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Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
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Pediatric gastroesophageal reflux disease--current perspectives

Jennifer Strople1, Ajay Kaul

  • 1Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Ohio 45228-3039, USA.

Current Opinion in Otolaryngology & Head and Neck Surgery
|November 25, 2003
PubMed

Insights

Gastroesophageal reflux disease (GERD) in children presents challenges. Newer diagnostic tools like impedance monitoring and treatments are emerging, but further research is needed for pediatric application.

Area of Science:

  • Pediatric Gastroenterology
  • Gastroesophageal Reflux Disease (GERD) Research
  • Diagnostic Modalities in Pediatrics

Background:

  • Gastroesophageal reflux disease (GERD) can manifest with atypical symptoms beyond heartburn and regurgitation.
  • Otolaryngologic and respiratory symptoms may be the sole indicators of GERD in pediatric patients.
  • Understanding GERD pathophysiology, diagnosis, and treatment is crucial for effective pediatric care.

Purpose of the Study:

  • To review recent advancements in GERD pathophysiology, diagnosis, and treatment.
  • To discuss the implications of these developments for pediatric GERD management.
  • To highlight the need for further research in pediatric GERD.

Main Methods:

  • Review of recent literature on GERD pathophysiology, diagnosis, and treatment.
  • Focus on newer diagnostic modalities such as intraesophageal impedance and Bravo wireless pH monitoring.
  • Evaluation of emerging therapeutic options and endoluminal therapies.

Main Results:

  • Impedance technology offers insights into both acid and non-acid reflux.
  • Bravo wireless pH monitoring allows for prolonged monitoring under physiological conditions.
  • Higher dosages of acid suppressive therapy may be required for pediatric GERD response.
  • Endoluminal therapies show promise in adults but have limitations for pediatric use.

Conclusions:

  • Impedance monitoring enhances understanding of reflux but lacks established pediatric norms.
  • Current endoluminal therapies are not yet widely applicable to children.
  • Further research is essential to validate new diagnostic and therapeutic approaches for pediatric GERD.
Abstract

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