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Gastroesophageal reflux with children requiring adenotonsillectomy

Gokhan Tumgor1, Rasit Midilli2, Basak Doganavsargil3

  • 1Department of Pediatric Gastroenterology, Cukurova University School of Medicine, Adana, Turkey - gtumgor74@yahoo.com.

Minerva Pediatrics
|May 28, 2021
PubMed

Insights

Gastroesophageal reflux (GER) is common in children over 3 years old needing adenotonsillectomy. The reflux laryngopharyngitis (LPR) score effectively identifies GER, similar to invasive tests.

Area of Science:

  • Pediatric Otolaryngology
  • Gastroenterology

Background:

  • Adenotonsillar hypertrophy frequently necessitates surgery in children.
  • The co-occurrence of gastroesophageal reflux (GER) in these pediatric patients is not well-established.
  • Investigating GER's incidence and diagnostic correlations is crucial for this population.

Purpose of the Study:

  • To ascertain the incidence of GER in children over 3 years old undergoing adenotonsillectomy.
  • To explore the relationship between GER and various diagnostic testing modalities.

Main Methods:

  • Forty-four children scheduled for adenotonsillectomy due to hypertrophy were assessed for GER.
  • GER diagnosis was based on positive results from tests including esophagitis or pH monitoring.
  • A control group of 20 children without reflux symptoms was included for comparison, with reflux laryngopharyngitis (LPR) scoring applied.

Main Results:

  • A significant incidence of reflux (72.7%) was observed in children requiring adenotonsillectomy.
  • The LPR score was negative in all healthy control subjects.
  • No correlation was found between pH monitoring and esophageal histopathology, but LPR scores correlated with proximal esophageal histological esophagitis.

Conclusions:

  • Gastroesophageal reflux is highly prevalent in pediatric patients with adenotonsillar hypertrophy.
  • The LPR score and patient history demonstrate comparable efficacy to invasive methods like pH monitoring and endoscopy for GER diagnosis.
Abstract

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