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01.12.2006 | Original Article

Esophageal Impedance/pH Monitoring in Pediatric Patients: Preliminary Experience with 50 Cases

verfasst von: Girolamo Mattioli, Alessio Pini-Prato, Valerio Gentilino, Enrica Caponcelli, Stefano Avanzini, Stefano Parodi, Giovanni A. Rossi, Pietro Tuo, Paolo Gandullia, Claudio Vella, Vincenzo Jasonni

Erschienen in: Digestive Diseases and Sciences | Ausgabe 12/2006

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Abstract

This paper describes multiple intraluminal impedance (MII) in 50 children with typical and atypical gastroesophageal reflux (GER) symptoms and discusses the possible clinical significance of objective numeric data provided by MII computed analysis. Patients underwent 24-hr pH/MII monitoring. Reflux parameters were analyzed with relation to age and reported symptoms. Nonacidic MII events occurred as frequently as acidic ones. A Pathologic Bolus Exposure Index associated with a normal pH Reflux Index was detected in 26% of our series. Significant correlations were found regarding acid and bolus clearing times and their ratio.

We conclude that the low rate of symptom occurrence in the pediatric population represents a limit on MII evaluation. Our study confirmed that nonacid GER is at least as frequent as acid GER. As MII provides interesting objective data that could be used in clinical practice, we suggest further research to define normal ranges in the pediatric population.

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Titel: Esophageal Impedance/pH Monitoring in Pediatric Patients: Preliminary Experience with 50 Cases
verfasst von: Girolamo Mattioli
Alessio Pini-Prato
Valerio Gentilino
Enrica Caponcelli
Stefano Avanzini
Stefano Parodi
Giovanni A. Rossi
Pietro Tuo
Paolo Gandullia
Claudio Vella
Vincenzo Jasonni
Publikationsdatum: 01.12.2006
Verlag: Kluwer Academic Publishers-Plenum Publishers
Erschienen in: Digestive Diseases and Sciences / Ausgabe 12/2006
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI: https://doi.org/10.1007/s10620-006-9374-z

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