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Results of the gastroesophageal reflux assessment in wheezy children

O Karaman1, N Uzuner, B Değirmenci

  • 1Dokuz Eylül University Medical Faculty, Department of Pediatrics, Izmir, Turkey.

Indian Journal of Pediatrics
|May 8, 2000
PubMed

Insights

Gastroesophageal reflux (GER) is a factor in childhood respiratory issues. GER scintigraphy is a sensitive, noninvasive tool for diagnosing GER in children with recurrent wheezing.

Area of Science:

  • Pediatric Gastroenterology
  • Pediatric Pulmonology
  • Diagnostic Imaging

Background:

  • Gastroesophageal reflux (GER) is increasingly recognized in pediatric respiratory symptoms.
  • Wheezing in children often necessitates considering GER in the differential diagnosis.
  • While esophageal pH monitoring is standard, radionuclide studies offer high sensitivity for GER evaluation.

Purpose of the Study:

  • To evaluate the frequency of GER in children with recurrent wheezing and/or vomiting using GER scintigraphy.
  • To assess the utility of GER scintigraphy as a diagnostic tool in this pediatric population.

Main Methods:

  • A cohort of 82 children (mean age 17.4 months) with recurrent wheezing and/or vomiting underwent GER scintigraphy.
  • GER scintigraphy was utilized to quantify the incidence of GER.
  • Data analysis focused on the prevalence of GER in relation to specific symptoms.

Main Results:

  • GER was identified in 18 out of 82 children (21.9%).
  • The incidence of GER was 21.1% in children with recurrent wheezing.
  • GER was detected in 16.6% of children presenting with recurrent vomiting.

Conclusions:

  • GER scintigraphy is a valuable, noninvasive, and easily applicable method for evaluating GER in children.
  • The findings support the consideration of GER scintigraphy in the diagnostic workup of pediatric recurrent wheezing.

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