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Published on: November 21, 2017
[Current indications of esophageal pH-monitoring]
H Armas Ramos1, M Molina Arias, L Peña Quintana
1Grupo de Trabajo de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP) de la AEP, Spain. harmas@ull.es
Insights
Infant regurgitation is common, often requiring pH monitoring for accurate diagnosis. This consensus statement guides when to use esophageal pH monitoring for gastroesophageal reflux in infants.
Area of Science:
- Pediatric Gastroenterology
- Infant Health
- Diagnostic Procedures
Context:
- Infant regurgitation is a frequent reason for pediatric consultations.
- Accurate diagnosis necessitates appropriate pH monitoring equipment and technique.
- This consensus statement is from the Spanish Society of Pediatric Gastroenterology, Hepatology and Nutrition.
Purpose:
- To provide guidelines on the indications for esophageal pH monitoring in infants.
- To establish a consensus on the diagnostic approach to infant regurgitation.
- To outline the role of pH monitoring in managing gastroesophageal reflux disease (GERD).
Summary:
- Esophageal pH monitoring is indicated for infants with persistent reflux symptoms despite treatment.
- It helps correlate gastroesophageal reflux with non-digestive symptoms.
- The procedure aids in evaluating the efficacy of medical or surgical treatments for GERD.
Impact:
- Improved diagnostic accuracy for infant regurgitation and GERD.
- Standardized approach to pH monitoring in pediatric practice.
- Enhanced management strategies for infants suffering from gastroesophageal reflux.
Abstract:
Regurgitation is a common manifestation in infants below the age of 1 year and a frequent cause of visits to general practitioners and pediatricians. Accurate diagnosis of this condition requires a good choice of pH monitoring equipment and optimal technique when performing this procedure. The present article is a consensus statement of the Working Group on Gastroesophageal Reflux of the Spanish Society of Pediatric Gastroenterology, Hepatology and Nutrition (SSPGHN) and reflects the conclusions reached in the VII Congress of the SSPGHN (Vigo, 2000). In general, esophageal pH monitoring is indicated in the following situations: (i) when symptoms of gastroesophageal reflux are present and evolution is not favorable, despite appropriate treatment; (ii) when trying to determine the relationship between gastroesophageal reflux and non-digestive symptoms and (iii) when evaluating the results of treatment, whether medical or surgical.
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