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[24-hour esophageal pH measurement in 52 children with gastroesophageal reflux]
J Snajdauf1, L Vondráková, R Fryc
1Klinika dĕtské chirurgie 2. lékarské fakulty Univerzity Karlovy, Praha.
Insights
24-hour oesophageal pH monitoring in children with gastrooesophageal reflux (GER) aids diagnosis. This method is valuable for determining surgical indications in pediatric GER cases.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Tools in Medicine
- Surgical Indications
Context:
- Gastroesophageal reflux (GER) presents diverse clinical complications in children.
- Accurate diagnosis is crucial for effective management of pediatric GER.
- Evaluating diagnostic methods for GER is an ongoing area of research.
Purpose:
- To report on the utility of 24-hour oesophageal pH metry in pediatric patients.
- To assess the correlation between pH metry findings and manometry results.
- To evaluate the role of pH metry in surgical decision-making for GER.
Summary:
- The study details experience with 56 examinations in 52 children suffering from GER complications.
- Oesophageal pH-metry findings largely aligned with oesophageal manometry results.
- 18 out of 52 children were recommended for surgery based on GER diagnosis.
Impact:
- Highlights 24-hour oesophageal pH-metry as a key auxiliary diagnostic tool.
- Emphasizes the method's importance in guiding surgical interventions for pediatric GER.
- Contributes to improved patient management strategies for gastroesophageal reflux disease.
Abstract:
The authors give an account of their experience with 24-hour pH metry of the oesophagus in children. They made 56 examinations in 52 patients with different clinical complications of gastrooesophageal reflux (GER). The pathological finding during oesophageal pH-metry was in the great majority consistent with the pathological finding during oesophageal manometry. Of 52 children 18 patients were indicated for surgery on account of GER. The authors emphasize the advantages of 24-hour oesophageal pH-metry in particular as an auxiliary method in indications for surgery of gastrooesophageal reflux.