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[24-hour esophageal pH in children]
A Lange1, J Bonde-Petersen, H V Middelfart
1Paediatrisk afdeling, Arhus Universitetshospital, Arhus Kommunehospital.
Ugeskrift for Laeger
|January 27, 1997
Summary
Gastroesophageal reflux is common in infants with respiratory or gastrointestinal symptoms, often detected via 24-hour esophageal pH monitoring. This study highlights reflux prevalence in symptomatic infants.
Area of Science:
- Pediatric Gastroenterology
- Neonatology
- Otolaryngology
Context:
- Gastroesophageal reflux (GER) is a common condition in infants.
- Diagnosing GER can be challenging, especially in infants presenting with non-specific symptoms.
- 24-hour esophageal pH monitoring is a key diagnostic tool.
Purpose:
- To investigate the prevalence of pathological gastroesophageal reflux (GER) in infants presenting with various symptoms.
- To correlate findings from 24-hour esophageal pH monitoring with clinical presentations in infants.
Summary:
- Continuous 24-hour esophageal pH monitoring was conducted on 89 infants.
- 74% of infants with respiratory symptoms and 71% with gastrointestinal symptoms showed pathological GER.
- Infants with unusual posturing had a lower prevalence (25%), and healthy infants had normal findings.
Impact:
- This study confirms that gastroesophageal reflux is prevalent in infants with both respiratory and gastrointestinal symptoms.
- Findings support the utility of 24-hour esophageal pH monitoring in the diagnostic workup of symptomatic infants.
- Highlights the need for considering GER in the differential diagnosis of infant respiratory issues.