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Multichannel Intraluminal Impedance and pH Monitoring: A Step Towards Pediatric Reference Values.

Francesco Cresi1, Elena Andrea Cester1, Silvia Salvatore2

  • 1Neonatology and Neonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, Italy.

Journal of Neurogastroenterology and Motility
|July 2, 2020
PubMed
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This summary is machine-generated.

This study establishes reference values for multichannel intraluminal impedance and pH monitoring (MII/pH) in children, aiding accurate diagnosis of gastroesophageal reflux (GER). Findings correlate reflux events with age, improving pediatric GER disease assessment.

Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Technology
  • Reflux Monitoring

Background:

  • Multichannel intraluminal impedance and pH monitoring (MII/pH) is the gold standard for detecting gastroesophageal reflux (GER).
  • Current MII/pH use is limited by a lack of established reference values for pediatric populations.
  • Accurate GER diagnosis in children requires age- and condition-specific normative data.

Purpose of the Study:

  • To establish reference values for MII/pH monitoring in a pediatric cohort.
  • To investigate the correlation between MII/pH parameters, age, and meal status (postprandial/fasting).
  • To provide normative data for improved diagnosis of pediatric GER disease.

Main Methods:

  • Evaluation of MII/pH traces from 195 pediatric patients (newborns, infants, children) across three Italian hospitals.
Keywords:
ChildEsophageal pH monitoringGastroesophageal refluxInfantReference values

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  • Exclusion of patients with significant symptom-reflux associations or pathological reflux index.
  • Analysis of MII/pH data in entirety, and separately for postprandial and fasting periods.
  • Main Results:

    • Age positively correlated with acidic GER events (r=0.37, P<0.05).
    • Age negatively associated with weakly acidic GER events (r=0.46, P<0.05).
    • Established distributions of MII/pH values for a pediatric population with normal GER exposure.

    Conclusions:

    • The study provides reference MII/pH values for pediatric GER assessment.
    • These values can enhance the accuracy of GER disease diagnosis in children.
    • Normative data supports better clinical interpretation of MII/pH findings in pediatric patients.