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Value of pH-metric examination in diagnosing gastroesophageal reflux in children and youth with typical and atypical clinical symptoms of gastroesophageal reflux disease
Zawadzki S, Czerwionka-Szaflarska M, Zielinska I, Mierzwa G, Bala G.
AIM: The aim of work was an estimation of pH-metric examination in diagnosing of gastroesophageal reflux in children with typical and atypical symptoms of the gastroesophageal reflux disease.
MATERIAL AND METHODS: 121 children were analysed with suspected to gastroesophageal reflux disease.
Depending on reported ailments they were divided into 2 groups.
Group I patients with typical symptoms of gastroesophageal reflux disease were including: heartburn, rebounding; while the second group consisted of those with atypical symptoms: nausea, vomiting, chest pain, abdominal pain.
24-hour pH-metric examination was performed in each patient.
RESULTS: On the basis of pH-metric examination gastroesophageal reflux was diagnosed in 85.2% patients from I group and 44.8% patients from group II.
CONCLUSION: The most important examination determining diagnosis of gastroesophageal reflux in children with both typical and atypical symptoms of this illness should be pH-metric examination of the esophagus.
In children with atypical symptoms in consideration of differential diagnosis we should take into account a possibility of gastroesophageal reflux.
PMID: 12420340 [PubMed - indexed for MEDLINE]
Pol Merkuriusz Lek. 2002 Aug;13(74):116-8.
Value of pH-metric examination in diagnosing gastroesophageal reflux in children and youth with typical and atypical clinical symptoms of gastroesophageal reflux disease (Article in Polish)
Zawadzki S, Czerwionka-Szaflarska M, Zielinska I, Mierzwa G, Bala G.
Katedra i Klinika Pediatrii, Alergologii i Gastroenterologii AM im. Ludwika Rydygiera w Bydgoszczy. |
