

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Esophageal pH monitoring has been performed in 60 asymptomatic neonates between 1 and 10 days old. Several parameters (periods with a pH <4, number of reflux episodes, number of reflux episodes lasting more than 5 min, average duration of the longest reflux episode, average pH) were studied in different positions (in prone and supine position, in right and left side lying position). For all parameters, except for the average pH, we obtained significantly more favorable results in prone position. In 22 vomiting neonates, significantly favorable results were obtained only by application of positional therapy: in prone position with head elevated (anti‐Trendelenburg). There was no significant difference between the symptomatic group (with radiologically proven reflux pathology) in prone and anti‐Trendelenburg position, and the control group in prone horizontal position. The 17‐h continuous pH monitoring in the newborn is a nonaggressive investigation technique in physiological circumstances, which adequately completes and/or replaces the traditional examinations on gastroesophageal reflux. This method enables an evaluation of the favorable effect of simple therapeutic means (positional changes). Medication, and thickening and staggering of feeding (a time‐consuming and tiring burden for the parents), can be avoided with this technique

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Section: Discussionmentioning

confidence: 99%

Seventeen‐Hour Continuous Esophageal pH Monitoring in the Newborn

Vandenplas,

Sacre‐Smits

1985

J. pediatr. gastroenterol. nutr.

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“…El porcentaje del tiempo de pH bajo 4 es considerado el parametro ma's importante y se emplea para discriminar entre sujetos normales y enfermos 25 . El aclaramiento o depuracion esofagico (''clearance", traduce la capacidad del esofago para barrer el material refluido y restituir el pH al existente antes del episodic de reflujo 24 ). El area bajo la curva de pH permite evaluar el impacto del acido refluente sobre la mucosa esofagica y posiblemente es un criterio de mayor especificidad y sensibilidad comparado con otros mas antiguos, para prediccion de esofagitis peptica 26 ' 27 .…”

Section: Figuraunclassified

Registro continuado por 24 horas del pH esofágico en el diagnostico de reflujo gastroesofágico en niños

L²

1997

Rev. chil. pediatr.

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ResumenEl regist r o continuado del pH esofagico en 24 h es el metodc funcional mas objetivo para ef estudio del reflujo gcs'roescfdcico, pues permite deterrrinar parrones de exposicicn esofagica cl acido y correlacionar diversos sintornas con el reflu'o, siendo lo pesquisa del reflujo oculro una de las pri-cipales indicaciones. La esfandarizccion propuesra por la Sociedad Eurcpea de Gastroenterologia y Nutricion Pediatrica [ESPGAN) ha sido un gran aporte para irrorrrar Ic interpretacion y comunicacion de resullados entre d'ferentes agrupaciones d:nicas.IPalabras clave: escfago, pH, registrc conlinuado, reflujo gastrcesofagicoj Continuous 24 hour esophageat pH monitoring in childrenContinuous 24-hour esophageal pH monitoring has been introduced rather recently in Chile. It is considered one of the most objective functional method to study gastroesophageal reflux at present. It allows to delmate esophageal exposure to different patterns of acid reflux from gastric content and to correlate a variety of symptoms with gastroesophageal reflux. The confirmation of occult reflux is one of it's most important. The standards proposed by the European Society of Pediatrics Gastroenterology and Nutrition constitute a great contribution to the uniformity of report and interpretation of results.(

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“…More than 50 % of the patients in our study had symptoms of reflux. Diagnosis of reflux can be diffieult and 24-hour pH-monitoring of the esophagus is considered the most reliable method (2,5,7,9,13). The patients in this series were not subjeeted to pH-monitoring, as this teehnique wa not yet available in our hospital.…”

Section: Malerials and Melhodsmentioning

confidence: 99%

Esophageal Atresia: Mortality and Complications Related to Gastroesophageal Reflux

Montgomery

Frenckner

1993

Eur J Pediatr Surg

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Low birthweight and associated anomalies are important risk factors in patients with esophageal atresia. Gastroesophageal reflux is also a common problem in these patients and can lead to serious complications. The aim of this retrospective study was to analyse complications and mortality in 110 patients treated for esophageal atresia between January 1971-December 1987, in order to determine what role reflux may play. Symptoms of reflux were common in most patients during the first years of life. In some cases the symptoms were serious and even caused some late deaths by aspiration. The overall mortality was 12% (13/110). Early mortality (six patients) was caused by prematurity and associated anomalies, whereas late mortality often was caused by aspiration or other respiratory complications. Patients who had been operated with a circular myotomy showed more complications, but did not show a higher mortality rate than the remainder. This study confirms the importance of identifying patients with reflux at an early stage in order to prevent serious complications and mortality.

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Continuous 20–24 hr esophageal pH-monitoring in infancy

Cited by 47 publications

References 6 publications

Seventeen‐Hour Continuous Esophageal pH Monitoring in the Newborn

Seventeen‐Hour Continuous Esophageal pH Monitoring in the Newborn

Registro continuado por 24 horas del pH esofágico en el diagnostico de reflujo gastroesofágico en niños

Esophageal Atresia: Mortality and Complications Related to Gastroesophageal Reflux

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