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Updated: Apr 28, 2026

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
[The study of hormonal status in children with gastroesophageal reflux disease]
Insights
Hormonal imbalances, including somatostatin, gastrin, insulin, and cortisol, play a key role in the development of pediatric gastroesophageal reflux disease (GERD). These hormonal changes impact stomach motility and protective mechanisms.
Area of Science:
- Pediatric Gastroenterology
- Endocrinology
- Gastrointestinal Pathophysiology
Context:
- Gastroesophageal reflux disease (GERD) is a common condition in children.
- The role of hormonal dysregulation in the pathogenesis of pediatric GERD is not fully understood.
- This study investigates specific hormones and their impact on GERD in pediatric patients.
Purpose:
- To examine the levels of somatostatin, gastrin, insulin, and cortisol in children diagnosed with GERD.
- To elucidate the relationship between these hormones and the pathogenesis of pediatric GERD.
- To assess the influence of hormonal imbalances on stomach motor function in affected children.
Summary:
- A study of 40 children (ages 9-17) with GERD revealed age-dependent variations in somatostatin and gastrin concentrations.
- Imbalances in somatostatin and gastrin were associated with impaired stomach motility.
- Elevated insulin and cortisol levels were observed in children with GERD, suggesting altered adaptive and catabolic processes.
Impact:
- Findings highlight the critical involvement of hormonal factors in the development of GERD in children.
- This research provides insights into potential therapeutic targets for managing pediatric GERD.
- Understanding hormonal influences can lead to improved diagnostic and treatment strategies for pediatric GERD.
Unlabelled:
The aim of this work is to study the level of some hormones and their role in the pathogenesis of gastroesophagal reflux disease (GERD) in children.
Materials And Methods:
40 children with GERD at the age 9 till 17 years of them 17 boys (42.5%) and 23 girls (57.5%) were examined. Content of somatostatin, gastrin, insulin, cortisol in the blood was studied by immunofermental method. Motor function of the sthomach was studied using the apparatus EGC-4M.
Results:
The investigations which were performed revealed the fact that children with GERD have different concentration of somatostatin and gastrin depending on their age. In disturbances of interrelations of somatostatin and gastrin impairment of the stomach motility occurs. High level of insulin and cortisol is found in children with GERD. High level of insulin indicates of stimulation of protective and adaptative mechanisms. High level of cortisol intensifies catabolic processes, leads to disturbances of dynamic equilibration of aggressive-protective factors in the gastroduodenal zone.
Conclusion:
The results of our study revealed vital role of hormonal factors in the pathogenesis of GERD in children.
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