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[Intraesophageal pH in children with suspected reflux]

R Calva-Rodríguez, J A García-Aranda, A Bendimez-Cano

    Boletin Medico Del Hospital Infantil De Mexico
    |May 1, 1989
    PubMed

    Insights

    Diagnosing gastroesophageal reflux in children is crucial. A four-hour intraesophageal pH monitoring effectively identifies pathological reflux (ERGE) in pediatric patients.

    Area of Science:

    • Pediatric Gastroenterology
    • Diagnostic Medicine

    Background:

    • Gastroesophageal reflux disease (GERD) presents significant challenges in pediatric care.
    • Key symptoms include vomiting, failure to thrive, and recurrent pneumonia.

    Purpose of the Study:

    • To evaluate the diagnostic utility of intraesophageal pH monitoring for pediatric GERD.

    Main Methods:

    • Barium esophagogram (SEGD) with fluoroscopy, esophageal manometry (EM), and four-hour intraesophageal pH monitoring were performed on 22 children.
    • Patients presented with symptoms suggestive of gastroesophageal reflux.

    Main Results:

    • Pathological reflux (ERGE) was confirmed in 13 of 22 children.
    • SEGD detected reflux in 16 patients; EM was abnormal in only 3.
    • Altered intraesophageal pH measurements were observed in 7 patients.

    Conclusions:

    • Short-term (4-hour) intraesophageal pH monitoring is a valuable diagnostic tool for identifying GERD in children.
    • This method aids in the accurate diagnosis of pediatric gastroesophageal reflux disease.

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